康复运动对冠心病介入性治疗后有氧运动能力的影响  

The effects of rehabilitation exercise on the aerobic capacity of the patients with CHD post intervention therapy

作　　者：张宝慧[1] 李筱雯[1] 王晓红[1] 

机构地区：[1]北京医科大学附属第三医院康复医学中心,100083

出　　处：《心血管康复医学杂志》1999年第4期3-5,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :观察 2 0例冠心病人经皮腔内冠状动脉成形术 (PTCA)和支架术后康复运动对有氧能力的影响。方法 :2 0例 PTCA和支架术后病人参加心脏监护病房和普通病房的康复运动计划 ,一个月后采用运动心肺功能测定仪测定气体代谢指标。结果 :平板运动试验测试的有氧能力指标 :最大摄氧量的绝对值和相对值分别为 1512 .78± 311.4 5毫升 /分和 2 0 .6 9± 5.8毫升 /公斤 /分 ,氧脉搏为 12 .95± 3.5毫升 /搏 ,有氧损伤能力和有氧能力的程度分别为 34.4 2± 2 .14%和 6 5.58± 3.2 7%。结论 :与同等条件的正常人相比 ,介入性治疗后无合并症的冠心病人 ,早期参加康复运动能获得较好的有氧能力 。Objective:To study the effects of rehabilitation exercise on the aerobic capacity of coronary heart disease(CHD) patients with percutaneous transluminal coronary angioplasty(PTCA) and coronary stent implantation.Methods:The aerobic capacity was observed in 20 cases of CHD with PTCA and coronary stent implantation after rehabilitation exercise training.The data of gas exchange were measured by using the equipment of cardiopulmonary functional exercise testing after one month of the rehabilitation exercising.Results:The data of oxygen uptake of 20 cases was directly measured as follows: V·O 2 max,oxygen pulse,FAI and FAC were 1512 78±311 45ml/min(20 69±5 8ml/kg/min),12 95±3 5ml/beat,34 42±2 14% and 65 58±3 27% respectively.Conclusion:Compared with normal persons,patients of CHD without complications who took part in the rehabilitation exercise program at the early period after intervention therapy may gain the better aerobic capacity which was helpful for undertaking the activities of daily living and lmproving the quality of life in the recovery period. Author′s address Centre of Rehabilitation Medicine,Affiliated Third Hospital of Beijing Medical University

关 键 词：康复运动 介入性治疗 冠心病人 支架术 PTCA 有氧能力 

分 类 号：R541.4[医药卫生—心血管疾病] R654[医药卫生—内科学]