崔永胜 杨慧馨

摘 要：目的：探討太极拳与快走对轻度认知功能障碍老年人认知功能的影响效果。方法：通过社区医院招募其管辖社区的老年人，筛选并确定了94例轻度认知功能障碍（MCI）的老年人作为研究对象。采取便利抽样的方式分为太极组、快走组和对照组，其中，太极组和快走组进行太极拳和快走运动干预，每周训练时间不少于3次，每次训练时间90min，共持续24周。在实验前，干预12周末，24周末，采用连线测试、Rey听觉词语学习测试评价实验对象的认知功能。结果：连线测试结果：干预12周末，太极组连线测试-A耗时显著低于对照组，连线测试-B耗时显著低于对照组和快走组;干预24周末，太极组连线测试-A耗时非常显著低于对照组，连线测试-B耗时显著低于对照组和快走组，快走组连线测试-A耗时显著低于对照组。Rey听觉词语学习测试结果：干预24周末，太极组短延迟记忆、长延迟记忆得分显著高于对照组，长延迟记忆得分显著高于快走组，快走组短延迟记忆得分显著高于对照组。结论：太极拳和快走均有助于MCI老年人执行功能和记忆功能的改善和提高，但太极拳更具优势;持续12周的太极拳锻炼对MCI老年人的执行功能产生了积极的影响，持续24周的太极拳锻炼能够显著改善和提高MCI老年人的记忆功能。

关键词：太极拳;快走;认知功能障碍

中图分类号：G804

文献标识码：A

文章编号：1008-2808（2019）05-0017-06

Abstract：Objective： To explore the effect of Tai Chi on cognitive function of the elderly with mild cognitive impairment Methods： a total of 94 elderly people with mild cognitive impairment （MCI） were recruited and identified in three community hospitals study subjects The convenience sampling method was divided into Tai Chi group， brisk walking group and control group， in which Tai Chi group and brisk walking group were intervened by Tai Chi and brisk walking， the training time is not less than 3 times a week， and the training time is 90 minutes， which lasts for 24 weeks Before the experiment， on the 12th weekend and the 24th weekend， the cognitive function of the subjects was assessed using the connection test and the Rey auditory word learning test Results： Results of the connection test： After the intervention for the 12th weekend， Tai Chi group connection test-A took significantly less time than the control group， and connection test-B took time to be significantly lower than the control group and the brisk walking group Intervention at the end of the 24th week， the Tai Chi group was connected The time-consuming test-A was significantly lower than that of the control group， and the time-consuming connection test-B was significantly lower than that of the control group and the brisk walking group The time-consuming test of the brisk walking group-A was significantly lower than that of the control group Rey auditory word learning test results： Intervention at the end of the 24th week， the short-delayed memory and long-delayed memory scores in the Tai Chi group were significantly higher than those in the control group， and the long-delayed memory score was significantly higher than that in the brisk walking group The short-delayed memory score in the brisk walking group was significantly higher than that in the control group Conclusion： Tai Chi and brisk walking all contribute to the improvement and improvement of executive function and memory function in elderly MCI patients， but Tai Chi has more advantages; Tai Chi exercise for 12 weeks has a positive impact on the executive function of MCI elderly people Tai Chi exercise for 24 weeks can significantly enhance and improve the memory function of MCI elderly people

Key words：Tai Chi; Brisk walking exercise; Cognitive impairment

认知是人们认识外界事物、对外界事物进行信息加工的过程。包括感觉、知觉、想象、记忆、思维和语言等[1-2]。……