|本期目录/Table of Contents|

[1]金钟一,皮林,韩海英,等.家庭运动康复对于冠状动脉介入术后患者心肺功能的影响[J].慢性病学杂志,2018,(7):838-840.
　JIN Zhong-yi*,PI Lin,HAN Hai-ying,et al.Effects of home cardiac rehabilitation program on the post percutaneous coronary intervention patients with coronary artery disease[J].,2018,(7):838-840.
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家庭运动康复对于冠状动脉介入术后患者心肺功能的影响(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2018年7期
页码:
838-840
栏目:
心肺预防康复
出版日期:
2018-07-30

文章信息/Info

Title:
Effects of home cardiac rehabilitation program on the post percutaneous coronary intervention patients with coronary artery disease
作者:
金钟一1;  皮林2;  韩海英3;  胡大一4
1. 北京泰康燕园康复医院，北京102200； 2. 北京市垂杨柳医院，北京100022； 3. 北京和睦家医院，北京100016； 4. 北京大学人民医院，北京100044
Author(s):
JIN Zhong-yi*;  PI Lin;  HAN Hai-ying;  HU Da-yi
*Beijing Taikang Yanyuan Rehabilitation Hospital, Beijing 102200, China Corresponding author: PI Lin, E-mail: pilindoctor@126.com
关键词:
家庭运动康复; 峰值摄氧量; 无氧阈; 代谢当量; 用力肺活量
Keywords:
Home cardiac rehabilitation;  Peak VO2;  Anaerobic threshold;  Metabolic equivalent;  Force vital capacity
分类号:
R541.4
DOI:
-
摘要:
目的探讨用心肺运动测试指导冠状动脉介入术后患者的家庭运动康复对于患者心肺功能的影响。方法 于门诊选取60 例评估为中低危的冠状动脉介入术后稳定的冠心病患者，随机分为强化管理和一般管理两 组，每组30例，均随访8周。强化管理组根据心肺运动试验结果制定个体化运动处方，指导患者进行家庭有氧运 动、抗阻运动和柔韧性运动。一般管理组患者仅给予运动建议，但不给予具体运动指导。对比观察两组患者运动 康复前后及两组间心绞痛评分、峰值摄氧量、无氧阈摄氧量、无氧阈代谢当量、用力肺活量的变化。结果管 理8 周后，强化管理组无氧阈代谢当量为（4.57±0.45） METs、无氧阈摄氧量为（9.35±1.48） ml/ （min · kg）、 峰值摄氧量为（17.84±1.52） ml/ （min · kg）、用力肺活量为（2.97±0.22） L，明显高于同组管理前和一般管理 组管理后，差异均有统计学意义（P<0.05）。结论规范指导下的家庭运动康复训练可以显著提高稳定的冠状动 脉介入术后患者的运动耐量和心肺功能。
Abstract:
Objective To observe the effects of home cardiac rehabilitation program on the coronary artery disease patients post percutaneous coronary interventions guided by cardiopulmonary exercise test （CPET） . Methods For this randomized controlled trial, 60 outpatients who met the inclusion criteria were recruited and randomly assigned to the intensive and control groups, 30 cases in each group. All patients were followed up for 8 weeks. In the intensive group, cardiac rehabilitation program was formulated according to the result of CPET. Aerobics, resistance and flexibility training were taken at home. In the control group, only exercise suggestion was given to them, and no detailed guidance was offered. The changes on Seattle angina scale score, metabolic equivalent on anaerobicthreshold （AT METs） , VO2 on anaerobicthreshold （AT VO2） , peak VO2, force vital capacity （FVC） between the two groups before and after exercise rehabilitation were compared. Results After 8 weeks training in the intensive group, AT METs （4.57±0.45） , AT VO2 [ （9.35±1.48） ml/ （min · kg） ], peak VO2 [ （17.84±1.52） ml/ （min · kg） ], FVC [ （2.97±0.22） L] were much higher than those before trainingin the same group and the control group after 8 weeks training （all P<0.05） . Conclusion The exercise capacity and cardiopulmonary functions of the post percutaneous coronary interventions patients with stable coronary artery diseases could be improved obviously by home cardiac rehabilitation program under the standardized guidance.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目：首都卫生发展专项基金（首发2016-3-7031） 作者简介：金钟一，硕士研究生，主治医师，研究方向：心血管病学、心脏康复 通信作者：皮林，E-mail：pilindoctor@126.com
更新日期/Last Update: 2018-07-30