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在急性老年病房实施血流限制培训

Raoul De Smet^1,2, Astrid D H Brys², Patrick Calders³

¹Translational Research in Immunosenescence, Gerontology and Geriatrics (TRIGG) group, Ghent University Hospital, Ghent, Belgium.

|October 27, 2025

概括

血液流量限制 (BFR) 训练是住院老年人安全可行的低负荷运动. 这种有氧干预改善了平衡和行走时间,显示了老年护理的潜力.

科学领域:

老年医学老年医学
物理疗法物理治疗
心血管生理学心血管生理学

背景情况:

与医院相关的身体衰退对老年人来说是一个重大问题.
高负荷训练是有效的,但在急性护理环境中往往是不切实际的.
血液流量限制 (BFR) 训练提供了一个有前途的低负荷替代方案,但在住院期间它的临床实用性需要进一步研究.

研究的目的:

在急性老年病房 (AGU) 评估有氧BFR训练的可行性,安全性和有效性.

主要方法:

一项追溯观察性研究,涉及123名年龄≥70岁的符合条件的患者,他们被录取到AGU.
64名患者被随机分配到标准物理治疗中,在步行时使用BFR;59名患者接受了没有BFR的物理治疗.
可行性通过遵守性,满意度和实用性进行评估;安全性通过不良事件进行监测;有效性通过握力,SPPB,步行时间和Borg RPE进行评估.

主要成果:

在BFR (92%) 和对照 (93%) 组中都观察到高坚持率.
BFR训练在SPPB平衡 (β = -0.42,P = .035) 和步行时间 (β = 0.95s,P < .001) 中显著改善.
轻度呼吸障碍在BFR中更频繁 (4%vs. 1%),但没有发生血栓形成或缺血等严重不良事件.

结论:

对于精心挑选的住院老年人来说,有氧BFR训练是可行的和安全的.
该干预措施在改善特定功能结果方面显示出潜在的有效性.
作为老年急性护理机构的低负荷运动模式,BFR培训值得进一步考虑.

关键词:

在 BFR 中,BFR 是 BFR 的代码.血液流动受限血液流动受限老年病的治疗方法老年人年长的人.这种类型的麻症是sarcopenia.

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