目的探讨中医传统推拿功法易筋经对老年骨骼肌减少症者肌力的影响。方法将2015年1月-2016年12月浙江中医药大学附属嘉兴中医院针推康复科就诊的65例符合骨骼肌减少症诊断及纳入标准的老年患者按随机数字表法随机分成推拿功法易筋经锻炼组(33例)和空白对照组(32例),其中,易筋经锻炼组进行12周持续推拿功法易筋经锻炼干预,分别于易筋经锻炼前和锻炼4、8、12周时应用电子握力器及椅上坐起和蹲下站起测量的方法,对参与研究的患者分别进行左、右手握力和双下肢骨骼肌肌力的测量。空白对照组只进行相关知识的教育和指导,不参与易筋经锻炼,但与易筋经锻炼组同时进行相关数据的采集和记录,然后分别进行2组组内和组间数据的收集整理和对比统计分析。结果 2组组间干预前左右手握力、15s椅上坐起与蹲下站起次数相比差异均无统计学意义(均P>0.05);推拿功法易筋经锻炼组组内干预12周后与干预前相比左右手握力明显增加(均P<0.05),15 s椅上坐起与蹲下站起次数明显增加(均P<0.05);12周后2组组间相比,易筋经组双手握力与15s椅上坐起与蹲下站起次数均明显增加(均P<0.05);对照组组内4次试验测量结果经对比分析,差异均无统计学意义(均P>0.05)。结论持续推拿功法易筋经锻炼,可以明显改善老年人骨骼肌肌力,改善老年人的生活质量。
Objective To study the effect of Yijinjing on muscle strength of senile patients with sarcopenia. Methods Between January 2015 and December 2016, sixty-five senile patients with sarcopenia from acupuncture and rehabilitation department of traditional Chinese medicine Hospital of Jiaxing were randomly divided into the exercise(Yijinjing) group including 33 senile patients and the blank control group including 32 senile patients in a random number table. The exercise group was intervened for 12 weeks Yijinjing exercise, and then the measuring of handgrip strength, as well as muscle strength of skeletal muscle in lower limbs was performed before the exercise and 4 weeks, 8 weeks, 12 weeks after the exercise. The blank control group only carried out the relevant knowledge of education and guidance, without Yijinjing exercise, but the relevant data collection and recording was made at the same time as Yijinjing exercise group. Then data within and between two groups were collected and ran statistical analysis. Results There was no statistically significant difference between the two groups before the intervention in the handgrip strength and the frequency of sitting up from the chair and squat standing up in 15s, which was used to measure muscle strength of skeletal muscle in limbs(all P>0.05);After 12 weeks, the handgrip strength, the frequency of sitting up from the chair and squat standing up increased significantly compared with those before the intervention in the exercise group(all P<0.05). And we also got the same results between the two groups after 12 weeks, which were statistically significant(all P<0.05). Yet, there was no significant change in the four strength test results of the blank control group(all P>0.05). Conclusion Yijinjing exercise can significantly improve the elderly skeletal muscle strength and the quality of life of the senile patients.
Applied Journal Of General Practice