循环抗阻干预对冠心病患者泵血机能和组织微循环的影响
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摘要
目的探讨循环抗阻干预对冠心病患者泵血机能和组织微循环的影响,为开展心脏康复提供依据。方法将82例冠心病患者按时间段分为对照组和研究组各41例。对照组实施常规护理及运动锻炼指导;研究组在对照组基础上开展循环抗阻训练,即进行有氧训练和抗阻训练,连续12周后评价效果。结果干预后,研究组心功能、血管机能、血液和微循环状况相关动力学参数显著优于对照组(均P<0.01)。结论对冠心病患者进行循环抗阻干预,可提高患者心脏泵血功能,改善组织微循环状况。
Objective To explore the effects of aerobic and resistance exercise on cardiac pump function and tissue microcirculation of patients with coronary heart disease, and to provide reference for cardiac rehabilitation. Methods A total of 82 patients with coronary heart disease were divided into two groups chronologically, with 41 cases in each groups. The control group was subjected to traditional nursing care and exercise education, while the study group received a combined aerobic and resistance exercise program additionally. The effects were measured after 12 weeks of intervention. Results The study group had better cardiac, vascular and hematologic function, as well as better tissue microcirculation compared with the control group(P<0.01 for all). Conclusion A combined aerobic and resistance exercise program can effectively improve cardiac pump function and tissue microcirculation of patients with coronary heart disease.
Objective To explore the effects of aerobic and resistance exercise on cardiac pump function and tissue microcirculation of patients with coronary heart disease, and to provide reference for cardiac rehabilitation. Methods A total of 82 patients with coronary heart disease were divided into two groups chronologically, with 41 cases in each groups. The control group was subjected to traditional nursing care and exercise education, while the study group received a combined aerobic and resistance exercise program additionally. The effects were measured after 12 weeks of intervention. Results The study group had better cardiac, vascular and hematologic function, as well as better tissue microcirculation compared with the control group(P<0.01 for all). Conclusion A combined aerobic and resistance exercise program can effectively improve cardiac pump function and tissue microcirculation of patients with coronary heart disease.
引文
[1] 王亚莉,宋兰英,张艳敏.心理护理干预对冠心病患者负性情绪的影响[J].中国急救医学,2016,36(z2):168-169.
[2] 王俊生.药物辅以高压氧治疗冠心病疗效观察[J].医药导报,2001,20(10):630.
[3] Gjovaag T, Mirtaheri P, Simon K, et al.Hemodynamic responses to resistance exercise in patients with coronary artery disease[J].Med Sci Sports Exerc,2016,48(4):581-588.
[4] 刘西花,李晓旭,毕鸿雁,等.联合抗阻-耐力运动对冠心病患者心肺功能的影响[J].中国康复医学杂志,2018,33(8):915-927.
[5] Simes R P, Mendes R G, Castellosimes V, et al.Use of heart rate variability to estimate lactate threshold in coronary artery disease patients during resistance exercise[J].J Sports Sci Med,2016,15(4):649-657.
[6] 莫选菊,张晓,彭继海,等.抗阻运动对特发性炎性肌病患者肌肉适能和生活质量的影响[J].护理学杂志,2018,33(20):4-7.
[7] 范素梅,张丽,刘锦凤.认知行为干预结合预防性护理对冠心病住院患者的影响[J].蚌埠医学院学报,2016,41(12):1697-1699.
[8] 刘遂心,陈彦颖,谢康玲,等.有氧联合抗阻运动对冠心病患者心肺适能及运动能力的影响[J].中华心血管病杂志,2017,45(12):1067-1071.
[9] 李苗苗,钟清玲,喻思思,等.抗阻运动联合有氧运动对促进冠心病患者康复效果的Meta分析[J].中国护理管理,2018,18(8):1043-4500.
[10] 王婷,陆萍静,柳晓,等.冠心病患者心脏康复护理研究进展[J].护理学杂志,2015,30(21):106-109.
[11] Caruso F R, Bonjorno J C Jr, Arena R, et al.Hemodynamic, autonomic, ventilatory, and metabolic alterations after resistance training in patients with coronary artery disease: a randomized controlled trial[J].Am J Phys Med Rehabil,2017,96(4):226-235.
[12] Aslanger E, Assous B, Bihry N, et al.Association between baseline cardiovascular mechanics and exercise capacity in patients with coronary artery disease[J].Anatol J Cardiol,2016,16(8):608-613.
