无氧阈强度运动治疗对心脏X综合征患者的疗效研究  

Effects of Intense Exercise Therapy of Anaerobic Threshold on Patients with Cardiac Syndrome X

作　　者：陈芳[1] 徐予[2] 田甜[2] 张新雨[2] 王忠民[2] 朱中玉[2] CHEN Fang XU Yu TIAN Tian ZHANG Xin - yu WANG Zhong - min ZHU Zhong - yu(School of Basic Medicine, Henan University of Traditional Chinese Medicine, Zhengzhou 450000, China Department of Cardiology, Henan Provincial People＇s Hospital, Zhengzhou 450007, China)

机构地区：[1]河南中医药大学基础医学院,河南省郑州市450000 [2]河南省人民医院心内科,河南省郑州市450007

出　　处：《中国全科医学》2017年第9期1067-1070,1075,共5页Chinese General Practice

基　　金：河南省基础与前沿技术研究计划项目(132300410470);河南省医学科技攻关计划项目(201303144);河南省高等学校重点科研项目(16A310027)

摘　　要：目的观察无氧阈强度运动治疗对心脏X综合征(CSX)患者的临床疗效。方法选取2013年7月—2014年4月在河南省人民医院就诊且符合纳入标准的患者21例。患者在规范药物治疗的基础上进行心肺功能运动负荷试验(CPET),并根据无氧阈值(AT)制定个体化有氧运动处方进行干预。3个月后复查CPET,比较干预前后心肺参数〔包括无氧阈值氧耗量(VO_(2AT))、峰值氧耗量(VO_(2峰值))、有氧运动负荷(LAT)、峰值运动负荷(L_(峰值))〕、心绞痛发作频率、舌下含服短效硝酸酯类药物次数、心绞痛持续时间、心绞痛控制情况(采用西雅图心绞痛问卷评价)、生活质量〔采用中文版36条目简明健康调查量表(SF-36)评价〕。结果 20例患者完成最终的运动干预。患者干预后VO_(2AT)、VO_(2峰值)、LAT高于干预前(P<0.05);患者干预前后L_(峰值)比较,差异无统计学意义(P>0.05)。患者干预后心绞痛发作频率、舌下含服短效硝酸酯类药物次数少于干预前,心绞痛持续时间短于干预前(P<0.05)。患者干预后体力活动受限程度、心绞痛稳定性、心绞痛发作频率、治疗满意度、主观感受评分均高于干预前(P<0.05)。患者干预后躯体功能、心理健康情况、躯体疼痛感、精力、综合健康评分高于干预前(P<0.05);患者干预前后角色受限程度、社会功能、角色心理评分比较,差异无统计学意义(P>0.05)。结论无氧阈强度运动治疗可明显改善CSX患者的心绞痛症状及生活质量,提升运动负荷能力。Objective To investigate the clinical effect of intense exercise therapy of anaerobic threshold on patients with cardiac syndrome X（ CSX）. Methods Twenty- one eligible patients in Henan Provincial People＇ s Hospital from July2013 to April 2014 were enrolled. On the basis of drug therapy in criteria,all the patients received cardiopulmonary exercise testing（ CPET）,and according to the anaerobic threshold（ AT）,the individual aerobic exercise prescription was developed for intervention. CPET was reexamined after 3 months, and the cardiopulmonary parameters 〔oxygen consumption of anaerobic threshold value（ VO2AT）,peak oxygen consumption（ VO2max）,aerobic exercise load（ LAT）,peak exercise load（ Lmax） 〕,frequency of angina pectoris,times of sublingual nitroglycerine,duration of angina pectoris,controlling status of angina pectoris（ Seattle Angina Questionnaire） and quality of life〔36- item short form health survey（ SF- 36） 〕before and after intervention were compared. Results A total of 20 patients completed the exercise intervention. The VO2AT,VO_（2max）,and LAT of patients after intervention were higher than those before intervention（ P〈0.05）; there was no significant difference in Lmax of patients before and after intervention（ P〉0.05）. The frequency of angina pectoris and times of sublingual nitroglycerine of patients after intervention were less than those before intervention,and duration of angina pectoris was shorter than that before intervention（ P〈0.05）. The scores of physical limitation,stability of angina pectoris,frequency of angina pectoris,satisfaction of treatment and subjective feelings of patients after intervention were higher than those before intervention（ P〈0.05）. The scores of physical function,mental health,bodily pain,vitality / energy and comprehensive health of patients after intervention were higher than those before intervention（ P〈0.05）. There was no significant difference in scores of role limitation,social funct

关 键 词：X综合征 心脏 无氧阈 运动疗法 

分 类 号：R541.4[医药卫生—心血管疾病]