文章摘要
徐鸿华.运动疗法对老年陈旧性心肌梗死患者心率变异性影响[J].中华物理医学与康复杂志,2003,(9):.-
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运动疗法对老年陈旧性心肌梗死患者心率变异性影响
  
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中文关键词: 运动疗法  陈旧性心肌梗死  心率变异性  老年人
英文关键词: Exercise  Elderly  Old myocardial infarction  Heart rate variability
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徐鸿华 314000嘉兴浙江嘉兴市医学院附属第二医院心内科 
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中文摘要:
      目的探讨运动疗法对老年陈旧性心肌梗死(OMI)患者心率变异性(HRV)的影响。 方法在运动疗法前和疗程结束后,应用24 h连续动态心电图监测老年OMI患者的HRV时域指标,并行心脏超声获取老年OMI患者EDV、ESV、EF、CO值且设对照组。 结果①试验组在运动疗法前,HRV和EDV、ESV、EF、CO值均低于对照组值(P<0.05);②试验组运动疗法后HRV和EDV、ESV、EF、CO值较对照组无明显差异(P>0.05);③试验组运动疗法后HRV和EDV、EF、CO值较其运动疗法前明显增高,差异有非常显著性意义(P<0.01)。 结论运动疗法利于改善老年OMI患者的心脏功能。
英文摘要:
      Objective To study the effects of exercise on heart rate variability (HRV) in elderly patients with old myocardial infarction (OMI). MethodsFourty-three patients were recruited and divided into an exercise group (24 cases) and a control group (19 cases). All the patients were given conventional treatment, with those in the exercise group being administered with adequate exercise in addition. Twenty-four hour Holter taper and ultrasonic cardiogram were performed before and at the end of the 1 month exercise program, respectively, for HRV analysis and cardiac function assessment. ResultsBefore the exercise,HRV and cardiac function of senile patients with OMI were significantly lower than those of the controls(P<0.05);After the exercise,the HRV and cardiac function were improved significantly in the exercise group as compared with counterpart before treatment(P<0.01)but not significantly different from those of the control group(P>0.05). ConclusionExercise can significantly improve the cardiac function of elderly patients with old myocardial infarction.
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