智能有氧踏车训练对不同病程脑梗死患者的效果  

Effects of intelligent aerobic bicycle training on ischemic stroke patients at different disease courses

作　　者：韩凯月 刘光亮 苏文龙 唐芷晴 张皓[1,2,4,5] HAN Kaiyue;LIU Guangliang;SU Wenlong;TANG Zhiqing;ZHANG Hao(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China;Liangxiang Hospital,Beijing 100068,China;University of Health and Rehabilitation Sciences,Qingdao,Shandong 266000,China;Cheeloo College of Medicine,Shandong University,Ji'nan,Shandong 250100,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院,北京市100068 [3]良乡医院,北京市102401 [4]康复大学,山东青岛市266000 [5]山东大学齐鲁医学院,山东济南市250100

出　　处：《中国康复理论与实践》2022年第7期822-827,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：首都临床特色应用研究项目(No.Z18110000178170)。

摘　　要：目的探讨智能有氧踏车训练对不同病程脑梗死患者下肢运动功能、心肺功能和日常生活活动能力(ADL)的影响。方法2019年11月至2021年11月,北京博爱医院收治的脑梗死患者138例,分层随机分为对照组和试验组各69例。所有患者均接受药物治疗和常规康复训练,试验组加智能有氧踏车训练,共8周。于治疗前、治疗4周和治疗8周后采用Fugl-Meyer评定量表下肢部分(FMA-LE)、峰值摄氧量(VO_(2)peak)、6分钟步行试验(6MWT)和改良Barthel指数(MBI)进行评价。结果治疗后,两组FMA-LE评分、VO_(2)peak、6MWT、MBI评分均显著改善(|t|>6.763,P<0.001),试验组各项成绩均优于对照组(|t|>2.439,P<0.05)。其中,病程<1个月的患者比较,试验组FMA-LE评分、VO_(2)peak和6MWT均优于对照组(|t|>2.036,P<0.05);病程1~3个月患者比较,试验组6MWT和MBI评分优于对照组(|t|>2.005,P<0.05);病程>3~6个月患者比较,两组各项成绩均无显著性差异(|t|<1.303,P>0.05)。结论智能有氧踏车训练能促进脑梗死患者下肢运动功能、心肺功能和ADL恢复,发病后早期干预效果最佳。Objective To investigate the effects of an intelligent aerobic bicycle training on lower limb motor function,cardiopulmonary function and activities of daily living(ADL)in patients with ischemic stroke at different courses.Methods From November,2019 to November,2021,138 ischemic stroke patients were stratified-randomly divided into control group(n=69)and experimental group(n=69).All the patients received medication and routine rehabilitation training,and the experimental group additionally received intelligent aerobic bicycle training,for eight weeks.They were assessed with Fugl-Meyer Assessment-Lower Extremities(FMA-LE),peak oxygen uptake(VO_(2)peak),Six-minute Walk Test(6MWT)and modified Barthel Index(MBI)before,and four weeks and eight weeks after treatment.Results The performances of FMA-LE,VO_(2)peak,6MWT and MBI improved in both groups after treatment(|t|>6.763,P<0.001),and improved more in the experimental group than in the control group(|t|>2.439,P<0.05).For the patients beginning training less than one month after stroke,the performances of FMA-LE,VO_(2)peak and6MWT improved more in the experimental group than in the control group(|t|>2.036,P<0.05);for those during one to three months,the performances of 6MWT and MBI improved more(|t|>2.005,P<0.05);for those during three to six months,the performances of all the tests were not significantly different(|t|<1.303,P>0.05).Conclusion Intelligent aerobic bicycle training may improve the lower limb motor function,cardiopulmonary function and ADL for patients with ischemic stroke,especially intervening earlier.

关 键 词：脑梗死 有氧踏车 运动 心肺功能 日常生活活动能力 

分 类 号：R743.32[医药卫生—神经病学与精神病学]