步行与八段锦对围绝经期综合征伴抑郁症状的康复效果

关键词：围绝经期  运动疗法  围绝经期综合征  抑郁

Keywords:perimenopausal period  exercises therapy  perimenopausal syndrome  depression

摘要：

      摘要 目的：观察并比较步行与八段锦等运动训练治疗围绝经期综合征伴抑郁的康复效果，寻找非药物治疗围绝经期综合征的有效途径。 方法：用Kupperma评分法和流行病学调查-抑郁量表（CES-D）对唐山市西山道社区围绝经期妇女进行筛查，选取Kupperman评分≥16分（即围绝经期综合征中度以上）以及CES-D评分≥20分（即存在抑郁症状）患者145例，年龄45—55岁之间；按数字排序随机分对照组50例，步行组46例和八段锦组49例，训练3个月后对三组用改良Kupperma量表和CES-D量表进行评价。 结果：训练后步行组和八段锦组与对照组Kupperman总分比较，差异有显著性（P<0.01）；CES-D评分比较，差异有显著性（P<0.01）；步行组与八段锦组CES-D评分比较，差异有显著性（P<0.01），两组Kupperman单项评定，在潮热出汗、失眠、焦躁、忧虑、疲倦乏力、肌肉关节痛等方面得到改善（P<0.05），且八段锦组在失眠、焦躁、忧虑、胸闷、心悸等方面明显优于行走组（P<0.05）。 结论：步行和八段锦等运动训练能明显改善围绝经期妇女的身心症状，且八段锦效果更好。

Abstract:

      Abstract Objective：To research and compare the rehabilitation effects of walking and baduanjin on perimenopausal syndrome with depression, and find non-drug therapy to treat perimenopausal syndrome effectively. Method：Assessed at Kupperman score≥16 (means heavier than moderate perimenopausal syndrome) and center for epidemiologic studies depression scale (CES-D)≥20（means depression）, 145 perimenopausal women from Xishan Road Community in Tangshan city, 45—55 years’ old, were randomly divided into 3 groups based on their serial number. 50 persons in control group（with no exercise）, 46 in walking group and 49 in baduanjin group. Evaluations were taken with Kupperman score and CES-D after 3-month training. Result：Compared to control group, the differences of Kupperman scores and CES-D scores in baduanjin group and walking group all were significant（P<0.01）. Compared with walking group, the CES-D score of baduanjin group improved（P<0.01）. According to the single items scores of Kupperman, both in walking and baduanjin group hectic fever, sweating, insomnia, fuss,depress, fatigue, muscle and joint pain released（P<0.05）,and the effect of baduanjin on insomnia, fuss, depress, and palpitation was better than that of walking. Conclusion：Walking and baduanjin could alleviate perimenopausal syndromes effectively, and baduanjin could suit adapts to peri-menopausal women’s health more.