摘要
目的研究有氧运动联合抗阻运动对慢性稳定性心力衰竭患者心脏康复效果的影响。方法选取2019年10月~2020年4月我院收治的90例慢性稳定性心力衰竭患者为研究对象,采用随机数字表法分为有氧组、抗阻组、联合组,各30例。有氧组采用有氧运动干预,抗阻组采用抗阻运动干预,联合组采用有氧运动联合抗阻运动干预,比较三组干预前及干预后6个月血压、心功能指标、肺功能指标、体重指数、6min步行试验距离。结果联合组收缩压、舒张压低于有氧组、抗阻组,差异有统计学意义(P<0.05);联合组心排血量、心脏指数、LVEF高于有氧组、抗阻组,差异有统计学意义(P<0.05);联合组FEV1、MVV、FVC高于有氧组、抗阻组,差异有统计学意义(P<0.05);联合组体重指数低于有氧组、抗阻组,且有氧组体重指数低于抗阻组,差异有统计学意义(P<0.05);联合组6MWD距离大于有氧组、抗阻组,差异有统计学意义(P<0.05)。结论有氧运动联合抗阻运动可提高慢性稳定性心力衰竭患者心功能,降低血压,改善肺功能,降低体重指数,增加6min步行试验距离,进一步促进其运动耐量的改善。
Objective To study the effect of aerobic exercise combined with resistance exercise on the effect of cardiac rehabilitation in patients with chronic stable heart failure.Methods A total of 90 patients with chronic stable heart failure admitted to our hospital from October 2019 to April 2020 were selected as the research objects.They were divided into aerobic group,resistance group,and combination group by random number table,30 cases in each group.The aerobic group uses aerobic exercise intervention,the resistance group uses resistance exercise intervention,and the joint group uses aerobic exercise combined with resistance exercise intervention.Compare the three groups of blood pressure,heart function indexes,lung function indexes,body mass index,and 6-minute walk test distance.Results The systolic blood pressure and diastolic blood pressure of the combined group were lower than the aerobic group and the resistance group,the difference was statistically significant(P<0.05);The cardiac output,cardiac index,and LVEF of the combined group were higher than those of the aerobic group and resistance group,the difference was statistically significant(P<0.05);The FEV1,MVV and FVC of the combined group were higher than those of the aerobic group and resistance group,the difference was statistically significant(P<0.05);The body mass index of the combined group was lower than that of the aerobic group and resistance group,and the body mass index of the aerobic group was lower than that of the resistance group,the difference was statistically significant(P<0.05);The 6MWD distance of the combined group was greater than that of the aerobic group and resistance group,the difference was statistically significant(P<0.05).Conclusion Aerobic exercise combined with resistance exercise can improve heart function,lower blood pressure,improve lung function,lower body mass index,increase the 6-min walking test distance,and further promote the improvement of their exercise tolerance in patients with chronic stable heart failure.
作者
苏长阳
帅东东
王磊
赵霞
SU Chang-yang;SHUAI Dong-dong;WANG Lei;ZHAO Xia(Department of Cardiology,Shijingshan Teaching Hospital of Capital Medical University/Beijing Shijingshan Hospital,Beijing 100023,China)
出处
《医学信息》
2021年第9期88-91,共4页
Journal of Medical Information
关键词
有氧运动
抗阻运动
慢性稳定性心力衰竭
心脏康复
Aerobic exercise
Resistance exercise
Chronic stable heart failure
Cardiac rehabilitation
