《中国康复理论与实践》

《中国康复理论与实践》

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太极拳运动对社区轻度认知障碍老年人认知功能的影响①

王乾贝，绳宇   

  1. 北京协和医学院护理学院，北京市100144。
  • 出版日期:2016-06-25 发布日期:2016-07-04

Effect of Tai Ji Quan on Cognitive Function in Old Adults with Mild Cognitive Impairment

WANG Qian-bei, SHENG Yu   

  1. School of Nursing, Peking Union Medical College, Beijing 100144, China
  • Published:2016-06-25 Online:2016-07-04

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摘要： 目的探讨太极拳运动对社区轻度认知障碍(MCI)老年人认知功能的影响。方法便利选取2015 年6~10 月5 个居民区中MCI的老年人108 例分为对照组(n=54)和干预组(n=54)。向两组讲解关于MCI预防相关知识，并发放预防手册；干预组在此基础上同时进行有规律的太极拳训练，每次至少40 min，每周至少4 次，共3 个月。采用蒙特利尔认知评估量表-协和版(MoCA-P)评估两组干预前后认知功能水平的变化。结果干预前，两组MoCA-P总分及各维度得分比较均无显著性差异(Z<1.425, P>0.05)；干预后，干预组MoCA-P总分、视空间执行功能项、延迟回忆明显高于对照组(Z>3.425, P<0.01)。结论太极拳运动可以改善MCI老年人的认知功能，特别是对老年人记忆力和执行功能有影响。

关键词: 轻度认知障碍, 太极拳, 认知功能, 记忆, 执行功能, 老年

Abstract: Objective To explore the efficacy of Tai Ji Quan on the elders with mild cognitive impairment (MCI). Methods From June to October, 2015, 108 old people with MCI were divided into control group (n=54) and intervention group (n=54). Both groups studied relevant knowledge about MCI and received handbooks. The excise of Tai Ji Quan was regularly conducted in the intervention group at least forty minutes a time and four times per week for three months. They were assessed with the Peking Union Medical College Version of Montreal Cognitive Assessment (MoCA-P) before and after intervention. Results There was no significant difference in the scores of MoCA-P between two groups before intervention (Z<1.425, P>0.05). After intervention, the total scores of MoCA-P, and the scores of visual space function and long delayed recall were higher in the intervention group than in the control group (Z>3.425, P<0.01). Conclusion Tai Ji Quan can effectively improve the cognitive function, especially memory and executive function, in the elderly with MCI.

Key words: mild cognitive impairment, Tai Ji Quan, cognitive function, memory, executive function, old