摘要
目的:观察有氧运动强度对脑卒中合并冠心病患者心功能及运动耐力的影响。方法:选择我院收治的180例脑卒中合并冠心病患者,随机分为常规康复组、中强度运动组、高强度间歇运动组,各60例,均给予脑卒中合并冠心病常规药物治疗,根据心肺功能运动试验(CPET)中峰值功率(PP)检查结果,高强度间歇运动组、中强度运动组分别以80%PP、60%PP,行为期12周的有氧运动。检测并比较三组患者干预前、12周后心功能、运动耐力等变化。结果:干预12周后,与常规康复组比较,中强度运动组和高强度间歇运动组峰值摄氧量(O 2peak)[(17.70±1.13)ml·min^-1·kg^-1比(18.77±1.21)ml·min^-1·kg^-1比(21.53±1.91)ml·min^-1·kg^-1]、PP[(72.27±10.24)W比(80.80±10.33)W比(88.63±10.65)W]、运动持续时间(ED)[(367.80±26.11)s比(413.37±25.60)s比(450.77±28.47)s]均显著提高,且高强度间歇运动组均显著高于中强度运动组(P均=0.001);高强度间歇运动组左室射血分数(LVEF)显著高于中强度运动组和常规康复组[(61.17±4.86)%比(54.30±3.94)%、(53.25±4.04)%,P均=0.001];高强度间歇运动组无氧阈值(AT)显著高于常规康复组[(14.73±0.94)ml·min^-1·kg^-1比(14.20±0.71)ml·min^-1·kg^-1,P=0.002]。结论:有氧运动能够显著改善脑卒中合并冠心病患者心功能及运动耐力,间歇性高强度有氧运动较持续中强度训练的改善效果更为显著。
Objective:To observe influence of aerobic exercise intensity on cardiac function and exercise tolerance in patients with stroke complicated coronary heart disease(CHD).Methods:A total of 180 stroke+CHD patients treated in our hospital were randomly and equally divided into routine rehabilitation group,medium intensity group and high intensity group,and all groups received routine medication for stroke+CHD.According to peak power(PP)result of cardiopulmonary exercise testing(CPET),high intensity interim exercise group and medium intensity group received 80%PP and 60%PP aerobic exercise for 12 weeks.Cardiac function and exercise tolerance were measured and compared among three groups before and 12 weeks after intervention.Results:Compared with routine rehabilitation group after 12-week intervention,there were significant rise in peak oxygen uptake(O 2peak)[(17.70±1.13)ml·min^-1·kg^-1 vs.(18.77±1.21)ml·min^-1·kg^-1 vs.(21.53±1.91)ml·min^-1·kg^-1],PP[(72.27±10.24)W vs.(80.80±10.33)W vs.(88.63±10.65)W]and exercise duration(ED)[(367.80±26.11)s vs.(413.37±25.60)s vs.(450.77±28.47)s]in medium intensity exercise group and high intensity interim exercise group,and those of high intensity interim exercise group were significantly higher than those of medium intensity exercise group,P=0001 all;LVEF of high intensity interim exercise group was significantly higher than those of medium intensity exercise group and routine rehabilitation group[(61.17±4.86)%vs.(54.30±3.94)%,(53.25±4.04)%,P=0.001 both];anaerobic threshold(AT)of high intensity interim exercise group was significantly higher than that of routine rehabilitation group[(14.73±0.94)ml·min^-1·kg^-1 vs.(14.20±0.71)ml·min^-1·kg^-1,P=0.002].Conclusion:Aerobic exercise can significantly improve cardiac function and exercise tolerance in stroke patients with coronary heart disease,and the effect of intermiffent high intensity aerobic exercise is more obvious than that of continuoas medium intensity training.
作者
叶荣菊
孙乐山
张琴
王凯
YE Rong-ju;SUN Le-shan;ZHANG Qin;WANG Kai(Department of Rehabilitation,Fourth Rehabilitation Hospital of Shanghai City,Shanghai,200040,China)
出处
《心血管康复医学杂志》
CAS
2020年第5期536-540,共5页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
上海市静安区优秀人才培养计划()
上海市卫计委上海市静安区卫生科研课题面上项目(2019MS13)
上海市静安区科委、卫健委联合医学研究资助项目(2017MS12)。
关键词
冠心病
卒中
运动疗法
Coronary disease
Stroke
Exercise therapy
