运动干预方案对急性胰腺炎合并肌少症患者肌肉力量、躯体功能及生活质量的影响<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.07.014

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摘要【目的】探讨运动干预方案对急性胰腺炎(AP)合并肌少症患者肌肉力量、躯体功能及生活质量的影响。【方法】选取2022年1月至2023年6月湖南省人民医院收治的72例AP合并肌少症患者,采用随机数字表法将患者分为对照组和观察组,每组36例。对照组患者接受常规治疗及护理,观察组患者在对照组的基础上接受运动干预,比较两组患者握力、5次坐立试验时间、起立—行走计时测试(TUG)时间、日常生活活动能力量表(ADL)评分、简明生活质量量表(SF-36)评分。【结果】干预后,两组握力及ADL评分高于干预前,且观察组高于对照组(P<0.05);两组5次坐立试验时间及TUG时间均短于干预前,且观察组短于对照组(P<0.05)。干预后,两组患者SF-36总分及生理机能(PF)、生理职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、精力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)评分均高于干预前,差异有统计学意义(P<0.05);观察组SF-36总分、 PF、RP、GH、VT、SF、MH评分高于对照组,差异有统计学意义(P<0.05);观察组BP、RE评分与对照组比较,差异无统计学意义(P>0.05)。【结论】运动干预有利于提高AP合并肌少症患者的肌肉力量,改善其躯体功能,提高其生活质量。

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关键词 ：胰腺炎, 急性病, 肌减少症, 运动疗法, 生活质量

Abstract：【Objective】To explore the effects of exercise intervention on muscle strength, physical function and quality of life in patients with acute pancreatitis (AP) complicated with sarcopenia. 【Methods】A total of 72 AP patients complicated with sarcopenia admitted to Hunan Provincial People's Hospital from January 2022 to June 2023 were selected and divided into control group and observation group by random number table method, with 36 cases in each group. The control group received conventional treatment and nursing, and the observation group received exercise intervention on the basis of the control group. Grip strength, 5-time sit-to-stand test time, timed up-and-go test (TUG) time, Activities of Daily Living Scale (ADL) score and Short Form 36-Item Health Survey (SF-36) score were compared between the two groups. 【Results】After intervention, grip strength and ADL scores of both groups were higher than those before intervention, and the observation group was higher than the control group (P<0.05); the 5-time sit-to-stand test time and TUG time of both groups were shorter than those before intervention, and the observation group was shorter than the control group (P<0.05). After intervention, the total SF-36 score, and scores of physical function (PF), role-physical (RP), general health (GH), vitality (VT), social function (SF), mental health (MH), bodily pain (BP), role-emotional (RE) in both groups were higher than those before intervention, with statistically significant differences (P<0.05); the total SF-36 score, and scores of PF, RP, GH, VT, SF, MH in the observation group were higher than those in the control group, with statistically significant differences (P<0.05); there were no significant differences in BP and RE scores between the observation group and the control group (P>0.05). 【Conclusion】Exercise intervention is beneficial to improve muscle strength, physical function and quality of life in AP patients complicated.

Key words： Pancreatitis Acute Disease Sarcopenia Exercise Therapy Quality of Life

收稿日期: 2024-04-15

中图分类号:

R576.1

基金资助:^*湖南省卫生健康委员会基金项目(202214023501)

通讯作者: ^**E-mail:846145495@qq.com

引用本文:

隆艳飞, 李佳, 邓芳慧, 匡莲子, 姚嘉欢, 罗曦, 张红辉. 运动干预方案对急性胰腺炎合并肌少症患者肌肉力量、躯体功能及生活质量的影响^*[J]. 医学临床研究, 2025, 42(7): 1153-1156.
LONG Yanfei, LI Jia, DENG Fanghui, et al. Effects of Exercise Intervention on Muscle Strength, Physical Function and Quality of Life in Patients with Acute Pancreatitis Complicated with Sarcopenia. JOURNAL OF CLINICAL RESEARCH, 2025, 42(7): 1153-1156.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.07.014 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I7/1153

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