| 心肺运动指导个体化心衰患者康复的初步总结报告* |
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| 引用本文： | 刘艳玲,孙兴国,高华,张振英,冯静,姜立清,张健,席家宁,周京敏,葛万刚.心肺运动指导个体化心衰患者康复的初步总结报告*[J].中国应用生理学杂志,2015,31(4):374-377. |
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| 作者姓名： | 刘艳玲 孙兴国 高华 张振英 冯静 姜立清 张健 席家宁 周京敏 葛万刚 |
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| 作者单位： | 1.首都医科大学附属北京康复医院 心肺康复中心, 北京 100144; 2.中国医学科学院 北京协和医学院 国家心血管病中心阜外医院 心血管疾病国家重点实验室, 心血管疾病国家临床医学研究中心,北京 100037; 3.复旦大学中山医院心脏中心,上海200032 |
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| 基金项目： | *国家自然科学基金医学科学部面上项目（81470204）; 国家高新技术研究发展计划(863计划)课题(2012AA021009); 中国医学科学院国家心血管病中心科研开发启动基金（2012-YJR02); 北京市首都特色科研项目（Z141107002514084） |
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| 摘 要： | 目的: 慢性心力衰竭患者（CHF）康复治疗和二级预防已经是临床共识,但用心肺运动试验（CPET）指导制定个体化运动处方国内尚少。方法: 选择10例CHF完成CPET评估,随机分为两组（n=5）：对照组进行没有运动;运动组增加△50%W功率运动30 min/d,每周5 d,共12周。在治疗前和3个月后分别进行评估。结果: 两组患者没有显著差异（P>0.05）。运动组12周后,运动持续时间从8 min显著提高到23 min（P<0.001）; 6分钟步行距离从394 m显著提高到470 m（P<0.05）;生活质量评分从25分显著降低至3分（P<0.01）。而对照组治疗前后均没有显著改变（P>0.05）;治疗前后的改变均显著小于运动组（P<0.01）。结论: 在CPET客观定量功能评估指导制定个体化高强度运动康复安全有效,值得大力推广应用。
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| 关 键 词： | 心肺运动试验 客观定量评估 慢性心力衰竭 康复运动处方 恒定功率运动 运动持续时间 6分钟步行距离 生活质量评分 |
| 收稿时间： | 2015-06-05 |
Preliminary report of using cardiopulmonary exercise testing guide exercise rehabilitation in patients with chronic heart failure |
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| LIU Yan-ling,SUN Xing-guo,GAO Hua,ZHANG Zhen-ying,FENG Jing,JIANG Li-qing,ZHANG Jian,XI Jia-ning,ZHOU Jing-min,GE Wan-gang.Preliminary report of using cardiopulmonary exercise testing guide exercise rehabilitation in patients with chronic heart failure[J].Chinese Journal of Applied Physiology,2015,31(4):374-377. |
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| Authors: | LIU Yan-ling SUN Xing-guo GAO Hua ZHANG Zhen-ying FENG Jing JIANG Li-qing ZHANG Jian XI Jia-ning ZHOU Jing-min GE Wan-gang |
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| Affiliation: | 1. CardioPulmonary Rehabilitation Center,Beijing Rehabilitation Medical Center, Capital Medical University,Beijing 100144; 2. State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Research Center of Clinic Medicine for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China; 3. Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai 20032, China |
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| Abstract: | Objective: The exercise rehabilitation in patient with chronic heart failure (CHF) is standard clinical practice,but it is rare using CardioPulmonary Exercise Testing (CPET) guide to prescribe exercise rehabilitation in China. Methods: We performed symptom limited maximal CPET in 10 patients with CHF, randomly divided into two groups: 5 patients as control without exercise and 5 exercise patients usedΔ50%W intensity to exercise 30 min/d,5 d/w,×12 w. Before and after 12 w rehabilitation, we evaluated functions. Results: There were no significant difference between two groups patients (P>0.05).The exercise duration was increased from 8 min to 23 min after rehabilitation (P<0.001); distance 6 minutes walking was increased from 394 m to 470 m (P<0.05); score of Minnesota quality of life was decreased from 25 to 3 in exercise group (P<0.01). However, there were nosignificant changes in control group (P>0.05) and their changes were smaller than those in exercise group (P<0.01). Conclusion: The CPET guiding exercise rehabilitation is safe and effective for patients with CHF. |
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| Keywords: | cardiopulmonary exercise testing objective and qualitative evaluation chronic heart failure rehabilitation loading constant work rate exercise continuous exercise duration 6 min walking distance quality of life |
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