少年游泳运动员冬训期间HbA_2百分含量的规律性变化

 本研究用聚丙烯酰胺凝胶垂直板电泳,双波长扫描仪对少年游泳运动员的HbA_2百分含量进行测定。发现大运动量训练对HbA_2水平是有影响的。经六天训练(星期二、五为大运动量训练),星期日休息一天,次周的星期一晨HbA_2百分含量升高,星期二大运动量训练后的次日晨HbA_2百分含量显著下降。运动性贫血的运动员,其HbA_2百分含量一周中的变化趋势与正常运动员相似,但HbA_2百分含量比正常运动员高。     

Seasonal fluctuations of selected physiological characteristics of elite alpine skiers

The effects of heavy resistance training and jumping exercise were examined during the 1989–1990 season in 12 international level alpine skiers. The athletes were tested before, during, immediately after training and during the period off training (June, July, October 1989, April 1990). Their mechanical behaviour was investigated using firstly squat jumps performed without (SJ) or with low extra loads (20 kg, SJ_20kg) and high extra loads (equivalent to body mass on the shoulders, SJ_bm) and secondly 15–30 s continuous jumping. These tests allowed the assessment of explosive dynamic strength production (SJ and SJ_20kg), slow dynamic strength (SJ_bm) and maximal mechanical power (continuous jumping). The training adopted resulted in specific changes in neuromuscular performance; in fact all the variables studied showed a significant improvement (P<0.01) from the beginning compared to the end of training. The range of improvement was between 55.4% (SJ_bm) and 12.5% (average power during 15-s continuous jumping). The enhancement of SJ had become significant by July. Surprisingly, even when no strength or jumping training was performed during the competition period (November-April), no deterioration in the neuromuscular performance was observed, there being no significant difference between the test values obtained in October 1989 and April 1990. It was concluded that the demanding competition programme of alpine skiers may provide a training stimulus adequate to maintain the neuromuscular improvement induced by training throughout the competition season.     

Endurance training alters alanine and glutamine release from muscle during contractions

The release of alanine and glutamine from perfused muscle of trained and control animals was investigated. Release rates did not differ between trained and control muscle at rest. During contractions in trained muscle, alanine release was higher than at rest, while glutamine release was transiently increased. Phenylalanine release did not differ between trained and control muscle, implying that protein degradation was not increased in trained muscle. The muscle cellular adaptations to training include a selective modification of amino acid output, which could potentially influence gluconeogenic flux and alter muscle ammonia levels during contractions.     

训练与β－内啡肽对急性运动反应关系的研究

用放射免疫法测定训练和非训练大鼠运动前、运动到５０％耐力时间（Ｔ１／２）和衰竭时丘脑下部和血浆β－内啡肽（β－ＥＰ）的含量,探索了训练与β－ＥＰ对急性运动反应的关系。结果表明：训练组大鼠丘脑下部β－ＥＰ含量在运动到Ｔ１／２和衰竭时分别较安静时提高了４％和１５％;对照组大鼠在Ｔ１／２时,β－ＥＰ的变化趋势同训练组,以后随运动生理负荷的增强而迅速降低,衰竭时较Ｔ１／２时降低了２６％,较训练组降低了３２％（Ｐ＜０．０５）。训练组大鼠血浆β－ＥＰ含量随运动开始迅速上升,Ｔ１／２时较运动前增加了５．７倍（Ｐ＜０．０１）,以后上升的幅度减小;非训练组大鼠血浆β－ＥＰ也随运动开始迅速提高（Ｐ＜０．０１）,Ｔ１／２后趋于稳定,在Ｔ１／２和衰竭时分别比训练组低２２％和２６％。表明非训练组大鼠丘脑下部β－Ｅｐ对急性运动呈明显的双相变化,训练提高了大鼠丘脑下部和血浆β－ＥＰ对衰竭运动的反应。     

The influence of lecithin on plasma choline concentrations in triathletes and adolescent runners during exercise

