克罗恩病伴肌肉衰减症患者围手术期抗阻运动干预  

Effectiveness of perioperative resistance exercise on sarcopenia in patients with Crohn′s disease

作　　者：曾星 叶向红 李昌娣 倪璇 孙琳 Zeng Xing;Ye Xianghong;Li Changdi;Ni Xuan;Sun Lin(Department of Gastroenterology,Jiangning Hospital Affiliated to Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学附属江宁医院胃肠外科,江苏南京210000 [2]东部战区总医院普外科 [3]东部战区总医院军队伤病员管理科

出　　处：《护理学杂志》2021年第7期97-100,共4页Journal of Nursing Science

摘　　要：目的探讨抗阻运动对克罗恩病伴肌肉衰减症患者术后康复的影响。方法克罗恩病伴肌肉衰减症行部分肠管切除吻合术患者71例,随机分为干预组35例和对照组36例。对照组实施常规围手术期护理,干预组在此基础上增加抗阻运动干预。观察患者握力、骨骼肌量、体脂率、术后胃肠道功能恢复情况及下床步行活动情况。结果干预后,干预组术前1 d及出院时握力与基线的差值、出院时骨骼肌量及体脂率与基线的差值比较,差异有统计学意义(均P<0.01)。干预组术后1~3 d每日下床步行距离显著长于对照组(P<0.01)。两组术后排气排便时间差异无统计学意义(均P>0.05)。结论围手术期抗阻运动能有效提升克罗恩病伴肌肉衰减症患者术后握力,降低肌肉衰减程度,促进患者术后康复。Objective The explore the effectiveness of perioperative resistance exercise on sarcopenia in patients with Crohn′s disease.Methods A total of 71 patients were randomized into 2 groups.The control group(n=36)received routine perioperative nursing measures,while the intervention group(n=35)additionally was subjected to perioperative resistance exercise.Outcomes included grip strength,skeletal muscle mass,body fat rate,postoperative recovery of gastrointestinal function and walking distance.Results After the intervention,differences in grip strength measured one day before the surgery and at discharge,and differences in skeletal muscle mass and body fat rate measured at discharge and at baseline,were significant(P<0.01 for all).The walking distances within 1-3 days after surgery in the intervention group were superior to those in the control group(P<0.01).There was no signi-ficant difference in gas passage time after surgery between the groups(P>0.05).Conclusion Perioperative resistance exercise significantly increased postoperative grip strength of Crohn′s disease patients,reduced the attenuation degree of postoperative muscle mass,prevented postoperative body fat increase and promoted postoperative rehabilitation.

关 键 词：克罗恩病 肌肉衰减症 抗阻运动 握力 骨骼肌量 体脂率 术后康复 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]