运动康复训练在小儿烧伤康复中应用的研究进展

霍婷; 徐向阳; 谢卫国; 刘淑华

doi:10.3760/cma.j.cn501225-20220116-00008

运动康复训练在小儿烧伤康复中应用的研究进展

doi: 10.3760/cma.j.cn501225-20220116-00008

1.
武汉体育学院健康科学学院，武汉　　430079
2.
华中科技大学同济医学院附属梨园医院，武汉　　430077
3.
武汉大学同仁医院暨武汉市第三医院烧伤科，武汉　　430060

基金项目:

国家重点研发计划 2019YFE0196800

详细信息

通讯作者:
刘淑华，Email：liushuhua32@hotmail.com

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- 被引次数: 0
出版历程
- 收稿日期: 2022-01-16
- 网络出版日期: 2023-03-23

Research advances on the application of rehabilitation exercise training in pediatric burn rehabilitation

1.
College of Health Science, Wuhan Sports University, Wuhan 430079, China
2.
Liyuan Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430077, China
3.
Department of Burns, Tongren Hospital of Wuhan UniversityWuhan Third Hospital, Wuhan 430060, China

Funds:

National Key Research and Development Program of China 2019YFE0196800

More Information

Corresponding author: Liu Shuhua, Email: liushuhua32@hotmail.com

摘要

摘要: 小儿烧伤后遗症严重影响患儿的身体功能及生活质量，以有氧运动和抗阻运动为主的运动康复训练能有效减轻其负面影响。该文综述运动康复训练对烧伤患儿心肺功能、肌肉功能以及生活质量的益处，以运动类型、运动方式、运动强度、运动频率和运动时间为主介绍最新的烧伤患儿运动康复训练处方，以期提高烧伤患儿的康复治疗水平。
- 烧伤 /
- 儿童 /
- 生活质量 /
- 运动康复 /
- 身体功能
Abstract: The sequelae of pediatric burn seriously affect the physical function and quality of life of children with burns. Rehabilitation exercise training mainly based on aerobic and resistance exercise can effectively alleviate the negative effects. This article reviews the effects of rehabilitation exercise training on cardiopulmonary function, muscle function, and quality of life of children with burns, and introduces the latest rehabilitation exercise training prescription for children with burns based on type, mode, intensity, frequency, and time of exercise, so as to improve the level of rehabilitation treatment for children with burns.
- Burns /
- Child /
- Quality of life /
- Exercise rehabilitation /
- Physical function
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表1 烧伤患儿运动康复训练处方

维度	运动类型
维度	有氧运动	抗阻运动
运动方式	跑步机训练、骑功率自行车、椭圆机训练、划船机训练、瑜伽、快速步行、体育运动（如踢足球、打篮球等）	先从大肌肉训练开始，再进行小肌肉的训练，可使用不同的阻力机、力量训练器或阻力带
运动强度	储备心率的60%~75%，>80%的最大心率，VO _2peak的70%~85%，自觉疲劳程度量表评级的6~8级	运动第1~2周：50%~60% 3RM，重复12~15次；运动第3~6周：70%~75% 3RM，重复8~10次；运动第7~12周：75%~85% 3RM，重复8~12次
运动频率	每周3~5 d	每周2~3 d；如每天进行，可上半身和下半身交替锻炼
运动时间	实际运动时长20~40 min	完成10项基本阻力练习（上半身和下半身各5项）+1~3项核心训练所需时间
运动总量	每日运动步数5 000~10 000步，持续12周；每周>150 min的有氧运动（从每天10 min开始逐渐增加有氧训练时间，直到12周时达到每天60 min）	每周上半身容量负荷为130 kg、下半身容量负荷为280 kg
注：储备心率指人体在劳动或运动时心率可能增加的潜在能力，为实测最大心率（在实验室测定的）与静息心率之差，计算公式为（最大心率-静息心率）×强度百分比+静息心率；最大心率指进行运动负荷时，随着运动量的增加，耗氧量和心率也增加，在最大负荷强度时，耗氧量和心率不能继续增加时心率达到的最高水平；VO _2peak为最大摄氧量，指在人体进行最大强度的运动时，各器官、系统机能达到最高，机体所能摄入的氧气含量；RM为可重复的最大重量，3RM表示可重复3次的最大重量；容量负荷为阻力运动的运动量，计算公式为重复次数×组数×重量

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