踝关节运动加腹式呼吸训练治疗老年腓肠肌痉挛

目的:探讨踝关节背伸跖屈加腹式呼吸训练对腓肠肌痉挛的治疗作用。方法:80例老年腓肠肌痉挛患者随机分为2组各40例。运动组采用踝关节背伸跖屈加腹式呼吸训练;对照组口服维生素E和碳酸钙维生素D3片。治疗12周后对2组患者腓肠肌痉挛症状评分,检测血清电解质浓度及临床疗效评定。结果:治疗前后2组血电解质K+、Na+、Cl-、Ca2+浓度比较差异无统计学意义;腓肠肌痉挛症状评分与治疗前比较,2组均明显降低,运动组明显低于对照组(均P0.05,0.01);治疗后临床疗效比较,运动组临床治愈率及总有效率均明显高于对照组(25%、90.0%与5.0%、37.5%,P0.01)。结论:腓肠肌痉挛与血液中电解质浓度无明显相关性;踝关节背伸跖屈加腹式呼吸训练治疗腓肠肌痉挛更易使患者接受,且疗效显著。

Effects of Ankle Movement Combined with Abdominal Breathing Exercises on Leg Cramps in the Elderly

Objective：To explore the effects of ankle movement combined with abdominal breathing exercises on leg cramps.Methods： Eighty cases were randomly divided into two groups.The treatment group received ankle dorsiflexion and plantarflexion movement combined with abdominal breathing exercises;Vitamin E and calcium carbonate with vitamin D3 tablets were administered in the control group for 12 weeks.The symptoms of both groups were assessed and the serum electrolyte levels were measured before and 40 weeks after treatment.Results： The clinical healing effects and total effective rate in the treatment group were significantly higher than in the control group（P0.01）.There was no significant difference in K＋,Na＋,Cl-and Ca2＋ between the two groups.Conclusion： The curative effects of ankle movement combined with abdominal breathing exercises for leg cramps in the elderly were significant,and the leg cramps were not related with serum electrolyte levels.