八段锦运动疗法对慢性乙型病毒性肝炎患者康复的影响  

Effects of Ba Duan Jin Exercise Intervention on Rehabilitation of Chronic Hepatitis B Patients

作　　者：李楠[1] 潘璇[1] 轧春妹[2] 王佩[1] 吴曼莉[1] 宓余强[1] 段毅力[1] 

机构地区：[1]天津市传染病医院天津市肝病医学研究所,天津300192 [2]天津市传染病医院护理部

出　　处：《解放军护理杂志》2012年第4期13-16,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：天津市中医;中西医结合科研专项资金课题(07085)

摘　　要：目的探讨八段锦运动疗法对慢性乙型病毒性肝炎患者食欲、肝区不适、睡眠、大小便等的影响。方法将天津市传染病医院的124例慢性乙型病毒性肝炎(轻、中度)住院患者随机分为干预组和对照组各62例,干预组在给予阿拓莫兰、甘利欣等保肝以及抗病毒治疗的基础上采用八段锦进行运动干预;对照组在同样治疗方案的基础上早期卧床休息,进入恢复期后患者自行活动。分别于患者入院24h内及干预后2、4、8周时对患者的食欲、肝区不适症状、睡眠时间、握力、体重等指标进行调查。结果干预组患者的食欲在八段锦运动干预后2周就明显改善,干预后8周时所有患者均食欲较佳,与对照组比较差异有统计学意义(P<0.05);干预组患者在干预后2、4周时肝区不适症状缓解明显,与对照组比较差异有统计学意义(P<0.05),干预后8周时,干预组所有患者均无肝区不适,明显优于对照组(82.3%);干预组患者在干预后2、4、8周时睡眠状况改善与对照组比较差异有统计学意义(P<0.05)。结论八段锦运动疗法能够改善慢性乙型病毒性肝炎患者的食欲,增加摄入量,改善患者肝区疼痛等不适症状,增加患者的睡眠时间,可作为慢性乙型病毒性肝炎患者长期锻炼的一种新的运动疗法。Objective To investigate the effects of Ba Duan Jin movement intervention therapy on the appetite,discomfort in liver area, influence functions, sleep condition, urination and defecation of chronic hepatitis B patients. Methods A total of 124 chronic hepatitis B inpatients （light, midrange） were randomized into intervention group and control group,with 62 patients in each group. The patients in the intervention group were treated with Ba Duan Jin as exercise therapy based on and the hepatoprotective and antiviral therapy of Atomolan,Ganlixin. The patients in the control group adopted early bed rest based on the same treatment and mobilized themselves when they entered convalescent period. The patients＇ appe- tite, discomfort in liver area, sleep condition, power of gripping and body weight were investigated separately in 24h after admission and at 2,4 and 8 weeks after the intervention. Results After 2 weeks＇ Ba Duan Jin movement intervention therapy,the patients＇ appetite in the intervention group was significantly improved. After 8 weeks‘ intervention, 100% of the patients showed subjectively increased appetite. Significant differences were observed between the two groups （P 〈 0. 05）. The liver discomfort was significantly alleviated in the patients of the intervention group at 2 and 4 weeks after the intervention（P〈0.05）. After 8 weeks＇ intervention, all of the patients in the intervention group showed no liver discomfort, which was significantly superior to the control group （82.3 % ; Significant differences were detected on the improvement in sleep condition between the two groups at 2,4 and 8 weeks after the intervention（P〈0.05）. Conclusion Ba Duan Jin movement intervention therapy can improve the chronic hepatitis B patient＇s appetite,increases the amount of intake,improve the patient liver area ache and increases patient＇s sleep time. Therefore,it serves as a new long- term exercise therapy for chronic hepatitis B patients.

关 键 词：八段锦 慢性乙型病毒性肝炎 运动疗法 干预 护理 

分 类 号：R455[医药卫生—运动医学] R512.62[医药卫生—治疗学]