运动疗法治疗老年焦虑症与抑郁症的研究进展  

Research progress of exercise therapy in the treatment of senile anxiety and depression

作　　者：史文倩 沈姞[2] 施红[2] Shi Wenqian;Shen Ji;Shi Hong(Department of Geriatrics,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,China;Department of Geriatrics,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]郑州大学附属郑州中心医院老年医学科,郑州450000 [2]北京医院老年医学科,国家老年医学中心,北京100730

出　　处：《中华老年医学杂志》2024年第5期641-645,共5页Chinese Journal of Geriatrics

基　　金：国家重点研发计划"政府间国际科技创新合作"重点专项(2021YFE0111800)。

摘　　要：焦虑症与抑郁症是老年科较为常见的疾病,其发病率快速增长给患者造成莫大的痛苦,同时带来沉重的经济和社会负担。目前主要的治疗方法包括药物治疗、物理治疗以及心理干预,但因多数老年人不能耐受药物不良反应,且对心理干预的接受度低,不能足疗程治疗。因此,老年焦虑抑郁症患者的治疗并不充分。运动疗法具有不良反应少、经济实惠、操作可控等优势,成为国内外指南推荐的治疗手段。但需要制定适宜的运动处方,完整的运动处方包括运动类型、运动强度、运动频率和运动时间。本文通过对运动疗法包括运动类型、运动强度对焦虑抑郁干预效果的评价及运动干预的作用机制进行综述。Anxiety and depression are prevalent conditions in the geriatric department,leading to significant patient suffering and imposing substantial economic and social burdens.The incidence of anxiety and depression has been on the rise.Currently,the primary treatment approaches encompass drug therapy,physical therapy,and psychological intervention.However,due to the fact that most elderly individuals are unable to tolerate the side effects of medications and have low acceptance of psychological interventions,these treatment options alone are not sufficient for addressing anxiety and depression in this population.As a result,exercise therapy has emerged as a recommended treatment method in both domestic and international guidelines.This approach offers several advantages,including fewer side effects,cost-effectiveness,and controllable implementation.Nevertheless,it is crucial to develop an appropriate exercise prescription that encompasses the specific type,intensity,frequency,and duration of exercises.This paper aims to discuss the effect of exercise therapy,including exercise type,intensity,and frequency,as well as the mechanism of exercise intervention.

关 键 词：运动 焦虑 抑郁 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]