国际老年医学杂志2026，Vol.47Issue(3)：279-284,6.DOI:10.3969/j.issn.1674-7593.2026.03.004
基于呼吸—运动协同干预机制下的联合训练改善老年脑卒中偏瘫患者心肺适能重塑的随机对照研究
Effects of combined training based on a breathing-movement synergistic intervention mechanism on cardiopulmonary fitness remodeling in hemiplegia after senile stroke:a randomized controlled study
摘要
Abstract
Objective To explore the improvement effect of a breathing-movement synergistic intervention model on cardiopulmo-nary fitness and motor ability in elderly hemiplegic patients with Brunnstrom stage Ⅱ-Ⅲ during the recovery period of stroke.Methods A to-tal of 80 elderly patients with hemiplegia in the recovery period after stroke who were hospitalized in the Department of Rehabilitation of Shanghai Tongren Hospital from January 2023 to January 2025 were selected as the research subjects.A randomized controlled trial with as-sessor blinding was conducted.Both groups were given conventional rehabilitation training.On this basis,the experimental group was supple-mented with a breathing-movement integration intervention program:seated modified Baduanjin and lower-limb cycle ergometer training,6 days a week for 12 consecutive weeks.To compare the pulmonary function indicators(FVC,FEV1,PEF),exercise capacity indicators(Workpeak,HRR),and cardiac autonomic nerve function related values(HRR at 1min,SBPrest,DBPrest,HRrest)within groups before and after intervention and between the two groups.Results After the intervention,compared with before the intervention,FVC,FEV1,and PEF in both groups increased,and the experimental group was higher than the control group(P<0.05);Workpeak and HRR in the experi-mental group improved,and the experimental group was higher than the control group(P<0.05);SBPrest,DBPrest,and HRrest in the ex-perimental group decreased,and HRR at 1 min increased,while in the control group only HRR at 1 min increased(P<0.05);compared with the control group,after the intervention,SBPrest,DBPrest,and HRrest in the experimental group decreased,and HRR at 1 min in-creased(P<0.05).Conclusion The breathing-movement synergistic intervention model can significantly improve the cardiopulmonary fitness and motor ability of elderly hemiplegic patients with Brunnstrom stage Ⅱ-Ⅲ during the recovery period of stroke,providing an innova-tive and effective intervention paradigm for post-stroke rehabilitation.关键词
坐姿改良八段锦/下肢功率车/老年脑卒中后偏瘫/呼吸—运动协同干预/心肺适能Key words
Seated modified Baduanjin/Lower-limb cycle ergometer/Hemiplegia after senile stroke/Breathing-movement syn-ergistic intervention/Cardiopulmonary fitness引用本文复制引用
陈妍,刘元红,何姝瑾,陈茜茹,李艳,茅慧雯..基于呼吸—运动协同干预机制下的联合训练改善老年脑卒中偏瘫患者心肺适能重塑的随机对照研究[J].国际老年医学杂志,2026,47(3):279-284,6.基金项目
国家自然科学基金青年科学基金项目(82202794) （82202794）
上海市中西医结合专项(ZHYY-ZXYJHZX-202015) （ZHYY-ZXYJHZX-202015）
上海市同仁医院临床研究专项(TRYJ2024LC14) （TRYJ2024LC14）
