缓解期炎症性肠病患者外周肌力水平与疲乏、体力活动的关系  

Associations between Muscle Strength and Fatigue and Physical Activity in Patients with Inflammatory Bowel Disease in Remission

作　　者：赵媛媛 杨小辉[2] 顾洁[3] 钮美娥[1] ZHAO Yuan-yuan;YANG Xiao-hui;GU Jie;NIU Mei-e(Department of Nursing,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;ICU,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Gastroenterology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院护理部,江苏苏州215006 [2]苏州大学附属第一医院ICU,江苏苏州215006 [3]苏州大学附属第一医院消化内科,江苏苏州215006

出　　处：《实用临床医学（江西）》2019年第5期78-83,共6页Practical Clinical Medicine

摘　　要：目的探讨缓解期炎症性肠病(IBD)患者外周肌力水平与疲乏、体力活动的关系。方法 选取缓解期炎症性肠病患者40例,其中克罗恩病(CD)27例和溃疡性结肠炎(UC)13例。采用一般资料调查表进行问卷调查;使用WCS-100型电子握力计进行握力测试;采用多关节等速力量测试与训练系统进行等速肌力测试,采集患者的下肢肌力参数,其速度设置为60°·s^-1和180°·s^-1;采用多维疲乏量表(MFI-20)评估患者的疲乏程度;采用国际体力活动水平问卷(IPAQ)评估患者体力活动状况。结果 外周肌力与疲乏Spearman相关分析显示,屈肌疲劳指数与疲乏总分、精神性疲乏、动力下降呈正相关(r=0.385~0.413,均P<0.05);伸肌疲劳指数与生理性疲乏呈正相关(r=0.367,P<0.05);握力与疲乏得分无关(均P>0.05)。外周肌力与体力活动Pearson相关分析显示,总体力活动水平、工作、家务园艺相关体力活动水平与握力、下肢等速肌力参数均无关(均P>0.05),中等强度以上休闲相关体力活动与屈伸相对峰力矩、屈伸总功呈正相关(r=0.380~0.504,均P<0.05),与屈伸疲劳指数呈负相关(r=-0.439^-0.612,均P<0.05)。结论 下肢等速肌力与疲乏、中等强度以上休闲相关体力活动有关,未来研究可考虑中等强度以上的运动锻炼,并将下肢肌力训练纳入运动康复训练计划中,以明确其对疲乏、肌力的影响。Objective To investigate the relationships between peripheral muscle strength and fatigue and physical activity in patients with inflammatory bowel disease in remission.Methods Forty patients with inflammatory bowel disease in remission stage were selected,including 27 patients with Crohn’s disease and 13 patients with ulcerative colitis.A survey was conducted using the general information questionnaire.Grip strength test was carried out using the WCS-100 electronic grip strength meter.Isokinetic muscle strength was measured by multi-joint isokinetic strength test and training system to collect lower limb muscle strength parameters at the velocities of 60 degrees·s^-1 and 180 degrees·s^-1.Fatigue degree and physical activity status were assessed with the Multidimensional Fatigue Scale(MFI-20)and the International Physical Activity Questionnaire(IPAQ),respectively.Results The flexor muscle fatigue index was positively correlated with the total fatigue score,mental fatigue and decrease in motivation(r=0.385-0.413,P<0.05).The extensor fatigue index was positively associated with physiological fatigue(r=0.367,P<0.05).There is no relationship between grip strength and fatigue(P>0.05).Furthermore,the levels of total physical activity,job and physical activity related to housework and gardening were not correlated with grip strength and lower limb isokinetic muscle strength parameters(P>0.05).However,moderate-to vigorous-intensity leisure-related physical activity was positively correlated with the relative peak moment and total work of flexion and extension(r=0.380-0.504,P<0.05),but negatively associated with the fatigue index(r=-0.439--0.612,P<0.05).Conclusion Isokinetic muscle strength of lower limbs is related to fatigue and leisure-related physical activity above moderate intensity.Therefore,the exercise above moderate intensity may be considered in future studies,and lower-limb muscle strength training should be incorporated into rehabilitation training plan to clarify its impact on fatigue and muscle strength

关 键 词：炎症性肠病 下肢等速肌力 疲乏 体力活动 中等强度 运动康复 

分 类 号：R574[医药卫生—消化系统]