【摘要】：目的探討有氧運動聯(lián)合常規(guī)康復(fù)治療對卒中偏癱患者心肺運動功能及康復(fù)效果的影響。方法前瞻性連續(xù)納入30例首次發(fā)病的卒中偏癱患者,按隨機數(shù)字表法隨機分為試驗組和對照組,每組15例。4例患者退出,最終26例患者完成研究,每組13例,兩組患者均給予常規(guī)康復(fù)治療,試驗組在常規(guī)康復(fù)治療基礎(chǔ)上增加有氧運動訓(xùn)練,每天1次,每次30 min,共訓(xùn)練4周。分別于治療前和治療4周后對兩組患者進行心肺運動試驗[峰值攝氧量(VO2peak)、無氧閾(AT)、峰值分鐘通氣量(VEpeak)]以及運動功能[Fugl-Meyer評定量表(FMA)]、日常生活活動能力[Barthel指數(shù)(BI)]的評估,比較兩組患者治療前后的差異。結(jié)果 (1)心肺運動試驗結(jié)果:與治療前比較,試驗組患者治療后VO2peak、AT、VEpeak均明顯提高[分別為(16±4)ml/(kg·min)比(13±3)ml/(kg·min)、(12.9±2.5)ml/(kg·min)比(10.0±2.7)ml/(kg·min)、(41±12)L/min比(34±9)L/min;t值分別為9.668、4.328、3.662,均P0.01],對照組患者治療后與治療前VO2peak、AT、VEpeak比較[分別為(14±4)ml/(kg·min)比(14±4)ml/(kg·min)、(11.8±2.6)ml/(kg·min)比(11.5±2.9)ml/(kg·min)、(29±8)L/min比(28±6)L/min],差異無統(tǒng)計學(xué)意義(t值分別為0.863、0.583、0.314,均P0.05);對照組患者治療前后VO2peak、AT、VEpeak差值分別為0.4(0.2,0.6)、0.1(-0.5,0.7)ml/(kg·min)和0(-2.5,5.0)L/min,試驗組患者治療前后VO2peak、AT、VEpeak差值分別為3.0(2.2,3.9)ml/(kg·min)、2.7(1.8,5.3)ml/(kg·min)、7.0(1.0,13.0)L/min,兩組間治療前后VO2peak、AT、VEpeak差值差異有統(tǒng)計學(xué)意義(Z值分別為4.287、3.721、2.236,均P0.05)。(2)FMA評分與BI評估結(jié)果:與治療前比較,試驗組患者治療后FMA評分、BI均明顯提高[分別為(70±24)分比(52±28)分、(78±20)比(60±28);t值分別為4.076,4.239,均P0.01],對照組治療后FMA評分、BI較治療前有明顯改善[分別為(68±25)分比(60±27)分、(69±22)比(59±26);t值分別為3.168,5.436,均P0.05]。對照組治療前后FMA評分、BI差值分別為5.0(2.0,12.0)分、10.0(5.0,15.0),試驗組治療前后FMA評分、BI差值分別為10.0(4.5,32.0)分、11.0(10.0,27.5),組間差異無統(tǒng)計學(xué)意義(Z值分別為1.393、1.352,均P0.05)。結(jié)論卒中偏癱患者在常規(guī)康復(fù)治療基礎(chǔ)上,增加有氧運動訓(xùn)練,能夠提高其心肺運動功能。
[Abstract]:Objective to investigate the effects of aerobic exercise combined with routine rehabilitation therapy on cardiopulmonary motor function and rehabilitation in stroke hemiplegic patients. Methods Thirty first-time stroke hemiplegia patients were prospectively enrolled and randomly divided into experimental group (n = 15) and control group (n = 13). 15 patients in each group withdrew from the study, and 26 patients in each group, 13 patients in each group, were enrolled in the study. The patients in both groups were given routine rehabilitation therapy. Aerobic exercise training was added to the routine rehabilitation treatment in the experimental group for 4 weeks, once a day for 30 min,. Cardiopulmonary exercise test [peak oxygen uptake (VO2peak), anaerobic threshold (AT), peak minute ventilation volume (VEpeak)], motor function [Fugl-Meyer rating scale (FMA)] and activity of daily living [Barthel index (BI)] were evaluated before and 4 weeks after treatment, respectively. To compare the difference between the two groups before and after treatment. Results (1) the results of cardiopulmonary exercise test were compared with those before treatment. 璇曢獙緇勬?zhèn)ｈ�呮不鐤楀悗VO2peak,AT,VEpeak鍧囨槑鏄炬彁楂榌鍒嗗埆涓，

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