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[步行与桑拿疗法在主动脉冠状动脉静脉搭桥术后缺血性心脏病高血压患者康复中的应用,特别关注血流动力学]

[Use of walking and sauna therapy in the rehabilitation of hypertensive patients with ischemic heart disease following aortocoronary venous bypass operation with special reference to hemodynamics].

作者信息

Winterfeld H J, Siewert H, Strangfeld D, Warnke H, Aurisch R, Kruse J, Engelmann U

机构信息

Poliklinik für Physiotherapie, des Bereiches Medizin (Charité), Humboldt-Universität zu Berlin.

出版信息

Z Kardiol. 1988 Mar;77(3):190-3.

PMID:3260059
Abstract

Rehabilitation results are reported concerning the behavior of blood pressure and heart rate, peripheral and central hemodynamics, after resting and during exercise and physical conditioning by running as training and sauna, respectively, in hypertensive patients with IHD after aortocoronary venous bypass (ACVB) surgery. Bicycle ergometric examinations an xenon wash-out (for the determination of the mean functional vessel cross section A) were performed in 43 male untrained patients before and after physical therapy. The left ventricular ejection fraction (EF) at rest was also determined in these patients. Significant increases in the ejection fraction at rest (on average by 7-8%) could be demonstrated in both therapy groups. The group average value for peripheral microcirculation improved only in the sauna group. Blood pressure after resting and on exercise was not influenced. Results are discussed on the basis of the literature and practical conclusions drawn.

摘要

报告了主动脉冠状动脉静脉搭桥(ACVB)手术后患有缺血性心脏病(IHD)的高血压患者,在静息状态以及分别通过跑步训练和桑拿进行运动及身体调节后,血压和心率行为、外周和中心血流动力学的康复结果。对43名未经训练的男性患者在物理治疗前后进行了自行车测力计检查和氙洗脱(用于测定平均功能性血管横截面积A)。还测定了这些患者静息时的左心室射血分数(EF)。两个治疗组静息时的射血分数均有显著增加(平均增加7 - 8%)。仅桑拿组的外周微循环组平均值有所改善。静息和运动后的血压未受影响。根据文献对结果进行了讨论并得出了实际结论。

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