文章摘要
运动康复强度对老年冠心病心功能及血脂的影响
Effects of exercise rehabilitation intensity on cardiac function and blood lipids level in elderly patients with coronary heart disease
投稿时间:2018-03-19  
DOI:10.3969/j.issn.1000-0399.2018.08.005
中文关键词: 运动康复  冠心病  老年  心功能  血脂
英文关键词: Exercise rehabilitation  Coronary heart disease  Elderly  Heart function  Blood lipids
基金项目:安徽省软科学研究专项(项目编号:1607a0202044)
作者单位E-mail
王玥 230022 合肥 安徽医科大学第一附属医院干部心血管科  
李结华 230022 合肥 安徽医科大学第一附属医院干部心血管科 953983654@qq.com 
张勇 230022 合肥 安徽医科大学第一附属医院干部心血管科  
李小鹏 230022 合肥 安徽医科大学第一附属医院干部心血管科  
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中文摘要:
      目的 探讨常规药物治疗联合不同强度康复运动对老年冠心病患者的治疗效果。方法 选择2016年8月至2017年9月安徽医科大学第一附属医院收治的90例老年冠心病患者作为研究对象,采用完全随机分组法分为低运动强度组、中运动强度组和对照组,每组各30例。对照组患者仅予常规药物治疗,不作运动要求;低运动强度组及中运动强度组分别在对照组常规药物治疗基础上联合低等(运动强度<50%最高心率,Borg评分<13分)及中等强度(运动强度在50%~70%最高心率,Borg评分13~16分)运动康复治疗。6个月后,复查3组患者左室射血分数(LVEF)、左室舒张末期内径(LVEDD)及血清学指标(总胆固醇、三酰甘油、低密度脂蛋白)水平,比较3组患者治疗前后各指标的变化情况。结果 ①治疗后与治疗前比较,低运动强度组患者左心室射血分数无增加,左心室舒张末期内径无减少,差异无统计学意义(P>0.05);中运动强度组患者左心室射血分数增加,左心室舒张末期内径减少,差异均有统计学意义(P<0.05);②3组患者治疗后血脂指标(总胆固醇、三酰甘油、低密度脂蛋白)均较治疗前降低,低、中运动强度组的血脂指标降低较对照组更为明显,差异有统计学意义(P<0.05),且中强度运动组较低强度运动组血脂指标改善更为显著,差异有统计学意义(P<0.05)。结论 常规药物治疗联合不同强度运动可显著改善冠心病患者血脂及心功能指标,联合中强度运动康复疗效更为显著。
英文摘要:
      Objective To explore the effects of different intensities of exercise rehabilitation on elderly patients with coronary heart disease. Methods A total of 90 elderly patients with coronary artery disease admitted to the First Affiliated Hospital of Anhui Medical University from Aug 2016 to Sept 2017 were selected as study subjects and divided into three groups using a completely randomized method. The control group (n=30) was only given the routine drug treatment. The low (n=30) or moderate (n=30) intensity exercise rehabilitation group (n=30) received low strength or moderate rehabilitation exercise respectively in addition to the above regular treatment. All patients were treated for six months. After the treatment, we evaluated left ventricular ejection fraction (LVEF) and left ventricular end diastolic diameter (LVEDD) through cardiac ultrasonography and performed serological examinations (total cholesterol, three acyl glycerol, low density lipoprotein). Results 1). Compared to control group, six months treatment did not alter LVEF and LVEDD in low exercise group (t=-1.000,-1.000, P>0.05). However, both LVEF and LVEDD were markedly improved in moderate exercise intensity group (t=-11.0 00, 6.500, P<0.05). 2). In all groups, the blood lipid indexes (total cholesterol, three acyl glycerol, low density lipoprotein) were improved after six months' treatment, with greater improvement in exercise groups (P<0.05). In addition, the blood lipid indexes were improved greater in moderate intensity exercise group when compared to low intensity movement group (P<0.05). Conclusion Regular drug treatment combined with moderate intensity exercise rehabilitation therapy significantly improves blood lipid and heart function in elder coronary heart patients.
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