I期心脏康复策略对冠心病稳定性心绞痛患者运动耐量及自主神经功能影响研究
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摘要
目的:探讨I期心脏康复对冠心病稳定性心绞痛患者运动耐量及自主神经功能的影响。方法:120例患者随机分为对照组(A)、有氧运动组(B)、有氧+阻抗组(C)、有氧+脐疗组(D),8周后进行西雅图心绞痛量表(SAQ)、心绞痛疗效、运动耐量及自主神经功能评价。结果:B组SAQ评分治疗后明显改变(P<0.05)。B、C临床心绞痛总有效率高于A组(P<0.05)。BCD组6min步行距离、代谢当量、摄氧量治疗后明显提高(P<0.05),自主神经功能明显改善。结论:I期心脏康复能提高运动耐量,改善心脏自主神经功能,使稳定性心绞痛获益。
Objective:To explore the effect of stage I cardiac rehabilitation on exercise tolerance and autonomic nerve function in patients with stable angina of coronary heart disease.Methods:120 patients were randomly divided into control group,the aerobic exercise group(A)(B),the aerobic+impedance group(C),the aerobic+ umbilical therapy group(group D)and Seattle angina questionnaire(SAQ)after 8 weeks,angina pectoris curative effect,exercise tolerance,and the evaluation of the autonomic nervous function.Results:the SAQ score of group B changed significantly after treatment(P<0.05).The total effective rate of clinical angina was higher than group A(P< 0.05).The 6-minute walking distance,metabolic equivalent and oxygen uptake of the BCD group were significantly increased after treatment(P< 0.05),and autonomic nervous function was significantly improved.Conclusion:stage I cardiac rehabilitation can improve exercise tolerance,improve cardiac autonomic nervous function,and benefit stable angina.
Objective:To explore the effect of stage I cardiac rehabilitation on exercise tolerance and autonomic nerve function in patients with stable angina of coronary heart disease.Methods:120 patients were randomly divided into control group,the aerobic exercise group(A)(B),the aerobic+impedance group(C),the aerobic+ umbilical therapy group(group D)and Seattle angina questionnaire(SAQ)after 8 weeks,angina pectoris curative effect,exercise tolerance,and the evaluation of the autonomic nervous function.Results:the SAQ score of group B changed significantly after treatment(P<0.05).The total effective rate of clinical angina was higher than group A(P< 0.05).The 6-minute walking distance,metabolic equivalent and oxygen uptake of the BCD group were significantly increased after treatment(P< 0.05),and autonomic nervous function was significantly improved.Conclusion:stage I cardiac rehabilitation can improve exercise tolerance,improve cardiac autonomic nervous function,and benefit stable angina.
引文
[1]中华医学会心血管病学分会.慢性稳定性心绞痛诊断与治疗指南[J].中华心血管病杂志,2007,35(3):195-206.
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[3]黄春雨,周果,李刚,等.复方丹参滴丸联合耳穴埋豆及穴位按摩对稳定性心绞痛的干预[J].中国实验方剂学杂志,2017,23(2):175-180.
[4]庞明,郭清,史文,等.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[J].心血管康复医学杂志,2010,19(6):575-577.
[5]孔亚婷,朱正庭.有氧训练与抗阻训练对老年脑梗死患者自主神经功能干预效果的对比研究[J].实用心脑肺血管病杂志,2017,25(1):138-140.
[6]范红娟,李书瑞,康凯宁,等.冠心静胶囊治疗稳定型劳力性心绞痛的疗效观察[J].现代药物与临床,2016,31(7):1016-1019.
[7]JOUANIN JC,DUSSAULT C,PERES M,et al.Analysis of heart rate variability after a ranger training course[J].Mil Med.2004Aug,169(8):583-537
[8]HYNYNEN E,VESTERINEN V,RUSKO H,et al.Effects of moderate and heavy endurance exercise on nocturnal HRV[J].Int J Sports Med.,2010Jun,31(6):428-432
[9]中华医学会心血管病学分会,中国康复医学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.冠心病康复与二级预防中国专家共识[J].中华心血管病杂志,2013,4l(4):267-275.
[10]RAURAMAA R,LI G,VISNEN SB.Dose-response and coagulation and hemostatic factors[J].Med Sci Sports Exerc,2001Jun,33(6Suppl):S516-20
[11]MATTUSCH F,DUFAUX B,HEINE O.et al.Reduction of the plasma concentration of C-reactive protein following nine months of endurancetraining[J].Int J Sports Med.,2000Jan,21(1):21-24.
[12]MOMMA H,NIU K,KOBAYASHI Y,et al.Skin advanced glycation end product accumulation and muscle strength among adult men[J].Eur J Appl Physiol.,2011Jul,111(7):1545-1552
[13]MYERS J,PRAKASH M,FROELICHER V.et al.Exercise capacity and mortality among men referred for exercise testing[J].N Engl J Med.,2002Mar 14,346(11):793-801.
[14]LAUGHLIN MH1,OLTMAN CL,BOWLES DK.Exercise training-induced adaptations in the coronary circulation[J].Med Sci Sports Exerc.,1998Mar,30(3):352-360.
[2]刘呈宇,董波.西雅图量表评价中药复合治疗冠心病心绞痛的疗效观察[J].中西医结合心脑血管病杂志,2015,13(4):514-515.
[3]黄春雨,周果,李刚,等.复方丹参滴丸联合耳穴埋豆及穴位按摩对稳定性心绞痛的干预[J].中国实验方剂学杂志,2017,23(2):175-180.
[4]庞明,郭清,史文,等.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[J].心血管康复医学杂志,2010,19(6):575-577.
[5]孔亚婷,朱正庭.有氧训练与抗阻训练对老年脑梗死患者自主神经功能干预效果的对比研究[J].实用心脑肺血管病杂志,2017,25(1):138-140.
[6]范红娟,李书瑞,康凯宁,等.冠心静胶囊治疗稳定型劳力性心绞痛的疗效观察[J].现代药物与临床,2016,31(7):1016-1019.
[7]JOUANIN JC,DUSSAULT C,PERES M,et al.Analysis of heart rate variability after a ranger training course[J].Mil Med.2004Aug,169(8):583-537
[8]HYNYNEN E,VESTERINEN V,RUSKO H,et al.Effects of moderate and heavy endurance exercise on nocturnal HRV[J].Int J Sports Med.,2010Jun,31(6):428-432
[9]中华医学会心血管病学分会,中国康复医学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.冠心病康复与二级预防中国专家共识[J].中华心血管病杂志,2013,4l(4):267-275.
[10]RAURAMAA R,LI G,VISNEN SB.Dose-response and coagulation and hemostatic factors[J].Med Sci Sports Exerc,2001Jun,33(6Suppl):S516-20
[11]MATTUSCH F,DUFAUX B,HEINE O.et al.Reduction of the plasma concentration of C-reactive protein following nine months of endurancetraining[J].Int J Sports Med.,2000Jan,21(1):21-24.
[12]MOMMA H,NIU K,KOBAYASHI Y,et al.Skin advanced glycation end product accumulation and muscle strength among adult men[J].Eur J Appl Physiol.,2011Jul,111(7):1545-1552
[13]MYERS J,PRAKASH M,FROELICHER V.et al.Exercise capacity and mortality among men referred for exercise testing[J].N Engl J Med.,2002Mar 14,346(11):793-801.
[14]LAUGHLIN MH1,OLTMAN CL,BOWLES DK.Exercise training-induced adaptations in the coronary circulation[J].Med Sci Sports Exerc.,1998Mar,30(3):352-360.