低频电针刺激与音乐疗法对急性有氧运动疲劳恢复的效果比较  

Comparison of recuperative effects of musicotherapy and low-frequency electro-acupuncture on fatigue induced by acute aerobic exercise

作　　者：李靖[1] 王旭东[1] 潘利萍[2] 

机构地区：[1]南京中医药大学第二临床医学院中医养生康复教研室 [2]南京体育学院医院化验科,江苏省南京市210014

出　　处：《中国临床康复》2006年第11期4-7,共4页Chinese Journal of Clinical Rehabilitation

基　　金：南京体育学院科研项目(YJ0409014)~~

摘　　要：目的:比较电针刺激足三里与聆听放松音乐疗法对急性有氧运动疲劳的恢复效果。方法:实验于2004-10/2005-01选取南京体育学院48名健康男大学生志愿者,随机分为自然恢复组、音乐治疗组、低频电针组,16名/组。①以80%～85%的乳酸阈强度即65W为初始功率,受试者进行1min的准备活动后,正式开始有氧运动直至疲劳。判断疲劳的标准为自我感觉疲劳、且一再鼓励后仍不能维持预定的运动强度。②一次性有氧运动至疲劳后,音乐治疗组卧位,戴耳机听放松音乐,音量以感觉舒适为度,一般控制在45.0～63.5dB。低频电针组卧位,双足三里针刺得气后,以1Hz的低频脉冲给予电刺激。自然恢复组静卧休息,不给予任何治疗。各组治疗时间均持续15min。③比较各组治疗前后心率、下肢肌力、下肢围度、血糖、尿蛋白、血乳酸、视觉简单反应时、主观体力感觉等生理、生化及心理指标的变化。结果:按意向处理分析,实验纳入健康男大学生志愿者48名,全部进入结果分析。①运动前、运动后即刻各项指标的组间比较:经统计学检验,各组间心率、大腿围、小腿围、下肢肌力、简单反应时、主观体力感觉值、血乳酸、血糖及尿蛋白等指标在运动前、运动后即刻均基本相似(P>0.05)。②运动前后各项指标的配对检验结果:与运动前比较,运动后即刻心率、大腿围、小腿围、主观体力感觉值均显著增加(P<0.01);血糖及尿蛋白均显著下降(P<0.01,P<0.05);简单反应时及血乳酸无明显变化(P>0.05)。运动后10min心率平均值为(81.82±10.29)次/min,与运动后即刻心率相比显著降低(P<0.01),而与运动前相比显著升高(P<0.01)。③受试者运动后即刻自觉症状统计结果:48名受试者中,汗多者占75.00%,口干者占54.17%,下肢乏力者占52.08%,脚跟发软及下肢酸痛、僵硬者分别占16.67%和14.58%。④治疗后各项指标的组间比较:音乐治疗组�AIM： To compare recuperative effects of musicotherapy and low-frequency electro-acupuncture （EA） at zusanli on acute aerobic exercise-induced fatigue. METHODS： A total of 48 healthy male undergraduates in Nanjing Institute of Physicial Education from October 2004 to January 2005 were selected in the experiment and randomly divided into spontaneous recovery group, musicotherapy group and low-frequency EA group with 16 ones in each group. ① The initial exercise intensity were 80%-85% of lactic acid threshold, i.e. 65 Watts. After 1-minute warm-up, subjects kept on doing aerobic exercise until fatigued. Judging standard of fatigue were that felt fatigue and could not maintain presumptive exercise intensity even with much encouragements.②After once aerobic exercise, subjecis in the mnsicotherapy group lied down and listened to the music with headphones in proper volume, which was usually between 45-63.5 decibels. Subjects in the Low-frequeney EA group received acupuncture on zusanli （ST36） and then were given of low-density electric stimulation at 1 Hz. Subjects in the spontaneous recovery group lied down for rest without any other treatment. Time of therapy in each group was 15 minutes. ③Changes of heart rates, perimeter and muscular energy of lower extremities, blood glucose, urine protein, blood lactic acid, simple reaction time, ratings of perceived exertion （RPE） and mental indexes etc. before and after the treatment among groups were compared. RESUTLS： AcCording to intention-to-treatment analysis, 48 included healthy male undergraduates were involved in the analysis of results. ① Comparison of each indexes immediately before and after exercise among groups： After statistically tested, indexes such as heart rate, thigh girth,shank girth, muscular energy of lower extremities, RPE, simple reaction time blood lactic acid, blood glucose and uric protein among each group immediatedly before and after exercise were fundamentally similar （P 〉 0.05）. ② Results of paired test： Co

关 键 词：音乐疗法 电针 疲劳/病因学 运动过度 精神疲劳 

分 类 号：R245.31[医药卫生—针灸推拿学]