负重步行对心功能Ⅰ—Ⅱ级患者心肌耗氧量的影响
|
摘要
目的:探讨负重步行对心功能Ⅰ—Ⅱ级患者心肌耗氧量的影响。方法:将54例心功能Ⅰ—Ⅱ级患者进行自身-前后对照研究,第1天步行设为对照组,第2天负重5kg步行(模拟买菜)设为观察组,观测两组不同时段心率、收缩压和心肌耗氧量情况。结果:对照组和观察组T_1到T_5时段心率、收缩压和心肌耗氧量增加;在T_2、T_3、T_4、T_5时段,负重步行组心率和心肌耗氧量均高于对照组,且在T_4时段到达高峰,差异均有统计学意义(均P<0.05);在T_3和T_4时段,负重步行组收缩压高于对照组,且在T_4时段达高峰,差异有统计学意义(P<0.05);负重步行组各时段的心肌耗氧量两两比较显示,T_0与T_2—T_5、T_1与T_3—T_5及T_2与T_3—T_5比较差异均有统计学意义(均P<0.05)。结论:可根据心肌耗氧量调整心功能Ⅰ—Ⅱ级患者的活动强度。
Objective:To investigate the effects of weight-bearing walking on myocardial oxygen consumption in patients with grade Ⅰ—Ⅱ cardiac function.Methods:Fifty-four patients with grade Ⅰ—Ⅱ cardiac function were conducted a self-control study,walking on the first day was regarded as the control group and walking with a weight of 5 kg(simulating green grocery shopping)on the second day was regarded as the experimental group.Then the heart rate,systolic pressure and myocardial oxygen consumption were recorded at different time points.Results:During T_1 to T_5,heart rate,systolic pressure and myocardial oxygen consumption were increased both in the control group and the experimental group.The heart rate and myocardial oxygen consumption in T_2,T_3,T_4 and T_5,the systolic blood pressure in T_3 and T_4 were significant higher in the experimental group than those in control group(All P<0.05),with the peak value at T_4.Pairwise comparison of myocardial oxygen consumption in different periods time of weight-bearing walking was carried out,and the difference were statistically significant between T_0 and T_2—T_5,T_1 and T_3—T_5,T_2 and T_3—T_5(All P <0.05).Conclusion:The activity intensity of patients with grade Ⅰ—Ⅱcardiac function can be adjusted according to the myocardial oxygen consumption.
Objective:To investigate the effects of weight-bearing walking on myocardial oxygen consumption in patients with grade Ⅰ—Ⅱ cardiac function.Methods:Fifty-four patients with grade Ⅰ—Ⅱ cardiac function were conducted a self-control study,walking on the first day was regarded as the control group and walking with a weight of 5 kg(simulating green grocery shopping)on the second day was regarded as the experimental group.Then the heart rate,systolic pressure and myocardial oxygen consumption were recorded at different time points.Results:During T_1 to T_5,heart rate,systolic pressure and myocardial oxygen consumption were increased both in the control group and the experimental group.The heart rate and myocardial oxygen consumption in T_2,T_3,T_4 and T_5,the systolic blood pressure in T_3 and T_4 were significant higher in the experimental group than those in control group(All P<0.05),with the peak value at T_4.Pairwise comparison of myocardial oxygen consumption in different periods time of weight-bearing walking was carried out,and the difference were statistically significant between T_0 and T_2—T_5,T_1 and T_3—T_5,T_2 and T_3—T_5(All P <0.05).Conclusion:The activity intensity of patients with grade Ⅰ—Ⅱcardiac function can be adjusted according to the myocardial oxygen consumption.
引文
[1]Ambrosy A P,Fonarow G C,Butler J,et al.The global health and economic burden of hospitalizations for heart failure:lessons learned from hospitalized heart failure registries[J].J Am Coll Cardiol,2014,63(12):1123-1133.
[2]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[3]武亮,董继革,郭琪,等.中国社区心肺康复治疗技术专家共识[J].中国老年保健医学,2018,16(3):41-51.
[4]张强,林俊毅.一例髋关节置换术后病例介入水中步行康复训练报告[J].按摩与康复医学,2017,8(2):17-18.
[5]中国康复医学会心血管病专业委员会.中国心脏康复与二级预防指南2018精要[J].中华内科杂志,2018,57(11):802-810.
[6]苏杰,王琼萍,顾红.运动康复护理对改善慢性心功能不全病人心肌标志物以及醛固酮水平的效果分析[J].护理研究,2017,31(17):2127-2129.
[7]林亚寒,高娟.心脏康复锻炼的方法[J].世界最新医学信息文摘,2017(94):154-165.
[8]何庚山.两周程序康复在急性心肌梗死合并心功能不全患者中的应用[J].实用心脑肺血管病杂志,2009,17(7):564-565.
[2]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[3]武亮,董继革,郭琪,等.中国社区心肺康复治疗技术专家共识[J].中国老年保健医学,2018,16(3):41-51.
[4]张强,林俊毅.一例髋关节置换术后病例介入水中步行康复训练报告[J].按摩与康复医学,2017,8(2):17-18.
[5]中国康复医学会心血管病专业委员会.中国心脏康复与二级预防指南2018精要[J].中华内科杂志,2018,57(11):802-810.
[6]苏杰,王琼萍,顾红.运动康复护理对改善慢性心功能不全病人心肌标志物以及醛固酮水平的效果分析[J].护理研究,2017,31(17):2127-2129.
[7]林亚寒,高娟.心脏康复锻炼的方法[J].世界最新医学信息文摘,2017(94):154-165.
[8]何庚山.两周程序康复在急性心肌梗死合并心功能不全患者中的应用[J].实用心脑肺血管病杂志,2009,17(7):564-565.