4周综合运动康复训练对新型冠状病毒肺炎出院患者功能障碍的影响

关键词：运动康复训练  新型冠状病毒肺炎  出院患者  有氧能力  肌肉力量

Keywords:exercise  COVID-19  discharged patients  aerobic capacity  muscle strength

摘要：

      摘要 目的：探讨4周的综合运动康复训练对新型冠状病毒肺炎（新冠肺炎）出院患者呼吸困难程度、有氧运动能力、功能性步行能力、上下肢力量和抑郁焦虑状态的影响。 方法：选取武汉市华润武钢总医院接诊的新冠肺炎出院患者56例，随机分为干预组25例和对照组31例。干预组进行4周的综合运动康复训练干预，对照组试验期间不干预。将两组干预前，干预2周，干预4周后的呼吸困难程度、有氧能力、功能性步行能力、上下肢力量和抑郁焦虑状态进行对比。 结果：与对照组相比，综合运动康复训练2周和4周后，干预组患者呼吸困难程度好转（P＜0.05），6min步行距离增加（P＜0.05）；此外，综合运动康复训练4周后，干预组起立-行走计时缩短（P＜0.05），30s前臂弯举测试个数及30s坐站试验个数增多（P＜0.05），焦虑自评量表结果改善（P＜0.05）；抑郁自评量表结果较干预前明显改善（P＜0.05）。 结论：综合运动康复训练对新冠肺炎出院患者具有较好的康复效果，能够有效改善其有氧能力、上下肢力量和抑郁焦虑状态，可以在新冠肺炎出院患者中推广应用。

Abstract:

      Abstract Objective：To investigate the effects of 4-week exercise training on degree of dyspnea，aerobic capacity， walking function，the strength of upper and lower limbs， psychological function in discharged patients with COVID-19. Method：This study totally recruited 56 participants from Wuhan China resources & WISCO general hospital， in which 25 patients underwent exercise and the rest did not receive any intervention. The intervention group received 4-week exercise training， and the control group performed daily routines normally. The degree of dyspnea，aerobic capacity， walking function，the strength of upper and lower limbs， psychological function of the two groups were compared before intervention，2 weeks of intervention and 4 weeks after intervention. Result：After 4-week exercise in the intervention group，the results of mMRC，6MWT，TUG，30s chair stand test，30s arm curl test，SAS had significantly difference between the two groups. The scores of SDS in the intervention group significantly decreased after the intervention. Conclusion：4-week exercise training can improve aerobic capacity， the strength of upper and lower limbs， psychological function in discharged patients with COVID-19. Accordingly, it is worthy of clinical promotion.