有氧训练对大面积烧伤患者运动功能的影响

摘要

目的：探讨有氧训练对大面积烧伤患者运动功能的影响。方法：将47例大面积烧伤患者随机分为有氧组（n＝24）和对照组（n＝23）。对照组仅给予常规康复训练，有氧组在此基础上采用运动平板进行有氧训练。训练前后，分别采用等速肌力测试仪测量优势下肢股四头肌肌力，6min步行试验测试患者运动耐力，改良Barthel指数评估患者日常生活活动能力。结果：训练12周后，有氧组股四头肌伸膝峰力矩（PT）、总做功量（TW）和平均功率（AP）均较训练前和对照组明显提高（P＜0．01），MBI较训练前和对照组明显提高（P＜0．05）。2组6min步行距离均较治疗前明显提高（P＜0．01，0．05），有氧组更高于对照组（P＜0．01）。结论：有氧训练可有效改善大面积烧伤患者运动功能及日常生活活动能力，值得临床推广。%Objective:To explore the effects of aerobic exercise on the motor function and activity of daily life in patients with large surface burns .Methods:Forty‐seven cases of large surface burns were randomly divided into aer‐obic exercise group (n=24) and control group (n=23) .The aerobic exercise group received routine rehabilitation treatment and aerobic exercise by treadmill exercise for 12 weeks .The control group was given routine rehabilitation treatment alone .Before and 12 weeks after rehabilitation treatment ,the strength of the dominant leg quadriceps was measured by the isokinetic test ,an angular velocity of 150°/s by Biodex ,exercise endurance by 6 min walking test , and the activity of daily life by modified Barthel index ,respectively .Results:After rehabilitation treatment for 12 weeks ,the peak torque of quadriceps ,total work and average power in the aerobic exercise group had significant im‐provement as compared with those before and in the control group (P<0 .01) .Modified Barthel index scores were significantly increased after treatment in the aerobic exercise group as compared with those before treatment and in the control group (P<0 .05) .The distance of 6 min walking test in the two groups after treatment was longer than that before the treatment (P< 0 .01 ,0 .05) ,more significantly in the aerobic exercise group than in the control group (P<0 .05) .Conclusion:Aerobic exercise can effectively improve the motor function and activities of daily life in patients with large surface burns .