基于低强度有氧训练对高龄老年人步行速度的影响研究  

Effect of LowIntensity Aerobic Training on Walking Speed of the Senile Patients

作　　者：周靓贇 郑洁皎 夏汶 张杰 刘鑫 施欲恺 夏世金 Zhou Liangyun;Zheng Jiejiao;Xia Wen;Zhang Jie;Liu Xin;Shi Yukai;Xia Shijin(Department of Rehabilitation Medicine;Shanghai Institute of Geriatrics,Huadong Hospital Affiliated to Fudan University,Shanghai,200040,P.R.China)

机构地区：[1]复旦大学附属华东医院康复医学科,上海200040 [2]市北医院老年康复科,上海200436 [3]复旦大学附属华东医院上海市老年医学研究所,上海200040

出　　处：《老年医学与保健》2020年第6期964-967,共4页Geriatrics & Health Care

基　　金：科学技术部国家重点研发计划“主动健康和老龄化科技应对”重点专项“老年全周期康复技术体系与信息化管理研究”项目(2018YFC2002300);上海市卫健委卫生行业临床研究专项青年项目(20194Y0463)。

摘　　要：目的研究低强度有氧训练对高龄老年人步行速度的影响。方法选取2016年1月-2019年1月在复旦大学附属华东医院住院老年患者30例,按照随机数字表法分为观察组和对照组,每组15例。观察组采用低强度有氧训练,对照组采用康复宣教的常规步行训练,持续干预3个月。用起立行走试验(TUG)和10 m步行测试(10MWT),对2组干预前后步行能力进行评估。结果干预前,2组的TUG和10 MWT结果比较差异无统计学意义(P>0.05);干预后,观察组TUG和10MWT小于干预前(P<0.001),也均小于对照组干预后(P<0.05);而对照组干预前后TUG和10 MWT差异无统计学意义(P>0.05)。两组干预前后血压、心率未见明显变化。结论低强度有氧训练可有效地提高高龄老年人的步行速度,并且安全、可靠。Objective To explore the effect of low intensity aerobic training on walking speed of the senile patients.Methods 30 senile patients who were hospitalized in Huadong Hospital Affiliated to Fudan University from January 2016 to January 2019 were selected and divided into observation group and control group according to the randomnumber table method,with 15 cases in each group.The observation group adopted low-intensity aerobic training,while the control group adopted routine rehabilitation walking exercise.The intervention lasted for 3 months in both groups.The walking ability of the patients before and after intervention was evaluated by time up&go(TUG)testand 10-meter walking test(10 MWT).Results Before the intervention,there was no significant difference in the results of TUG and 10 MWT between the two groups(P>0.05).After intervention,the TUG and 10 MWT of the observation group were lower than those before the intervention(P<0.001),and also lower than those of the control group after the intervention(P<0.05);however,there was no significant difference in TUGand 10 MWT before and after intervention in the control group(P>0.05).There were no significant changes in blood pressure and heart rate before and after intervention in the two groups.Conclusion Low intensity aerobic training can effectively improve the walking ability of senile patients,which is safe and reliable.

关 键 词：高龄 有氧训练 步行速度 跌倒 

分 类 号：R493[医药卫生—康复医学]