摘要
目的观察不同强度有氧运动时脑卒中患者的生存质量及心理状态的影响。方法将60例确诊病例随机分成A、B两组，接受强度分别为20％和60％最大运动能力的10周有氧运动。结果治疗后2组患者SF-36量表各维度评分中躯体疼痛和社会功能与治疗前比较无显著性差异（P〉0．05），其他6项，躯体功能，躯体角色，总体健康状况，活力。情感角色和心理健康与治疗前相比较均有显著性差异（P〈0．05）。治疗后组间比较。其中4项指标：总体健康状况，活力，情感角色和心理键康。A组的改善均高于B组（P〈0．05）；自知力与治疗态度问卷得分值治疗后两组均较治疗前有改善，A组有统计学意义（P〈0．05）；治疗后A组明显高于B组（P〈0．05）。结论合适的有氧训练提高了患者总体健康状况和活力。使患者适应偏瘫后的运动负荷；有氧运动后对于患者的心理的自知力与治疗态度上有了有效的改善，对于脑卒中预后意义非凡。
Objective To observe the different intensity of aerobic exercise on quality of life in patients with stroke and mental state. Methods 60 cases of confirmed cases were randomly divided into A, B groups, accepting intensity was 20% and 60% of the maximal exercise capacity for 10 weeks of aerobic exercise. Results After treatment, the SF-36 scale scores of all dimensions of physical pain and social function compared with those before treatment there was no significant difference （P〉 0.05）for both groups, the other six items, physical function, physical role, general health status, vitality, emotional role and mental health compared with those before treatment were significantly different （P 〈0.05）. A group was higher than B group （P〈0.05） in the four indicators： general health, vitality, emotional role and mental health; insight and treatment attitude questionnaire scores compared with the value of both groups significantly improved. A group was significantly higher than B （P 〈0.05） by increasing the group, there was significant statistical difference. Conclusion The appropriate aerobic training to improve the overall health of patients and vitality, so that patients adapt to post-exercise load hemiplegia; aerobic exercise for patients with psychological insight and treatment attitudes have effectively improved the prognosis for stroke significance.
作者
程洁
李怡
李建
朱毅
CHEN Jie,LI Yi,LI Jian,ZHU Yi （1.2^nd China College of Nanjing TCM University, Nanjing 210046; 2.Affiliated Jiangsu TCM Hospital,Nanjing TCM University,Nanjing 210029,China）
出处
《医学信息》
2010年第4期884-886,共3页
Journal of Medical Information
关键词
有氧运动
脑卒中
生存质量
心理状态
aerobic exercise
stroke
quality of life
mental state
