张秀娥，成蓓，彭雯.运动训练对慢性心力衰竭患者运动耐量的影响[J].中华物理医学与康复杂志,2004,(2):
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| 运动训练对慢性心力衰竭患者运动耐量的影响 |
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| DOI： |
| 中文关键词: 心力衰竭 运动训练 运动耐量 |
| 英文关键词: Heart failure Skeletal muscle training Exercise tolerance |
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| 中文摘要: |
| 目的探讨运动训练对慢性心力衰竭患者运动耐量的影响。 方法70例患者随机分为2组,A组(n=34)运动培训3周，B组(n=36)限制活动3周，然后比较2组6 min内步行的距离、左室射血分数(超声心动图测定)、血白介素-6(双抗体夹心法)及去甲肾上腺素浓度(荧光法测定)的变化。 结果运动训练组患者试验后6 min步行距离(385±30.12)m，血IL-6(0.86±0.25)pmol/L，NE(2.05±0.48)nmol/L，LVEF(43±5.23)%，上述各指标与对照组相比，差异均有显著性意义(P<0.05)，而且运动试验组试验前、后各指标的差异也有显著性意义(P<0.05)，但对照组试验前、后差异无显著性意义(P>0.05)。 结论运动训练能改善慢性心力衰竭患者的运动能力及心功能，对慢性心力衰竭患者的康复治疗是有益的。 |
| 英文摘要: |
| Objective To investigate the effect of skeletal muscle training on exercise tolerance in patients with chronic heart failure(CHF). MethodsSeventy patients with CHF were divided into group A(n=34),undergoing 3 weeks of exercise training(bicycle ergometer, treadmill walking and walking on foot)，and group B(n=36), undergoing 3 weeks of activity restriction. Before and after exercise training and after activity restriction, 6 minutes of walking test was performed and levels of interleukin-6(IL-6), norepinephrine(NE) and left ventricle ejection fraction(LVEF) were evaluated. ResultsAfter exercise training in group A, the maximum distance walked was (385±30.12)m. The levels of LVEF, plasma IL-6 and NE were (43±5.23)%,(0.86±0.25)pmol/L and (2.05±0.48)nmol/L,respectively. All the above parameters were significantly ameliorated when compared with group B(P<0.05). The above parameters were also significantly ameliorated before and after exercise training in group A, while there was no significantly change in group B(P>0.05). ConclusionThe skeletal muscle training could improve exercises tolerance and ameliorate cardiac function in patients with chronic heart failure,which was beneficial for the rehabilitative treatment. |
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