【摘要】 目的:探讨弹力带运动联合认知训练对社区认知衰弱老年人的干预效果。方法:抽取上海市某区75岁及以上认知衰弱老年人66人,按其所在居委会分为观察组和对照组,每组33人。观察组进行弹力带运动联合认知训练,每周2次,每次60 min,共3个月。对照组维持原有生活方式。采用衰弱表型(FP)量表、简易智能精神状态量表(MMSE)、额叶功能评定量表(FAB)于干预前后评估两组老年人的衰弱水平和认知功能,评价干预效果。结果:干预后观察组步速[(0.93±0.14)m/s]、MMSE评分[(27.32±2.52)分]、FAB评分[(16.29±2.21)分]均高于对照组[(0.64±0.17)m/s、(25.75±2.63)分、(13.89±2.50)分],两组比较差异均有统计学意义(P<0.05);干预后观察组身体衰弱人数低于对照组(P<0.05);干预后观察组握力、步速、MMSE、FAB得分均较干预前明显改善(P<0.05);干预后,观察组认知衰弱人数低于对照组(P<0.001)。结论:弹力带运动联合认知训练有助于改善社区认知衰弱老年人的身体衰弱水平、认知功能,能有效延缓或逆转认知衰弱的发生、发展。更多还原

【Abstract】 Objective:To explore the intervention effect of elastic band exercise combined with cognitive training on elderly with cognitive impairment in the community.Methods:A total of 66 elderly aged 75 and above with cognitive impairment in a district of Shanghai were enrolled.According to their neighborhood committees,they were divided into an observation group and a control group,with 33 cases in each.The observation group received elastic band exercise combined with cognitive training twice a week,60 min each time,for a total of 3 months.The control group maintained the original lifestyle.Use the Frailty Phenotype(FP),Mini-mental State Examination(MMSE),and Frontal Assessment Battery(FAB)to evaluate the frailty level and cognitive function of the two groups before and after the intervention and to evaluate the effect of the intervention.Results:After the intervention,walking speed[(0.93±0.14)m/s],MMSE score[(27.32±2.52)points],and FAB score[(16.29±2.21)points]in the observation group were higher than those of the control group[(0.64±0.17)m/s,(25.75±2.63)points,(13.89±2.50)points],the difference was statistically significant(P<0.05);the number of frailty people was lower than that of the control group(P<0.05);the scores of grip strength,pace,MMSE,and FAB in the observation group were significantly improved compared with those before the intervention;the number of people with cognitive impairment was lower than that of the control group(P<0.001).Conclusions:Elastic band exercise combined with cognitive training could help improve the physical frailty level and cognitive function of the elderly with cognitive impairment in the community and could effectively delay or reverse the occurrence and development of cognitive impairment.更多还原