康复运动对老年心血管病患者左室功能及运动耐量的影响  

Effect of rehabilitation training on left ventricular function and exercise tolerance in aged patients with cardiovascular disease

作　　者：庞明[1] 郭清[1] 史文[1] 梁湘琦[1] 凌云[1] 李维[1] 陆丽娟[1] 周芸[1] 

机构地区：[1]广西壮族自治区江滨医院,广西南宁市530021

出　　处：《心血管康复医学杂志》2010年第6期575-577,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：广西壮族自治区科技厅(桂科自0832199)

摘　　要：目的:探讨康复运动训练对老年心血管疾病患者左室功能及运动耐量的影响。方法:102例冠心病患者被随机分为冠心病康复组和对照组,各51例,另有高血压病患者51例(高血压康复组)。冠心病康复组和高血压康复组进行有指导的康复运动训练,对照组未进行运动训练。运动训练前及24周后查血压、血脂、心脏超声、颈动脉超声、心电图平板负荷试验、6 min步行试验等项目。结果:与对照组比较,冠心病康复组和高血压康复组的左室射血分数(LVEF)明显增加[(66.2±6.26)%:(69.53±5.04)%:(68.41±5.08)%,P<0.05],颈动脉斑块明显缩小[左斑块(2.14±1.62)mm:(1.21±0.87)mm:(1.35±1.35)mm,右斑块(1.81±0.93)mm:(1.01±0.89)mm:(1.12±0.95)mm,P均<0.05],6 min步行距离明显增加[(359.27±89.58)m:(457.12±62.05)m:(426.45±52.68)m,P<0.01],自感劳累分级减少[(14.84±0.78):(14.35±0.66):(14.39±0.60),P<0.01]。上述指标冠心病康复组和高血压康复组间的比较无显著性差异(P>0.05)。结论:康复运动训练可改善心血管疾病患者的心脏功能,提高运动耐量和生活质量,减少心血管疾病的危险因素,有利患者回归社会和家庭。Objective：To investigate the effect of rehabilitation training on left ventricular function and exercise tolerance in aged patients with cardiovascular disease.Methods：A total of 102 patients with coronary heart disease（CHD） were randomly divided into CHD rehabilitation training group（n=51） and control group（n=51）.Another group was 51 patients with hypertension（hypertension rehabilitation group）.Patients in CHD rehabilitation training group and hypertension rehabilitation group undertook rehabilitation exercise while those in control group didn＇t.Blood pressure,blood lipid,echocardiography,carotid ultrasound,electrocardiogram stress test and 6 minutes walking distance（6MWD） test were performed in three groups before and 24 weeks after training.Results：Compared with control group,left ventricular ejection fraction（LVEF） of CHD rehabilitation training group and hypertension rehabilitation group were significantly higher [（66.2±6.26）% vs.（69.53±5.04）% vs.（68.41±5.08）%,P〈0.05],carotid plaque significantly lessened [left plague（2.14±1.62）mm vs.（1.21±0.87）mm vs.（1.35±1.35）mm,right plague（1.81±0.93）mm vs.（1.01±0.89）mm vs.（1.12±0.95）mm,P〈0.05 both],6MWD significantly increased [（359.27±89.58）m vs.（457.12±62.05）m vs.（426.45±52.68）m,P〈0.01] and rating of perceived exertion（RPE） decreased [（14.84±0.78） vs.（14.35±0.66） vs.（14.39±0.60）,P〈0.01].There was no significant difference between CHD rehabilitation training group and hypertension rehabilitation group（P〉0.05 all）.Conclusion：Rehabilitation training could improve cardiac function,exercise tolerance in patients with cardiovascular disease.It is conduce to reduce risk factors of cardiovascular disease and make patients return society.

关 键 词：心血管疾病 康复 运动耐量 

分 类 号：R455.09[医药卫生—运动医学]