| 刘西花,李晓旭,毕鸿雁,岳寿伟.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,(8):915~919 |
| 联合抗阻-耐力运动对冠心病患者心肺功能的影响 点此下载全文 |
| 刘西花 李晓旭 毕鸿雁 岳寿伟 |
| 山东中医药大学附属医院康复科，济南，250011 |
| 基金项目：山东省医药卫生科技发展计划项目（2014WS0164） |
| DOI： |
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| 摘要
目的：探讨联合抗阻-耐力运动在冠心病康复中的作用，以及对患者心肺功能的影响。
方法：将招募的105例冠心病患者采用随机数字表法随机分为抗阻—耐力组、常规耐力运动组和健康教育组，每组35例。三组均给予生活方式的指导，常规耐力运动组在此基础上进行耐力运动训练，而抗阻—耐力组则在常规耐力运动组基础上进行抗阻训练。训练12周后，对患者的心肺功能和运动能力进行检测并比较各组间差异。
结果：康复训练后，患者心肺运动试验结果显示，三组在无氧阈（AT）、峰值氧脉搏、峰值氧摄取量和VE/VCO2差异均具有显著性意义（P＜0.05），两两比较显示，抗阻—耐力组的AT、峰值氧脉搏、峰值氧摄取量和VE/VCO2均显著优于对照组，并且常规耐力运动组的VE/VCO2也显著优于对照组，差异均具有显著性意义（P＜0.05）。同时，抗阻—耐力组的AT、峰值氧脉搏和峰值氧摄取量均显著优于常规耐力运动组，差异均具有显著性意义（P＜0.05）。干预后，抗阻—耐力组和常规耐力运动组的FVC和FEV1两指标均显著改善，康复干预前后差异具有显著性意义（P＜0.05）。干预后三组方差分析显示，三组间FVC、FEV1，以及FEF25%、FEF50%、FEF75%等小气道指标差异均具有显著性意义（P＜0.05）。两两比较结果显示，抗阻—耐力组和常规耐力运动组的FVC、FEV1、FEF25%、FEF50%、FEF75%均显著优于对照组（P＜0.05），而上述两组间差异无显著性意义（P＞0.05）。康复训练后，三组患者在屈肘、伸膝和屈膝等三方面的肌肉力量间差异也均具有显著性意义（P＜0.05）。进一步两两比较显示，抗阻—耐力组的屈肘、伸膝和屈膝力量均高于对照组，单纯耐力运动组的屈肘和屈膝力量优于对照组，并且抗阻—耐力组的伸膝和屈膝力量也优于单纯耐力运动组，差异均具有显著性意义（P＜0.05）。
结论：与常规耐力运动相比，对冠心病术后患者给予抗阻—耐力运动，能够显著提高患者的心肺储备功能，但对静息肺功能影响不大。 |
| 关键词：冠心病 抗阻 耐力运动 心肺康复 |
| Influence of combined endurance-resistance training on cardiopulmonary function in patients with coronary heart disease Download Fulltext |
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| The Affiliated Hospital of Shandong Traditional Chinese Medicine University, Jinan, 250011 |
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| Abstract: |
| Abstract
Objective: To investigate the influence of combined endurance-resistance training on cardiopulmonary function in patients with coronary heart disease.
Method: A total of 105 enrolled coronary heart disease patients were randomly divided into resistance-endurance group, regular endurance exercise group and the health education group using a random number table, 35 cases in each group. All patients in three groups were given lifestyle guidance. Besides, patients in regular endurance exercise group received endurance exercise training and resistance-endurance group received resistance-endurance exercise training. After 12 weeks exercise, the heart and lung function and exercise capacity of patients were detected and compared.
Result: After rehabilitation exercise, the differences of AT, the peak oxygen pulse and peak oxygen uptake and VE/VCO2 among three groups were statistically significant(P＜0.05). Student-Newman-Keuls (SNK) showed the AT, peak oxygen pulse and peak oxygen uptake and VE/VCO2 in resistance-endurance group were significantly better than the control group, and VE/VCO2 in regular endurance exercise group also significantly better than the control group. Besides, the AT, peak oxygen pulse and peak oxygen uptake in resistance-endurance group were significantly better than those in regular endurance exercise group. The differences were all statistically significant (P＜0.05). After the intervention, the FVC and FEV1 improved significantly in resistance-endurance exercise group and conventional group. The difference before and after the rehabilitation interventions was statistically significant (P＜0.05). The variance analysis showed that FVC, FEV1, FEF25%, FEF50% and FEF75% among the three groups had significantly statistical differences (P＜0.05). Student-Newman-Keuls (SNK) showed that the FVC, FEV1, FEF25%, FEF50% and FEF75% in resistance-endurance exercise group and the conventional group were significantly better than the control group (P＜0.05). After rehabilitation exercises, the differences of muscle strength of elbow extension, knee extension and knee flexion were also statistically significant (P＜0.05). Pairwise comparisons showed that muscle strength of elbow extension, knee extension and knee flexion in resistance-endurance group and endurance exercise group were higher than the control group. And the knee extension and flexion strength in resistance-endurance group also better than that in endurance exercise group. The differences were statistically significant (P＜0.05).
Conclusion: Compared to endurance exercise training, resistance-endurance exercise used in coronary heart disease patients can significantly improve the cardiopulmonary reserve function. |
| Keywords:coronary heart disease resistance endurance exercise cardiopulmonary rehabilitation |
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