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心脏康复的中医训练:与有氧训练和抗阻训练的随机对照比较

Traditional Chinese medicine training for cardiac rehabilitation: a randomized comparison with aerobic and resistance training.

作者信息

Liang Chen, Gao Can, Zhang Jianhong, Ye Qun, Zhai Lindan, Zhao Fengrun, Ma Yun

机构信息

National Institute of Sports Medicine, Beijing, China.

出版信息

Coron Artery Dis. 2019 Aug;30(5):360-366. doi: 10.1097/MCA.0000000000000734.

Abstract

BACKGROUND

The aim of this study was to investigate the efficacy and safety of different exercise regimens in the rehabilitation of patients with stable coronary heart disease.

PATIENTS AND METHODS

This study was a randomized controlled trial to screen 141 patients with stable coronary heart disease who were admitted to the General Administration of Sport of China Sports Medical Science Institute from January 2018 to September 2018. They were randomly divided into the aerobic and resistance training (ART) group for 12 weeks (36 cases), the traditional Chinese medicine training (TCMT) group 12 weeks (37 cases), and the control (CON) group (39 cases). We analyzed the baseline parameters of all participants and the 12-week exercise plate test parameters and related physical and body parameters.

RESULT

After 12 weeks of intervention, volume of oxygen (VO2), VO2/kg, metabolic equivalents, VO2/heart rate, stroke volume, and peaked grip strength and flexibility parameters of the ART group and the TCMT group were significantly higher than those of the control group (P<0.05). Resting heart rate of the TCMT group was significantly lower than the CON group, but there was no significant difference between the ART and CON groups (P>0.05). Ventilation/VO2 of the TCMT group was significantly higher than that of the CON group. BMI of the ART group was significantly lower than that of the TCMT group and the CON group, and body fat mass of the TCMT group was significantly smaller than that of the ART group, but there was no difference between the TCMT group and the CON group for BMI and body fat mass.

CONCLUSION

Both ART and TCMT can improve the cardiopulmonary aerobic exercise capacity and physical fitness of patients with stable coronary heart disease. Although the degree of improvement is different, they all have certain effects on the rehabilitation of patients with stable coronary heart disease and the application is safe.

摘要

背景

本研究旨在探讨不同运动方案对稳定型冠心病患者康复的疗效和安全性。

患者与方法

本研究为一项随机对照试验,筛选了2018年1月至2018年9月在中国国家体育总局体育科学研究所住院的141例稳定型冠心病患者。他们被随机分为有氧和抗阻训练(ART)组,为期12周(36例);中医训练(TCMT)组,为期12周(37例);以及对照组(CON)(39例)。我们分析了所有参与者的基线参数、12周运动平板试验参数以及相关身体和身体成分参数。

结果

干预12周后,ART组和TCMT组的摄氧量(VO2)、VO2/体重、代谢当量、VO2/心率、每搏输出量以及握力峰值和柔韧性参数均显著高于对照组(P<0.05)。TCMT组的静息心率显著低于CON组,但ART组和CON组之间无显著差异(P>0.05)。TCMT组的通气/VO2显著高于CON组。ART组的BMI显著低于TCMT组和CON组,TCMT组的体脂量显著小于ART组,但TCMT组和CON组在BMI和体脂量方面无差异。

结论

ART和TCMT均可提高稳定型冠心病患者的心肺有氧运动能力和身体素质。虽然改善程度不同,但它们对稳定型冠心病患者的康复均有一定作用且应用安全。

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