CAJ | 학술논문

目的：观察有氧运动和无氧运动对社区老年睡眠障碍患者神经内分泌的影响。方法选取某城市社区符合研究条件有睡眠障碍老年人90例,随机分为有氧运动组、无氧运动组和对照组,每组各30例。试验组(有氧运动组和无氧运动组)给予个体化运动处方。试验过程分为适应期10周和试验期12周。以匹兹堡睡眠质量指数(PSQI)和相应的神经内分泌值作为观察指标。结果治疗前三组资料均衡具有可比性。治疗后,三组间比较在 PSQI 总分、PSQI 各因子分、反应时、血睾丸酮/血皮质醇比值、焦虑评分、抑郁评分等差异有统计学意义(P <0.05或 P <0.01)；两两比较结果显示,有氧运动组和无氧运动组在 PSQI 总分比较差异无统计学意义(t =1.437,P =0.183),在睡眠质量、入睡时间、睡眠障碍及日间功能障碍、反应时、血清睾丸酮/血清皮质醇比值、焦虑评分比较差异有统计学意义(P <0.05或 P <0.01)。有氧运动组不良事件发生率为16.67%(5/30),无氧运动组无不良事件发生。全体观察对象无中途退出研究者。结论适当运动对社区老年人睡眠障碍患者神经内分泌产生积极影响,改善睡眠障碍,并且安全有效,联合使用有氧运动和无氧运动疗效更佳。
목적：관찰유양운동화무양운동대사구노년수면장애환자신경내분비적영향。방법선취모성시사구부합연구조건유수면장애노년인90례,수궤분위유양운동조、무양운동조화대조조,매조각30례。시험조(유양운동조화무양운동조)급여개체화운동처방。시험과정분위괄응기10주화시험기12주。이필자보수면질량지수(PSQI)화상응적신경내분비치작위관찰지표。결과치료전삼조자료균형구유가비성。치료후,삼조간비교재 PSQI 총분、PSQI 각인자분、반응시、혈고환동/혈피질순비치、초필평분、억욱평분등차이유통계학의의(P <0.05혹 P <0.01)；량량비교결과현시,유양운동조화무양운동조재 PSQI 총분비교차이무통계학의의(t =1.437,P =0.183),재수면질량、입수시간、수면장애급일간공능장애、반응시、혈청고환동/혈청피질순비치、초필평분비교차이유통계학의의(P <0.05혹 P <0.01)。유양운동조불량사건발생솔위16.67%(5/30),무양운동조무불량사건발생。전체관찰대상무중도퇴출연구자。결론괄당운동대사구노년인수면장애환자신경내분비산생적겁영향,개선수면장애,병차안전유효,연합사용유양운동화무양운동료효경가。
Objective To investigate the effects of aerobic exercise and anaerobic exercise on neuroendo-crine functions in elderly community patients with sleep disorder. Methods Ninety elderly community pa-tients with sleep disorders who met the needs of research were divided into an aerobic exercise group (n =30), an anaerobic exercise group (n =30)and a control group(n =30).The experimental group (including the aer-obic exercise group and the anaerobic exercise group)received personalized exercise prescription.A complete trial course included an adaptive stage (10 weeks)and an experimental stage (12 weeks).The assessment con-tained Pittsburg Sleep Quality Index (PSQI)total score and its corresponding neuroendocrine indexes. Results The baseline data of three groups were equilibrium and comparability before therapy.After therapy,tri -group variation analysis of PSQI total score,all PSQI factor scores,response time,the ratio of serum testoster-one (T)to cortisol (C),anxiety scores and depression scores showed statistically significant differences (P <0.05 or P <0.01).Group-paired comparison of PSQI total score between aerobic exercise group and anaero-bic exercise group showed there was not statistically significant difference (t =1.437,P =0.183),and com-parison of sleep quality,falling asleep time,trouble sleeping,daytime dysfunction factor score,response time, T/C ratio and anxiety scores showed statistically significant differences (P <0.05 or P <0.01).The adverse event rate was 1 6.67 percent (5/30)in aerobic exercise group.Adverse event did not occur in anaerobic exer-cise group.No testee withdrew. Conclusion Proper exercise has positive benefit to neuroendocrine system in elderly community patients with sleep disorder,improves sleep disorder,and is safe and effective.The com-bined treatment with aerobic exercise and anaerobic exercise will have better curative effects.