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冠心病患者PTCA或支架术后的康复运动训练 |
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陈 刚1 李京平1 孙福成1 何 青1 季福绥1
摘要 目的：比较冠心病PTCA或支架术后患者康复运动前后的心肺功能，试图找出这类患者康复运动的特点、制定康复运动处方的原则及其对心脏的有益作用。方法：对21例PTCA术或PTCA加支架术后病人进行运动心肺功能评定，制定康复运动处方，进行8～12周康复运动训练。结果：康复运动训练后患者的运动时间和最大运动负荷量有非常显著增加(P＜0.002，P＜0.005)，心率增值运动中最高收缩压和心率-血压双乘积(RPP)有显著提高(P＜0.05)，最大代谢当量(METs)、最大氧耗量(VO2max)和每分通气量亦有显著提高(P＜0.02)。结论：PTCA术或支架术后病人坚持康复运动训练有益于体能的提高，心脏功能容量的增加，从而提高生活质量。
关键词 冠心病；康复运动；心肺运动试验；心脏功能容量
Rehabilitation exercise training in the patients with coronary heart disease following PTCA or intracoronary stent implantation / CHEN Gang, LI Jingping, SUN Fucheng, et al//Chinese Journal of Rehabilitation Medicine,1998,13(4):146～148
Abstract Objective:To study the cardiopulmonary function before and after rehabilitation exercise training in the patients with coronary heart disease following PTCA or intracoronary stent implantation，and to find guidelines for exercise prescripition,characteristics as well as benefits to the exercise training in these patients.Method:Rehabilitation exercise training in 8～12 weeks was applied in 21 patients with myocardial infarction and unstable angina pectoris post percutaneous transluminal coronary angioplasty (PTCA) or intracoronary stent implantation . Result: After exercise training, the maximal heart rate (HRmax) and maximal work load during exercise test were significantly higher ( P＜0.002, P＜0. 005) ; the increased value of heart rate (△HR=HRmax-resting HR),the maximal systolic blood pressure (SBPmax) during exercise test and rate-pressure product (RPP) were significantly increased (P＜0.05) ; the maximal metablic equivalents, maximal oxygen consumption (O2max) and minute ventilation (E) were significantly improved (P＜0.02).Conclusion:Rehabilitation exercise training in patients with PTCA or intracoronary stent implantation could increase physical work capacity , cardiac functional capacity and the quality of life.
Author′s address Dept. of Rehabilitation Medicine, Beijing Hospital, Beijing,[1] [2] 下一页
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