An investigation was carried out on the effect of lecithin (phosphatidylcholine, 90%) on the plasma choline concentrations during continuous strain in 10 top level triathletes (4 women and 6 men), trial I, and 13 excellent adolescent runners (3 girls and 10 boys), trial II. Venous blood, collected before and immediately after the race, was separated and plasma was assayed by an improved high performance liquid chromatography method for choline. Each study comprised three experiments. In trial I the triathletes performed two periods of bicycle exercise each lasting 2 h at an average speed of 35 km · h^–1, and in the second study (trial II) the subjects were subjected to severe physical stress on two occasions during cross-country races of durations between 30–60 min according to their ages. The participants received either a placebo or 0.2 g lecithin · kg body mass^–1, 1 h before each exercise. As a control the same dose of lecithin was administered without any exercise (both trials I and II). Bicycle exercise without lecithin supply decreased plasma choline concentrations in all the triathletes, on average by 16.9% (P0.01). When lecithin was given before exercise, average plasma choline concentrations remained at the same level as the initial values. The supply of lecithin without exercise led to a significant increase of the plasma choline concentrations, on average by 26.9% (P0.01). In trial II, when running without a supply of lecithin, the mean plasma choline concentrations in the adolescent runners remained stable which may have been due to the duration of the physical stress. When lecithin was given before exercise, plasma choline concentrations increased, on average by 18.9% (P0.01). The administration of lecithin without exercise led in these participants to an increase in plasma choline concentrations, on average by 54% (P0.001).It was found from the present study that a combination of both lecithin intake and hard physical stress prevented in most subjects a decrease in plasma choline and this could affect performance.     

人类小腿肌肉对运动训练生理响应的电学特性研究

目的 运动训练已被证明能够改善许多慢性肌肉功能疾病,被用于治疗衰老型肌萎缩。本文采用电阻抗成像(electrical impedance tomography,EIT)研究人类小腿肌肉对运动训练生理响应的电学特性,旨在使用EIT方法可视化运动训练对人类小腿响应肌肉隔室内肌肉纤维体积增加的效果。方法 实验对象被要求在连续5个实验日进行左、右腿单侧提踵训练,应用EIT检测每日运动训练前和运动训练后小腿肌肉的电导率分布。为了定量分析运动训练对响应肌肉隔室的作用,使用配对样本t检验分析EIT重建图像的空间平均电导率<σ>。结果 运动训练后,由小腿腓肠肌组成的M₁肌肉隔室空间平均电导率<σ>_M1显著增加。此外,连续5个实验日的EIT测量结果显示,运动训练前的空间平均电导率<σ^pre>_M1呈上升趋势。所有实验对象在实验日1早晨进行实验前的腿部瘦体重与<σ>_M1呈线性关系,即<σ>_M1随腿部瘦体重增加而增加;运...     

腰背肌康复训练联合脊柱微调手法对腰椎间盘突出症患者功能康复、血液流变学和生活质量的影响

摘要 目的：探讨腰背肌康复训练联合脊柱微调手法对腰椎间盘突出症（LDH）患者功能康复、血液流变学和生活质量的影响。方法：采用随机数字表法,将我院2020年3月~2022年3月期间收治的120例LDH患者分为对照组（60例,腰背肌康复训练）和观察组（60例,腰背肌康复训练联合脊柱微调手法）。观察两组患者临床疗效、功能康复效果、血液流变学和生活质量。结果：观察组的临床总有效率高于对照组（P<0.05）。观察组干预4周后日本骨科协会腰椎功能（JOA）评分高于对照组,Oswestry功能障碍指数（ODI）、视觉模拟评分法（VAS）评分低于对照组（P<0.05）。观察组干预4周后腰部屈曲腰部活动范围（ROM）、伸展ROM、测屈ROM和屈肌肌力、伸肌肌力高于对照组（P<0.05）。观察组干预4周后全血高切黏度、全血低切黏度、红细胞聚集指数低于对照组（P<0.05）。观察组干预4周后躯体功能、精神健康、活力、躯体疼痛、社会功能、总体健康、情感职能、生理机能维度评分高于对照组（P<0.05）。结论：腰背肌康复训练联合脊柱微调手法用于LDH患者干预中,可改善血液流变学,促进功能康复,有利于患者生活质量的提高。     

