本文關(guān)鍵詞：太極“云手”對(duì)腦卒中患者心肺功能的影響研究　出處：《福建中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的探討太極"云手"訓(xùn)練對(duì)腦卒中患者心肺功能的影響,為太極"云手"改善腦卒中患者心肺功能提供科學(xué)依據(jù),以期形成一種適于社區(qū)推廣應(yīng)用的改善腦卒中患者心肺功能中醫(yī)康復(fù)適宜技術(shù)。方法:采用群組隨機(jī)對(duì)照試驗(yàn)設(shè)計(jì)方案。從福建省福州市共招募合格受試者80例,太極云手組40例,常規(guī)康復(fù)訓(xùn)練組40例,最終納入分析的有的有75例。太極云手組由有豐富經(jīng)驗(yàn)的太極拳教練指導(dǎo)監(jiān)督下進(jìn)行太極"云手"訓(xùn)練,常規(guī)康復(fù)訓(xùn)練組由統(tǒng)一培訓(xùn)合格的社區(qū)康復(fù)醫(yī)師進(jìn)行常規(guī)康復(fù)訓(xùn)練,每次60min,每周5次,為期12周。兩組分別于干預(yù)前后各進(jìn)行1次康復(fù)評(píng)定。評(píng)定內(nèi)容:(1)采用德國耶格公司生產(chǎn)的耶格OXYCON PRO PC型運(yùn)動(dòng)心肺功能儀測(cè)試心肺功能。(2)采用健康調(diào)查簡(jiǎn)表(36-Item ShortFrom Health Survey,SF-36)評(píng)估生存質(zhì)量。(3)采用改良巴氏指數(shù)(Modified Barthel Index,MBI)評(píng)定表評(píng)估日常生活能力。結(jié)果:1.心肺功能兩組心肺功能各指標(biāo)在干預(yù)前比較均無明顯差異(P0.05)。組內(nèi)比較:干預(yù)后,太極云手組肺活量(Vital Capacity,VC)、氧脈搏(Oxygen Pulse,OHR)、收縮壓(Systolic Blood Pressure,SBP)、舒張壓(Diastolic Blood Pressure,SDP)較干預(yù)前比較具有明顯差異(P0.05)。常規(guī)康復(fù)訓(xùn)練組最通氣量大(Maximal Voluntary Ventilation,MVV)、最大攝氧量(Maximal Oxygen Uptake,VOmax)、VC、每分鐘通氣量(Minute Ventilation Volume,VE)、OHR、SBP、SDP較干預(yù)前比較具有明顯差異(P0.05)。組間比較:兩組心肺功能各指標(biāo)在干預(yù)后比較均無明顯差異(P0.05)。2.生活質(zhì)量兩組生活質(zhì)量SF-36量表8個(gè)領(lǐng)域得分在干預(yù)前均無明顯差異(P0.05)。組內(nèi)比較:干預(yù)后,太極云手組SF-36量表8個(gè)領(lǐng)域得分較干預(yù)前比較具有明顯差異(P0.05);常規(guī)康復(fù)訓(xùn)練組SF-36量表中生理功能(Physical Functioning,PF)、生理職能(Role-Physical,RP)、總體健康(General Health,GH)、社會(huì)功能(Social Functioning,SF)、情感職能(Role-Emotional,RE)及精神健康(Mental Health,MH)領(lǐng)域得分干預(yù)前比較具有明顯差異(P0.05)。組間比較,兩組生活質(zhì)量SF-36量表中PF、GH、精力情況(Vitality,TV)、SF及MH領(lǐng)域得分組間比較具有明顯差異(Z值分別為:-2.660,2.295,-3.487,-2.366,-3.525;P 值分別為 0.008,0.025,0.001,0.018,0.001)。3.日常生活能力兩組改良巴氏指數(shù)(MBI)得分在干預(yù)前均無明顯差異(P0.05)。組內(nèi)比較:干預(yù)后,兩組MBI得分較干預(yù)前明顯提高,且較干預(yù)前比較均具有明顯差異(P0.05)。組間比較:兩組MBI得分組間具有明顯差異(Z=-2.577,P=0.0100.05)。4.干預(yù)過程中,兩組均無不良事件發(fā)生。結(jié)論:12周太極"云手"訓(xùn)練及常規(guī)康復(fù)訓(xùn)練對(duì)社區(qū)腦卒中患者的心肺功能、生活質(zhì)量以及日常生活能力均有改善作用。
[Abstract]:Objective to explore the effect of Taiji "cloud hand" training on cardiopulmonary function of stroke patients, and to provide scientific basis for improving heart and lung function of stroke patients by Taiji "cloud hand". In order to form a suitable rehabilitation technique for improving cardiopulmonary function of stroke patients, which is suitable for community application. Methods:. A total of 80 eligible subjects were recruited from Fuzhou, Fujian Province. There were 40 cases in Taiji cloud hand group, 40 cases in routine rehabilitation training group, and 75 cases were included in the analysis. Taiji cloud hand group was supervised by experienced Taijiquan coach to train Taiji "cloud hand". The routine rehabilitation training group was trained by the qualified community rehabilitation doctors for 60 mins, 5 times a week. For 12 weeks, the two groups received one rehabilitation assessment before and after intervention. The cardiopulmonary function was measured by OXYCON PRO PC cardiopulmonary function instrument made by Jager, Germany) and the health survey summary table was used (. 