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接受强化康复训练的心肌梗死患者的体力工作能力(作者译)

[Physical work capacity of the patient with myocardial infarction submitted to intensive rehabilitative training (author's transl)].

作者信息

Zanini S, Gabaldo S, Vicentini A, Cicogna F, Peretti L, Olivieri D, Castelli F

出版信息

G Ital Cardiol. 1979;9(8):794-8.

PMID:549794
Abstract

The Authors have examined two homogeneous groups of patients with myocardial infarction; one underwent (61 patient) to a rehabilitating training, the other underwent (42 patient) to a domiciliary physical program. Patients have been considered by means of bicycle ergometer test at 2, 4, 12 and 24 months from myocardial infarction. They have been taken into consideration clinical and Ecg factors and also, as an index of physical work capacity was considered the complete work developed, the VO2 max/Kg per min., the product B.P. x H. R. and the pulse O2. The average value of parameters have been statistically compared by means of the t of Student, analysis of variation x2, and the test of Kolmogorov-Smirnov; moreover the correlation with linear coefficient has been studied. Afterwards the many-varied discriminating analysis and the test F di Snedelor have been carried out just for the index of functionality. From the statistical analysis of the data considered it results an increase of the functional capacity and its maintenance long after in the group that underwent to the rehabilitating training. However, two years after, this increase of capacity did not result greater than that obtained, in the same period of time, by the group of patients who underwent to a domiciliary physical rehabilitating program. These considerations point out the necessity of keeping physical exercise indefinitely or at least of repeating it periodically. In that event they suggest the right time to programme further cycles of training.

摘要

作者研究了两组心肌梗死患者;一组(61例患者)接受康复训练,另一组(42例患者)接受家庭体育锻炼计划。在心肌梗死后2个月、4个月、12个月和24个月时,通过自行车测力计测试对患者进行评估。考虑了临床和心电图因素,并且作为体力工作能力的指标,还考虑了完成的总功、每分钟每千克的最大摄氧量、血压与心率的乘积以及脉搏血氧饱和度。通过学生t检验、方差分析x2以及柯尔莫哥洛夫-斯米尔诺夫检验对参数的平均值进行统计学比较;此外,还研究了与线性系数的相关性。之后,仅针对功能指标进行了多变量判别分析和斯内德克F检验。从所考虑数据的统计分析结果来看,接受康复训练的组在功能能力方面有所提高,并且在很长一段时间后仍能维持。然而,两年后,该组能力的提高并不比同期接受家庭体育康复计划的患者组所获得的提高更大。这些考虑指出了无限期进行体育锻炼或至少定期重复锻炼的必要性。在这种情况下,他们建议了安排进一步训练周期的合适时间。

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