高频重复经颅磁刺激联合Brunnstrom分期训练对脑卒中恢复期患者康复效果的影响

摘要 目的：探讨高频重复经颅磁刺激（rTMS）联合Brunnstrom分期训练对脑卒中恢复期患者康复效果的影响。方法：根据随机数字表法将新疆医科大学第一附属医院2020年1月~2022年2月期间收治的脑卒中恢复期患者80例分为对照组（40例,Brunnstrom分期训练）和研究组（40例,高频rTMS联合Brunnstrom分期训练）。对比两组疗效、美国国立卫生研究院卒中量表（NIHSS）评分、功能独立性量表（FIM）评分、生活质量评分、血清神经因子指标[髓鞘碱性蛋白（MBP）、神经元特异性烯醇化酶（NSE）、神经生长因子-1（NGF-1）]。结果：研究组的临床总有效率（92.50%）明显高于对照组（70.00%）（P<0.05）。治疗4周后,研究组MBP、NSE低于对照组,NGF-1高于对照组（P<0.05）。与对照组比较,治疗4周后,研究组NIHSS评分降低,FIM评分升高（P<0.05）。治疗4周后,研究组心理/躯体/物质/社会功能评分较对照组高（P<0.05）。结论：高频rTMS联合Brunnstrom分期训练有助于提高脑卒中恢复期患者的康复效果,同时还可调节血清神经指标,提高生活质量。     

针刺运动疗法联合早期康复训练对急性踝关节扭伤患者踝关节功能、血清炎症因子和致痛物质水平的影响

摘要 目的：观察针刺运动疗法联合早期康复训练对急性踝关节扭伤患者踝关节功能、血清炎症因子和致痛物质水平的影响。方法：选取湖南中医药大学第一附属医院2019年5月~2022年1月期间收治的116例急性踝关节扭伤患者。按照随机数字表法分为对照组（早期康复训练,n=58）和研究组（针刺运动疗法联合早期康复训练,n=58）。观察两组治疗前、治疗4周后的疗效、量表评分[视觉模拟评分（VAS）、美国足与踝关节协会（AOFAS）踝-后足功能评分]、踝关节功能、血清炎症因子[白细胞介素（IL）-1β、IL-6和肿瘤坏死因子-α（TNF-α）]和致痛物质[神经肽（NPY）、P物质（SP）]水平。结果：研究组的临床总有效率为96.55%,高于对照组的77.59%,差异有统计学意义（P<0.05）。治疗4周后,研究组的AOFAS评分高于对照组（P<0.05）,VAS评分低于对照组（P<0.05）,血清IL-6、TNF-α、IL-1β水平低于对照组（P<0.05）,踝关节背伸活动度、踝关节跖屈活动度大于对照组（P<0.05）,血清NPY、SP水平低于对照组（P<0.05）。结论：急性踝关节扭伤患者经针刺运动疗法联合早期康复训练干预后,可有效降低其血清致痛物质和炎症因子水平,有利于疼痛症状的缓解及踝关节功能的恢复。     

腹式呼吸训练联合短刺法针刺对气滞血瘀型腰椎间盘突出症患者康复效果的影响

摘要 目的：探讨腹式呼吸训练联合短刺法针刺对气滞血瘀型腰椎间盘突出症（LDH）患者康复效果的影响。方法：将2020年1月至2022年6月湖南中医药大学第一附属医院收治的478例气滞血瘀型LDH患者,随机数字表法分为两组,对照组239例患者实施短刺法针刺治疗,观察组239例患者行腹式呼吸训练联合短刺法针刺治疗。比较两组治疗效果、治疗前后中医症候评分、肌电值（坐位、直立位、前屈位、后伸位）、疼痛因子水平[前列腺素E₂（PGE₂）、β-内啡肽（β-EP）、5-羟色胺（5-HT）、P物质（SP）]水平、视觉模拟量表（VAS）评分、Oswestry功能障碍指数（ODI）、日本骨科协会评估治疗分数（JOA）评分、腰椎关节活动度（左屈、左旋、右屈、右旋）及安全性。结果：治疗后,两组治疗效果分级经秩和检验差异具有统计学意义（P＜0.05）,且观察组治疗总有效率显著高于对照组（P＜0.05）。治疗后观察组各中医症候评分低于对照组（P＜0.05）。治疗后观察组坐位、直立位、前屈位、后伸位肌电值高于对照组（P＜0.05）。治疗后观察组疼痛因子PGE₂、5-HT、SP水平低于对照组,β-EP水平高于对照组（P＜0.05）。治疗后观察组VAS评分、ODI低于对照组,JOA评分高于对照组（P＜0.05）。治疗后观察组左屈、左旋、右屈、右旋活动度优于对照组（P＜0.05）。两组不良事件发生率比较无显著差异（P＞0.05）。结论：腹式呼吸训练联合短刺法针刺可提高气滞血瘀型LDH患者临床疗效,增强患者肌力,改善腰椎功能,恢复关节活动度,同时通过调控疼痛介质水平,减轻患者疼痛症状,且具有较好安全性,值得临床借鉴应用。