36-Item ShortFrom Health Survey. The modified Barthel Index was used to evaluate the quality of life (SF-36). Results: 1. There was no significant difference in the indexes of cardiopulmonary function between the two groups before and after intervention (P 0.05). Intragroup comparison: after intervention. In Taiji cloud hand group, vital vital capacity (VCN), oxygen pulse (Oxygen Pulseus). Systolic Blood pressure, diastolic Blood Pressure. SDPs were significantly different from those before intervention (P 0.05). The maximum Voluntary Ventilation in routine rehabilitation training group was greater than that before intervention. MVVV, maximal oxygen uptake, maximum Oxygen take VO _ (max) V _ (+) C ~ (2 +). Minute Ventilation volume and OHR-SBP. SDP was significantly different from that before intervention (P 0.05). Comparison between two groups: there was no significant difference between two groups in cardiopulmonary function indexes after intervention (P 0.05). 2.There was no significant difference in the scores of the eight areas of QOL SF-36 scale between the two groups before intervention (P 0.05). Intragroup comparison: after intervention. The scores of SF-36 in Taiji Yunhand group were significantly different from those before intervention (P 0.05). In the routine rehabilitation training group, the physiological function of the SF-36 was physical function, and the physiological function was Role-Physicalus. General Health, Social functioning (SFS). Emotional function Role-Emotional Health) and mental health. There was significant difference in the scores of MHs before intervention (P 0.05). Among the two groups, there was a significant difference between the two groups in the quality of life (SF-36) scale, energy status and Vitality (TVV). There were significant differences between SF and MH groups, the Z values of SF and MH groups were: 1% -2.660% 2.295U -3.487U -2.366U -3.525; P values were 0.008 ~ 0.025 ~ 0.001 ~ 0.018 respectively. The scores of modified pasteurization index (MBI) in the two groups were not significantly different before and after intervention (P 0.05). Intragroup comparison: after intervention. The scores of MBI in the two groups were significantly higher than those before the intervention, and there were significant differences between the two groups compared with those before the intervention (P 0.05). Comparison between the two groups: there was a significant difference between the two groups of MBI. During the intervention, there were no adverse events in both groups. Conclusion: Taiji "cloud hand" training and routine rehabilitation training for 12 weeks in community stroke patients' cardiopulmonary function. The quality of life and the ability of daily life are improved.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R247

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相關(guān)期刊論文 前10條

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本文編號(hào)：1414920