运动训练对老年稳定型心绞痛患者运动耐量的影响  

Influence of exercise training on exercise tolerance in aged patients with stable angina pectoris

作　　者：吴自强[1] 丁力[1] 江亚文[1] 谢志泉[1] 王继业[1] 周培毅[1] 汪丽丽[1] 

机构地区：[1]中国人民解放军广州军区广州总医院干部病房,广东省广州市510010

出　　处：《实用老年医学》2010年第2期153-155,共3页Practical Geriatrics

摘　　要：目的探讨运动训练对老年稳定型心绞痛患者运动耐量的影响。方法60例老年稳定型心绞痛患者随机分为运动训练组(n=30)和常规治疗组(n=30),同时接受12周相同的冠心病药物治疗,运动训练组同时给予运动训练。用平板运动试验和6min步行试验评估运动耐量。结果6min步行距离与平板运动代谢当量显著相关(r=0.816,P<0.01);运动训练组和常规治疗组6min步行距离较治疗前明显延长(P<0.01或P<0.05),运动训练组较常规治疗组延长更明显,差异有显著性(P<0.05)。结论运动训练能显著提高稳定型心绞痛患者的运动耐量,6min步行试验可用来评估稳定型心绞痛患者的运动耐量。ObjectiveTo investigate the influence of exercise training on exercise tolerance in aged patients with stable angina pectoris（SAP）.MethodsSixty patients with SAP, receiving the same drug treatment, were divided into exercise group（n=30） and nonexercise group（n=30）.The patients in exercise group received exercise training such as walking, jogging, up and down stairs, or Taiji. Exercise tolerance was evaluated by treadmill exercise test（MET） and 6minute walking distance （6MWD） test.ResultsThere was significant correlation （r=0.816,P〈0.01）between 6MWD and MET.There were longer 6MWDs in exercise group and nonexercise group after intervention（P〈0.01, P〈0.05 respectively）.There were much longer 6MWD in exercise group than that in nonexercise group（P〈0.05）.ConclusionsExercise training can increase exercise tolerance in aged patients with SAP, and the exercise tolerance can be estimated by 6MWD.

关 键 词：稳定型心绞痛 运动训练 运动耐量 6 MIN步行试验 

分 类 号：R541.4[医药卫生—心血管疾病]