[13] 张静敏,张文梅,胡玉兰,等.动脉粥样硬化性狭窄患者经皮冠脉介入术后行为护理的效果[J].心血管康复医学杂志,2017,26(4):453-456.
[14] 吴克琴,董姣姣.弹力带抗阻训练对急性心肌梗死患者经皮冠状动脉介入术后对心功能的影响[J].中华老年医学杂志,2017,36(9):966-969.
[15] Williams R, Asrress K, Lumley M, et al.30 head-to-head comparison of two novel indices of microcirculatory resistance at predicting microvascular dysfunction.Use of the best index to explore the effect of cold air inhalation during exercise in coronary artery disease patients[J].Heart,2016,102(Suppl 6):A20-A21.
[16] 贾丽晔,郭琪,王鹏程,等.运动疗法对心血管疾病患者的影响和作用机理研究进展[J].中国康复理论与实践,2016,22(9):1041-1044.
[17] Leprêtre P M, Ghannem M, Bulvestre M, et al.Exercise-based cardiac rehabilitation in coronary disease:training impulse or modalities?[J].Int J Sports Med,2016,37(14):1144-1149.
[2] 王俊生.药物辅以高压氧治疗冠心病疗效观察[J].医药导报,2001,20(10):630.
[3] Gjovaag T, Mirtaheri P, Simon K, et al.Hemodynamic responses to resistance exercise in patients with coronary artery disease[J].Med Sci Sports Exerc,2016,48(4):581-588.
[4] 刘西花,李晓旭,毕鸿雁,等.联合抗阻-耐力运动对冠心病患者心肺功能的影响[J].中国康复医学杂志,2018,33(8):915-927.
[5] Simes R P, Mendes R G, Castellosimes V, et al.Use of heart rate variability to estimate lactate threshold in coronary artery disease patients during resistance exercise[J].J Sports Sci Med,2016,15(4):649-657.
[6] 莫选菊,张晓,彭继海,等.抗阻运动对特发性炎性肌病患者肌肉适能和生活质量的影响[J].护理学杂志,2018,33(20):4-7.
[7] 范素梅,张丽,刘锦凤.认知行为干预结合预防性护理对冠心病住院患者的影响[J].蚌埠医学院学报,2016,41(12):1697-1699.
[8] 刘遂心,陈彦颖,谢康玲,等.有氧联合抗阻运动对冠心病患者心肺适能及运动能力的影响[J].中华心血管病杂志,2017,45(12):1067-1071.
[9] 李苗苗,钟清玲,喻思思,等.抗阻运动联合有氧运动对促进冠心病患者康复效果的Meta分析[J].中国护理管理,2018,18(8):1043-4500.
[10] 王婷,陆萍静,柳晓,等.冠心病患者心脏康复护理研究进展[J].护理学杂志,2015,30(21):106-109.
[11] Caruso F R, Bonjorno J C Jr, Arena R, et al.Hemodynamic, autonomic, ventilatory, and metabolic alterations after resistance training in patients with coronary artery disease: a randomized controlled trial[J].Am J Phys Med Rehabil,2017,96(4):226-235.
[12] Aslanger E, Assous B, Bihry N, et al.Association between baseline cardiovascular mechanics and exercise capacity in patients with coronary artery disease[J].Anatol J Cardiol,2016,16(8):608-613.
[13] 张静敏,张文梅,胡玉兰,等.动脉粥样硬化性狭窄患者经皮冠脉介入术后行为护理的效果[J].心血管康复医学杂志,2017,26(4):453-456.
[14] 吴克琴,董姣姣.弹力带抗阻训练对急性心肌梗死患者经皮冠状动脉介入术后对心功能的影响[J].中华老年医学杂志,2017,36(9):966-969.
[15] Williams R, Asrress K, Lumley M, et al.30 head-to-head comparison of two novel indices of microcirculatory resistance at predicting microvascular dysfunction.Use of the best index to explore the effect of cold air inhalation during exercise in coronary artery disease patients[J].Heart,2016,102(Suppl 6):A20-A21.
[16] 贾丽晔,郭琪,王鹏程,等.运动疗法对心血管疾病患者的影响和作用机理研究进展[J].中国康复理论与实践,2016,22(9):1041-1044.
[17] Leprêtre P M, Ghannem M, Bulvestre M, et al.Exercise-based cardiac rehabilitation in coronary disease:training impulse or modalities?[J].Int J Sports Med,2016,37(14):1144-1149.