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[氮浴与6个月体育锻炼联合应用对缺血性心脏病合并稳定型心绞痛患者体力工作能力及期前收缩的影响]

[Effect of combined application of nitrogen baths and 6 month physical training on physical work capacity and extrasystole in patients with ischemic heart disease and stable stenocardia].

作者信息

Klemenkov S V, Razumov A N, Iavisia A M, Voronin S S, Kubushko I V

出版信息

Ter Arkh. 2003;75(12):23-6.

Abstract

AIM

To study effects of combined use of general artificial nitric baths and bicycle exercise for 6 months on physical performance (PP) and extrasystole (ES) in patients with coronary heart disease (CHD) and stable angina pectoris (SAP) of functional class I-II.

MATERIAL AND METHODS

A total of 129 CHD with SAP patients entered the study. Of them, 44 patients received balneotherapy (a course of general artificial nitric baths); 37 patients took the baths and exercised on bicycle ergometer; 48 patients took the baths, exercised on bicycle ergometer in the outpatient clinic and continued the exercises for 6 months. The patients were examined with spiroveloergometry and ambulatory Holter ECG monitoring.

RESULTS

The latter group of patients achieved the highest training effect manifesting with increased PP and coronary heart reserve, an antiarrhythmic effect (a 73.3% fall in the mean number of ventricular ES for 24 hours, a 72.2% one in this number of supraventricular ES).

CONCLUSION

A significant efficacy is shown of combined use of general nitric baths and bicycle exercise with prolongation for 6 months in CHD patients and SAP of functional class I-II with ES.

摘要

目的

研究6个月的全身人工硝酸浴与自行车运动联合应用对I-II级功能性稳定型心绞痛(SAP)冠心病(CHD)患者体能(PP)和早搏(ES)的影响。

材料与方法

共有129例CHD合并SAP患者进入本研究。其中,44例患者接受了浴疗法(一个全身人工硝酸浴疗程);37例患者进行了浴疗并在自行车测力计上锻炼;48例患者进行了浴疗,在门诊的自行车测力计上锻炼,并持续锻炼6个月。对患者进行了心肺运动试验和动态心电图监测。

结果

后一组患者获得了最高的训练效果,表现为PP增加和冠心病储备增加,具有抗心律失常作用(24小时室性ES平均数量下降73.3%,室上性ES数量下降72.2%)。

结论

全身硝酸浴与自行车运动联合应用并延长6个月对I-II级功能性合并ES的CHD和SAP患者显示出显著疗效。

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