摘要
目的探讨太极拳锻炼对老年慢性肾脏病并发肌少症患者运动和平衡功能的改善作用及对肾功能的影响。方法选取2018年12月至2020年5月在浙江医院就诊的73例老年慢性肾脏病并发肌少症患者为研究对象。其中36例给予常规内科治疗(对照组),37例在此基础上给予太极拳锻炼干预12周(观察组)。比较干预前后两组患者四肢骨骼肌质量指数(ASMI)、握力指数、6 m步行速度、功能性步态评价(FGA)评分、血肌酐、估算的肾小球滤过率(eGFR)以及尿微量白蛋白等指标。计量资料的组间比较采用t检验,计数资料的比较采用χ^(2)检验。结果干预12周后,观察组患者ASMI、握力指数、6米步行速度、FGA评分较干预前均有明显提升,且明显高于对照组患者(t=2.876、4.375、4.982、4.582,P<0.01)。干预前后,观察组患者仅尿微量白蛋白水平的差异有统计学意义(F=5.396,P<0.05),其中干预12周后的尿微量白蛋白水平明显低于干预前和首次干预24 h后(P<0.01)。干预12周后,观察组患者尿微量白蛋白水平明显低于对照组患者(t=2.557,P<0.01)。结论太极拳运动能够提高老年慢性肾脏病并发肌少症患者的肌肉质量,改善平衡功能,保护肾功能,提高生活质量。
Objective To explore the effect of Taijiquan exercise on the improvement of motor and balance function and renal function in elderly patients with chronic kidney disease complicated with sarcopenia.Methods A total of 73 elderly patients with chronic kidney disease complicated with sarcopenia admitted in Zhejiang Hospital during December 2018 and May 2020 were enrolled in the study.Among them,36 cases were given routine medical treatment(control group),and 37 cases were given Taijiquan exercise intervention in addition for 12 weeks(observation group).Appendicular skeletal muscle mass index(ASMI),grip strength index,6-meter walking speed,functional gait assessment scale(FGA),serum creatinine,estimated glomerular filtration rate(eGFR)and urine microalbumin were compared between the two groups.The comparison of measurement data between groups was performed by t test and the comparison of enumeration data was performed byχ^(2) test.Results After 12 weeks of intervention,ASMI,grip strength index,6-meter walking speed,FGA score in the observation group were significantly improved compared with those before intervention,and were significantly higher than those in the control group(t=2.876,4.375,4.982,4.582,P<0.01).Before and after intervention,the difference of urinary microalbumin level in observation group was statistically significant(F=5.396,P<0.05),and the urinary microalbumin level after 12 weeks of intervention was significantly lower than that before intervention and 24 h after the first intervention(P<0.01).After 12 weeks of intervention,the level of urinary microalbumin in observation group was significantly lower than that in control group(t=2.557,P<0.01).Conclusion Taijiquan exercise can improve the muscle mass of elderly patients with chronic kidney disease complicated with sarcopenia,improve balance function,protect renal function and improve the quality of life.
作者
陶有娣
黄雄昂
林坚
汤洋
Youdi Tao;Xiong'ang Huang;Jian Lin;Yang Tang(Department of Rehabilitation Medicine,Zhejiang Hospital,Hanghzou 310013,China)
出处
《中华老年病研究电子杂志》
2022年第2期18-21,共4页
Chinese Journal of Geriatrics Research(Electronic Edition)
基金
浙江省基础公益研究计划项目(LGF19H170003)
浙江省中医药科研基金项目(2019ZB002)。
