联合抗阻-耐力运动与单纯耐力运动对STEMI患者生存质量影响的研究  

Influence study of the combined endurance-resistance training vs endurance training in quality life of STEMI patients

作　　者：官明德 丁发明[2] 张美华[2] 张新丽 

机构地区：[1]山东省青岛市第九人民医院,山东青岛266002 [2]青岛大学医学院第二附属医院心内科,山东青岛266042 [3]山东省青岛市黄岛区第一人民医院内科,山东青岛266555

出　　处：《中国当代医药》2013年第22期180-181,共2页China Modern Medicine

摘　　要：目的比较联合抗阻运动-耐力运动与单纯耐力运动对经皮冠状动脉介入(PCI)治疗术后的急性ST段抬高型心肌梗死(STEMI)患者生存质量的影响。方法 62例PCI术后的STEMI患者随机分为耐力运动组(30例)和联合运动组(32例)。除予以常规治疗外,耐力运动组进行规律慢跑,联合运动组在慢跑基础上联合抗阻运动,随访12个月。两组患者在出院时,运动6个月时及运动后12个月,以《健康状况问卷-简表36》(SF-36)进行生存质量评价,并测定左室舒张末期内径(LVEDD)。结果两组患者出院时生存质量评分和LVEDD比较差异无统计学意义(P>0.05)。运动6个月时及运动结束12个月后,两组患者的SF-36评分比较差异有统计学意义(t=2.1659、2.2174,P=0.0343、0.0304)。结论联合抗阻运动与耐力运动可进一步改善STEMI患者PCI术后生存质量。Objective To compare the influence of combined endurance-resistance training with endurance training only on the life quality of STEMI patients undergoing percutaneous coronary intervention （PCI）. Methods 62 cases of STEMI patients undergoing PCI were enrolled,and they were randomly divided into combined endurance-resistance group （n=32） and endurance training group （n=30）.When out of the hospital,training for months 6 and 12 months after the training program,the life quality of STEMI patients was evaluated through SF-36,and left ventricular end-systolic diameter（LVED） were performed. Results When out of the hospital,there were no statistically significant differences in the two groups on life quality and LVEDD（P〉0.05）.After 6 monthes training and 12 monthes after the training,the dif- ferences of the SF-36 in the two groups were statistically significant （t=2.1659,2.2174;P=0.0343,0.0304）. Conclusion Combined endurance-resistance training can further increase the levels of life quality in STEMI patients after PCI.

关 键 词：急性ST段抬高型心肌梗死 心脏康复 抗阻运动 生存质量 

分 类 号：R493[医药卫生—康复医学]