不同类型轮椅太极锻炼对高脂血症老年残疾患者 血脂及心血管功能的影响

摘要：

[目的]为探究不同类型轮椅太极锻炼对高脂血症老年残疾患者血脂及心血管功能的影响.[方法]选取了武汉市武昌区 16 个社区中 210例下肢残疾伴高脂血症的老年患者,随机分为轮椅太极乾坤球干预组,轮椅太极拳干预组和无运动干预组各 70 例,分别实施为期 24 周的实验干预.[结果]1)两组干预均使总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C),心肌耗氣指数(HOI),肺动脉楔压(PAWP)及全血黏度(N)水平显著下降,同时显著提升了每分心输出量(CO),左心室有效泵力指数(VPEL),心脏指数(C)及左心搏功指数(SWI);2)两组干预均显著提高了血管顺应度(AC),血脂成分方面,甘油三階(TG),高密度脂蛋白胆固醇(HDL-C),载脂蛋白 A1(ApoA1)及载脂蛋白 B(ApoB)的变化均达到统计学显著性.3)轮椅太极乾坤球组在改善微循环指标方面表现尤为突出,微循环半更新率(MHR),微循环半更新时间(MRT)及微循环平均滞留时间(MST)均显著降低.[结论]长期有规律的轮椅太极乾坤球,轮椅太极拳锻炼均能有效改善高脂血症老年残疾出者的血脂水平及心血管功能,比较而言,轮椅太极乾坤球锻炼对改善高脂血症老年残疾患者的血脂水平,心血管功能的效果优于轮椅太极拳.

[Objective] To explore the ellects of dilferent types of wheelchair Tai Chi exercises on hyperlipidemia elderly disabled patientsblood lipid and cardiovascular function. [Methods]We selected 210 elderly patients with lower limb disability and hyperlipidemia from 16 communities in Wuchang District, Wuhan City. These patients were divided into 3 groups:70 patients of wheelchair Taiji QianKun ball intervention group, 70 patients of wheelchair Tai Chi intervention group and 70 patients of nonsport intervention group. And then we conducted these intervention activities for a period of 24 weeks. After that, we measured the blood lipid level and cardiovaseular funetion indexes of these three groups of patients. [Results]1)Both interventions

resulted in significant reductions in total choesterol('TC), low-density lipoprotein cholesterol(lDl.C), myocardial oxygen consumption index(HOl) , pulmonary artery wedge pressure(PAWP), and whole blood viscosity(N), while significantly enhancing cardiac output(C0), left ventricular efective pumping index( VPEl,), cardiae index(Cl), and left ventricular stroke work index(SWl) ; 2) Both interventions significantly improved arterial compliance(AC), and the changes in lipid components,including triglyeerides( TG), high-density lipoprotein cholesterol( HDL-C), apolipoprotein A1 (ApoA1), and apolipoprotein B (ApoB), were statistically significant; 3)The wheelchair Taii QianKun ball group showed particularly outstanding perform-ance in improving microcireulation indicators, with significant reductions in microcireulation half-renewal rae( MHR), microcireulation half-renewal time( MRT), and mierocireulation average residence time( MST). [Conclusion]The long-term regularly exercise of wheelchair Taii QianKun ball and wheelchair Tai Chi can effectively improve the blood lipid level and cardiovaseular function of elderly patients with hyperlipidemia. By comparison, the efect of wheclchair Taiji QianKun ball exercise on improving the blood lipid level and cardiovaseular funetion of elderly patients with hyperlipidemia is better than that of wheelchair Tai Chi.

作者：

刘德生，黄岩红，刘买如

Liu Desheng， Huang Yanhong，Liu Mairu

机构地区：

武汉体育学院武术学院；青岛城市学院体育教学部；华中师范大学体育学院

引用本文：

刘德生，黄岩红，刘买如。不同类型轮椅太极锻炼对高脂血症老年残疾患者血脂及心血管功能的影响[J].Betway官方客服学报(自然科学版) , 2025, 53(1) : 144-150. (Liu Desheng, Huang Yanhong, Liu Mairu. Study on the effects ofdifferenttypes of wheelchair TaiChi exercises on hyperlipidemia elderly disabled patients'blood lipid and cardiovascularfunct[J] . Journal of Henan Normal University(Natural Science Edition) , 2025, 53(1) : 144- 150. DOI:10. 16366/j. cnki.1000-2367. 2024. 03. 26. 0003. )

基金：

国家社科基金

关键词：

残疾人；高脂血症；轮椅太极；血脂；心血管功能

disabled patients; hyperlipidemia; wheelchairTaiChi; blood lipid; cardiovascularfunction

分类号：

G807 

不同类型轮椅太极锻炼对高脂血症老年残疾患者 血脂及心血管功能的影响.pdf