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急性心肌梗死早期运动治疗期间患者的呼吸代谢

[Respiratory metabolism in patients during exercise therapy in the early period of acute myocardial infarction].

作者信息

Kuzdowicz M

机构信息

Katedry i Zakładu Fizjologii AM w Poznaniu.

出版信息

Pol Tyg Lek. 1990;45(45-46):905-9.

PMID:2104428
Abstract

Respiratory and cardiocirculatory response to rehabilitation calisthenics in 30 patients, aged 39-66 years, with recent myocardial infarction was studied. Respiratory exchange (Douglas-Haldane method), heart rate, blood pressure, oxygen pulse and electrocardiogram during exercise were investigated. Rehabilitation was performed between the 4th and 21st day of myocardial infarction, in 4 periods with gradually increasing effort, according to the model A designed at the Cardiology Institute in Warsaw. The time of exercises was 10-18 min, depending on the period of rehabilitation. It was found that lung ventilation, tidal volume, oxygen uptake and carbon dioxide output were increased by 20-40% during exercise of the I and II periods of rehabilitation and by 60-100% in the III and IV periods of mobilization. Energy cost of calisthenics rehabilitation was in the lightest case 13 kJ/min. The most increase in respiratory exchange caused exercises performed in sitting position, walking and stair climbing. The last type produced also the highest rise in heart rate (mean 20%) and systolic blood pressure (mean 17% of resting values).

摘要

对30名年龄在39 - 66岁、近期发生心肌梗死的患者进行康复健身操时的呼吸和心脏循环反应进行了研究。研究了运动期间的呼吸交换(道格拉斯 - 霍尔丹法)、心率、血压、氧脉搏和心电图。康复在心肌梗死后第4天至第21天进行,按照华沙心脏病学研究所设计的A模型,分4个阶段进行,运动量逐渐增加。运动时间为10 - 18分钟,取决于康复阶段。结果发现,在康复的第一和第二阶段运动期间,肺通气量、潮气量、摄氧量和二氧化碳排出量增加了20 - 40%,在第三和第四阶段动员期间增加了60 - 100%。健身操康复的能量消耗在最轻的情况下为13千焦/分钟。呼吸交换增加最多的是坐姿运动、行走和爬楼梯。最后一种运动类型还使心率上升幅度最大(平均20%),收缩压上升幅度最大(平均为静息值的17%)。

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