探讨强化营养联合抗阻运动对老年肌少症患者躯体功能和日常生活能力的影响  

Exploring the effects of intensified nutrition combined with resistance exercise on physical function and activities of daily living in elderly patients with sarcopenia

作　　者：林思宏 吴丽容 施贝贝 LIN Si-hong;WU Li-rong;SHI Bei-bei(Fujian Medical University Affiliated Longyan First Hospital,Longyan 364000,China)

机构地区：[1]福建医科大学附属龙岩第一医院,364000

出　　处：《中国现代药物应用》2024年第18期163-165,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察强化营养联合抗阻运动对老年肌肉减少症(肌少症)患者躯体功能和日常生活能力影响。方法将40例老年肌少症患者以随机数字表法分成对照组与研究组,各20例。其中对照组实施抗阻运动,研究组实施强化营养联合抗阻运动。对比两组患者治疗前后肌肉质量、肌肉力量、步速测试、日常生活能力评分、简易体能状况量表(SPPB)评分及并发症发生情况。结果治疗后,两组肌肉质量、肌肉力量、日常生活能力评分及SPPB评分均较治疗前提升,步速测试结果较治疗前缩短,且研究组肌肉质量(4.59±0.52)kg/m^(2)、肌肉力量(44.77±2.61)kg、日常生活能力评分(93.21±6.64)分及SPPB评分(10.08±1.39)分高于对照组的(4.06±0.43)kg/m^(2)、(39.81±3.85)kg、(84.05±4.65)分、(8.61±1.72)分,步速测试结果(3.92±0.69)s短于对照组的(5.15±0.74)s(P<0.05)。研究组患者并发症发生率5.00%稍低于对照组的10.00%,但差异无统计学意义(P>0.05)。结论老年肌少症患者实施强化营养联合抗阻运动可显著改善躯体功能与日常生活能力,效果理想。Objective To observe the effects of intensified nutrition combined with resistance exercise on physical function and daily living ability in elderly patients with sarcopenia.Methods A total of 40 elderly patients with sarcopenia were divided into a control group and a study group,each with 20 cases.The control group was treated with resistance exercise,and the study group was treated with intensified nutrition combined with resistance exercise.Comparison was made on the muscle mass,muscle strength,gait test,activities of daily living score,and simple physical performance battery(SPPB)score before and after treatment,and the incidence of complications between the two groups.Results After treatment,the muscle mass,muscle strength,activities of daily living score and SPPB score in both groups were improved compared with those before treatment,and the gait test results were shortened compared with those before treatment;in the study group,the muscle mass was(4.59±0.52)kg/m^(2),the muscle strength was(44.77±2.61)kg,the activities of daily living score was(93.21±6.64)points and SPPB score was(10.08±1.39)points,which were higher than(4.06±0.43)kg/m^(2),(39.81±3.85)kg,(84.05±4.65)points and(8.61±1.72)points in the control group;the gait test results of(3.92±0.69)s in the study group was shorter than(5.15±0.74)s in the control group(P<0.05).The incidence of complications of 5.00%in the study group was slightly lower than 10.00%in the control group,but the difference was not statistically significant(P>0.05).Conclusion For elderly patients with sarcopenia,the combination of intensified nutrition and resistance exercise can significantly improve physical function and activities of daily living,with ideal results.

关 键 词：强化营养 抗阻运动 联合干预 老年肌肉减少症 躯体功能 日常生活能力 

分 类 号：R685[医药卫生—骨科学]