参苓白术散联合抗阻训练对脾胃虚弱型痿证营养状况及肌力的影响  

Effects of Shenling Baizhu San Combined with Resistance Training on Nutritional Status and Muscle Strength of Patients with Atrophy of Spleen-Stomach Weakness Type

作　　者：郑路 叶忠 徐芳华 李婷 ZHENG Lu;YE Zhong;XU Fanghua;LI Ting(Department of Rehabilitation,Zhejiang Yuhuan Hospital of Chinese Medicine,Yuhuan Zhejiang 317600,China)

机构地区：[1]玉环市中医院康复科,浙江玉环317600

出　　处：《新中医》2024年第9期26-30,共5页New Chinese Medicine

摘　　要：目的:观察参苓白术散联合抗阻训练对脾胃虚弱型痿证患者营养状况及肌力的影响。方法:选取80例脾胃虚弱型痿证患者,按随机数字表法分为对照组及治疗组各40例。对照组给予抗阻训练治疗,治疗组给予参苓白术散联合抗阻训练治疗。比较2组临床疗效,比较2组治疗前后营养状况[血清总蛋白(TP)、前白蛋白(PA)、血清白蛋白(Alb)]及肌力情况[徒手肌力评定量表(MMT)、简短肌肉功能测试(SPPB)、Osserman评级]的变化。结果:治疗组临床疗效总有效率为95.00%,对照组为77.50%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组血清TP、Alb、PA水平均较治疗前升高(P<0.05),治疗组血清TP、Alb、PA水平均高于对照组(P<0.05)。治疗后,2组MMT评分均较治疗前上升(P<0.05),治疗组MMT评分高于对照组(P<0.05)。治疗后,2组Osserman评级均较治疗前下降(P<0.05),SPPB评分均较治疗前上升(P<0.05);治疗组Osserman评级低于对照组(P<0.05),SPPB评分高于对照组(P<0.05)。结论:参苓白术散联合抗阻训练治疗脾胃虚弱型痿证患者疗效较好,能改善营养状况,提高肌力及肌肉功能。Objective:To observe the effects of the therapy of Shenling Baizhu San combined with resistance training on the nutritional status and muscle strength of patients with atrophy of spleen-stomach weakness type.Methods:A total of 80 patients with atrophy of spleen-stomach weakness type were selected and divided into the control group and the treatment group according to the random number table method,with 40 cases in each group.The control group was given resistance training for treatment,and the treatment group was treated with Shenling Baizhu San combined with resistance training.The clinical effects and the changes in nutritional status[serum total protein(TP),prealbumin(PA)and serum albumin(Alb)]and muscle strength[Manual Muscle Testing(MMT),Short Physical Performance Battery(SPPB)and Osserman grade]were compared before and after treatment between the two groups.Results:The total clinical effective rate was 95.00%in the treatment group,and 77.50%in the control group,the difference being significant(P<0.05).After treatment,the levels of serum TP,Alb and PA in the two groups were increased when compared with those before treatment(P<0.05),and the above three levels in the treatment group were higher than those in the control group(P<0.05).After treatment,the MMT scores in the two groups were increased when compared with those before treatment (P<0.05), and the MMTscore in the treatment group was higher than that in the control group (P<0.05). After treatment, theOsserman grade in the two groups was decreased when compared with that before treatment (P<0.05),and the SPPB scores were increased when compared with those before treatment (P<0.05);theOsserman grade in the treatment group was lower than that in the control group (P<0.05),and the SPPBscore was higher than that in the control group (P<0.05). Conclusion:The therapy of Shenling Baizhu Sancombined with resistance training has a great curative effect on patients with atrophy disease of spleenstomachweakness type,which can improve the nutritional status and enh

关 键 词：痿证 脾胃虚弱型 参苓白术散 抗阻训练 营养状况 肌力 

分 类 号：R255.6[医药卫生—中医内科学]