太极拳运动对COPD-OSAHS重叠综合征患者认知电位P300及肺通气功能的影响  

Effect of TaiChi on Cognitive Potential P300 and Pulmonary Ventilation Function of Patients with COPD-OSAHS Overlay Syndrome

作　　者：于雅洁 张新安[1] YU Yajie;ZHANG Xin an(College of Kinesiology,Shenyang Sport University,Shenyang 110102,Liaoning,China;Department of Rehabilitation Medicine,Liaoning Jinqiu Hospital,Shenyang 110016,Liaoning,China)

机构地区：[1]沈阳体育学院运动人体科学学院,辽宁沈阳110102 [2]辽宁省金秋医院康复医学科,辽宁沈阳110016

出　　处：《沈阳体育学院学报》2019年第5期91-97,共7页Journal of Shenyang Sport University

基　　金：国家自然科学基金项目(批准号:81572243);辽宁省科学事业公益研究基金项目(批准号:2016003004)

摘　　要：目的:探讨太极拳运动对COPD-OSAHS重叠综合征患者认知电位P300与肺通气功能的影响,为呼吸系统疾病的康复提供参考。方法:选取辽宁省金秋医院呼吸内科40~50岁、病情相对稳定、无运动项目的COPD-OSAHS重叠综合征的男性患者60人,随机分为试验组(太极拳)和对照组(无运动项目)各30人。试验组接受连续6个月的太极拳干预,对照组在试验期间无规律运动项目。分别在基线和运动6个月后对两组进行P300测试、肺通气(肺活量、时间肺活量、潮气量)测试、Borg量表评估,并对其结果进行分析。结果:基线时两组受试者基本情况和量表测试结果均无显著性差异(P>0.05),对照组在试验前后各指标未见显著性变化(P>0.05)。较基线相比,经过6个月运动干预,试验组受试者P300潜伏期、P300基峰值、P300峰峰值、肺活量、时间肺活量、潮气量及Borg评分存在显著差异(P<0.05)。与对照组相比,运动干预6个月后,试验组受试者P300潜伏期、基峰值、峰峰值、肺活量、时间肺活量、潮气量出现明显变化,具有显著性差异(P<0.05);Borg量表评估均出现明显变化,具有极显著性差异(P<0.01)。COPD-OSAHS重叠综合征患者认知P300潜伏期与呼吸机能或Borg评分呈高度负相关(P<0.01),认知P300基峰值、峰峰值与上述指标呈高度正相关(P<0.01)。结论:太极拳运动对COPD-OSAHS重叠综合征患者的认知及肺功能具有良好的干预效果,值得在呼吸系统疾病的社区及家庭康复中推广。Objective:To explore the effect of TaiChi exercise on cognitive potential P300 and pulmonary ventilation function of patients with COPD-OSAHS overlap syndrome,and to provide reference for the rehabilitation of respiratory diseases.Methods:60 male patients with COPD-OSAHS overlap syndrome,aged 40-50 years with relatively stable condition and no exercise,were selected from the department of respiratory,Liaoning Jinqiu Hospital.They were randomly divided into the experimental group(with TaiChi)and the control group(with no exercise),30 patients each.The experimental group received TaiChi intervention for 6 months,while the control group had no regular exercise during the experiment.The test of P300 and pulmonary ventilation function(vital capacity,temporal vital capacity,tidal capacity)and Borg scale evaluation were conducted for the two groups at baseline and 6 months after exercise respectively,and the results were analyzed.Results:At baseline,there was no significant difference in subjects’basic information and scale results between the two groups(P>0.05),and no significant change was observed in the control group before and after the test(P>0.05).After 6 months’intervention,compared with the baseline,there were significant differences in latency of P300,peak value of P300,peak-peak value of P300,vital capacity,temporal vital capacity,tidal capacity,and Borg scale evaluation of the experimental group subjects(P<0.05).Compared with the control group,after 6 months’exercise intervention,there were significant differences in latency of P300,peak value of P300,peak-peak value of P300,vital capacity,temporal vital capacity and tidal capacity of the experimental group subjects(P<0.05);There were significant changes in Borg scale evaluation,with significant differences(P<0.01).There was a high negative correlation between the latency of P300 and the respiratory function or Borg scale(P<0.01),and a high positive correlation between base peak/peak-to-peak value of the cognitive P300 and the above indicators of the p

关 键 词：COPD-OSAHS重叠综合征 太极拳 认知电位P300 肺功能 

分 类 号：G804.49[文化科学—运动人体科学]