Sparks K E, Shaw D K, Eddy D, Hanigosky P, Vantrese J
Saint Vincent Charity Hospital, Cleveland State University, OH 44115.
Heart Lung. 1993 Jul-Aug;22(4):298-303.
To determine the effectiveness of a home exercise program using transtelephonic exercise monitoring (TEM).
Prospective, two-group experimental, random assignment.
Urban centered hospital and surrounding community.
Twenty cardiac rehabilitation patients entering a Phase II cardiac rehabilitation program.
Maximal oxygen consumption, blood pressure, pressure-rate product, workload.
Twenty male cardiac patients were randomly enrolled in either a 12-week home- or hospital-based exercise program. Maximal exercise tolerance tests were conducted, before and after exercise intervention, on a computer-driven bicycle ergometer. Subjects trained 3 days per week for 12 weeks on a bicycle ergometer for a maximum of 35 minutes at 75% of maximum heart rate reserve or functional capacity.
Posttraining results showed significant improvement in cardiac function for both groups. Two patients in the TEM group developed new arrhythmias while exercising that required medication changes; however, no medical emergencies arose in either exercise group. Independent Student t test showed no significant difference between groups before or after training.
We conclude that TEM is an effective alternative for the rehabilitation of patients who are unable to return to a hospital-based program.
确定使用远程电话运动监测（TEM）的家庭锻炼计划的有效性。
前瞻性、两组实验、随机分配。
以城市为中心的医院及周边社区。
20名进入心脏康复二期计划的心脏康复患者。
最大耗氧量、血压、压力-心率乘积、工作量。
20名男性心脏病患者被随机纳入为期12周的家庭或医院锻炼计划。在运动干预前后，使用计算机驱动的自行车测力计进行最大运动耐力测试。受试者每周训练3天，共12周，在自行车测力计上以最大心率储备或功能能力的75%进行锻炼，最长35分钟。
训练后结果显示两组心脏功能均有显著改善。TEM组有2名患者在运动时出现新的心律失常，需要调整药物；然而，两个运动组均未出现医疗紧急情况。独立样本t检验显示训练前后两组之间无显著差异。
我们得出结论，TEM是无法返回医院进行康复计划的患者的一种有效替代方案。
