| 周 方,赵志刚,王 磊,申志祥.中等强度有氧运动对慢性肾病患者峰值摄氧量和无氧阈的影响[J].中国康复医学杂志,2017,(5):525~529 |
| 中等强度有氧运动对慢性肾病患者峰值摄氧量和无氧阈的影响 点此下载全文 |
| 周 方 赵志刚 王 磊 申志祥 |
| 南京中医药大学第二临床医学院，南京，210023 |
| 基金项目：全国高校博士点基金项目（20123237120008） |
| DOI： |
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| 摘要
目的：探索中等强度有氧运动对慢性肾病患者（chronic kidney disease，CKD）峰值摄氧量和无氧阈的影响，测定以峰值摄氧量百分数表示的无氧阈值（anaerobic threshold, AT）强度，为慢性肾病患者的临床康复运动方案提供依据。
方法：70例CKD患者随机分为对照组（n=35）、运动组（n=35）。运动组以50%峰值摄氧量（peak oxygen uptake，VO2peak）踏功率自行车，每次30min，每周3次，共12周。12周训练前后，所有患者进行心肺运动试验（cardiopulmonary exercise test，CPET），测定受试者的峰值摄氧量（VO2peak），同时利用简化V-slope法判定每位患者无氧阈值。
结果：训练前两组VO2peak、AT以及AT占VO2peak百分比均无明显差异（P>0.05）；训练后，与对照组相比，运动组的VO2peak、AT以及AT占VO2peak百分比均有显著改善（P<0.05）。
结论：中等强度的有氧运动对CKD患者VO2peak、AT有改善作用。CKD患者以%VO2peak表示的AT值（73.50±1.31%VO2peak）高于未经训练的健康人群（50%—60%VO2peak）。 |
| 关键词：慢性肾脏病 有氧训练 峰值摄氧量 无氧阈 |
| The effects of mid-intense aerobic training on peak oxygen uptake and anaerobic threshold in patients with chronic kidney disease Download Fulltext |
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| The Second Clinical Medical College of Nanjing University of Chinese Medicine, 210023 |
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| Abstract: |
| Abstract
Objective：To observe the effects of moderate intensity aerobic training on peak oxygen uptake(VO2peak) and anaerobic threshold(AT) in patients with chronic kidney disease(CKD).
Method: Seventy patients with chronic kidney disease were divided into control group (n=35) and training group (n=35). Training group performed cycle ergometer at 50%VO2peak for 30 min per time, 3 times every week for 12 weeks. All patients were evaluated VO2peak by cardiopulmonary exercise test(CPET). The AT was determined using simplified V-slope.
Result: There was no significant difference (P>0.05) in all variables between two groups before training. After training, the VO2peak, AT, AT/VO2peak percentage of training group was significantly different with control group (P<0.05).
Conclusion: The moderate intensity aerobic training can improve VO2peak and AT in patients with chronic kidney disease. Meanwhile, the AT/VO2peak percentage in CKD patients(73.50±1.31%) is higher than untrained but healthy individuals(50%—60%) after trainning. |
| Keywords:chronic kidney disease aerobic training peak oxygen uptake anaerobic threshold |
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