康复运动对急性心肌梗塞PCI后患者氧代谢当量及左室功能的影响.doc
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1、【精品文档】如有侵权,请联系网站删除,仅供学习与交流康复运动对急性心肌梗塞PCI后患者氧代谢当量及左室功能的影响.精品文档.【摘要】 目的:探讨康复运动训练对急性心肌梗塞(AMI)经皮冠状动脉介入治疗(PCI)后患者氧代谢当量(METs)及左室功能的影响。方法:50例PCI后AMI患者被随机分成运动组和对照组各25例,在发病后24周分别进行心肺功能及左心功能测定,运动组进行有指导的康复运动训练,对照组不给于训练指导。6个月后再以运动心肺功能仪直接测定METs,以超声心动描记术测定左室射血分数(LVEF)。结果:运动组实际完成23例,对照组完成24例。运动组较对照组METs(5.240.94)(
2、3.940.38),P0.001显著改善 ,LVEF (0.5260.040)(0.4880.037),P0.01 显著提高。结论:急性心肌梗塞患者经过运动训练后其氧代谢当量及左室射血分数得到显著提高,运动训练有利于其社会和家庭回归,值得推广。 【关键词】 心肌梗塞;心室功能;康复;运动Effect of exercise training on oxygen metabolic equivalent and left ventricular function in patients with acute myocardial infarction after PCI/FAN Zhiqing,
3、SUN Pinghui,WANG Xin,ZHANG Jingling,LI Yanhong/Department of Cardiology,Daqing Oilfields Hospital,Daqing,Heilongjiang,163001,ChinaAbstract:Objective:To observe the effect of exercise training on oxygen metabolic equivalent and left ventricular function in patients with acute myocardial infarction af
4、ter percutaneous coronary intervention(PCI).Methods:A total of 50 AMI patients after PCI were divided into two groups randomly:Twenty five patients were in exercise group and 25 patients in control group. Cardiopulmonary exercise test was undergone for all patients about 24 weeks after AMI onset. In
5、dividual exercise prescription was made for the patients in exercise group according to the results of cardiopulmonary exercise test and then the patients were trained according exercise prescription. Exercise prescription and training were not subjected to the patients in control group. Exercise ca
6、rdiopulmonary function test and left ventricular ejection fraction was examined again for all the patients about 6 months after AMI onset.Results:The 23 patients in exercise group finished the rehabilitation exercise therapy,24 patients in control group finished cardiopulmonary exercise test. After
7、exercise training,the METs of exercise group increased more than that in control group (5.240.94)vs.(3.940.38),P0.001,LVEF of exercise group more than that in control group (0.5260.040):(0.4880.037),P0.01.Conclusion:Individual exercise prescription and training for the patients with AMI after PCI ca
8、n increase their MCTs and LVEF,deserve to extend for it.Key words:Myocardial infarction;Ventricular function;Rehabilitation: Exercise众所周知,冠心病、心力衰竭已经成为21世纪严重威胁人类健康的重要杀手。1990年全球死于心血管疾病的人数为1440万,其中亚洲620万,占43%,中国260万,占全球的18%。预计到2020年,亚洲国家死于心血管疾病者将翻一倍,也就是1240万1。因此,积极开展规范科学的心脏康复工作就尤为迫切和重要。本课题旨在研究通过运动心肺评价系
9、统测定患者心肺功能,为其制定个体化运动处方,在常规治疗的基础上进行有指导的康复运动训练,以达到最佳的康复效果。1 资料与方法1.1 一般资料选择我院自2008年5月至2009年7月入院的急性心肌梗塞(AMI)患者50例,其中男性42例,女性8例,年龄40-75,平均(625.6)岁。AMI分布:前间壁12例,局限前壁6例,广泛前壁7例,下壁16例,下侧壁3例,下间壁2例,下后壁4例。AMI诊断符合符合美国心脏病协会和美国心脏学会(ACC/AHA)制定的标准及2008年中华医学会临床诊疗指南诊断标准2。入选标准:(1) 年龄4075岁;(2) 急性心肌梗塞;(3) 所有入选患者均对梗塞相关血管成
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- 康复 运动 急性 心肌梗塞 PCI 患者 代谢 当量 功能 影响
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