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心力衰竭临床症状患者的外周肌肉训练

Peripheral muscle training in patients with clinical signs of heart failure.

作者信息

Cider A, Tygesson H, Hedberg M, Seligman L, Wennerblom B, Sunnerhagen K S

机构信息

Department of Rehabilitation Medicine, University of Göteborg, Sweden.

出版信息

Scand J Rehabil Med. 1997 Jun;29(2):121-7.

PMID:9198262
Abstract

The aim of the study was to evaluate, in a controlled setting, the effects of a 5-month dynamic peripheral training programme in patients with clinical signs of congestive heart failure with special reference to their anaerobic threshold, muscle function, heart rate variability and quality of life. Twenty-four randomized patients with clinical signs of heart failure in NYHA II-III entered the study. Training resulted in a significant (p = 0.01) change in the anaerobic threshold, the patients' ability to lift weights (p = 0.01) and performance of heel-lift (p = 0.01). The heart rate recorded during the training exercises decreased significantly (p = 0.04). There were no significant differences in peak oxygen uptake, isokinetic and isometric strength, HRV and quality of life except for three items in the control group. The results of this study indicate that peripheral training is beneficial for patients with clinical signs of congestive heart failure.

摘要

本研究的目的是在可控环境下,评估为期5个月的动态外周训练计划对有充血性心力衰竭临床体征患者的影响,特别关注其无氧阈值、肌肉功能、心率变异性和生活质量。24名纽约心脏协会(NYHA)心功能II - III级且有心力衰竭临床体征的随机患者进入该研究。训练导致无氧阈值、患者举重能力(p = 0.01)和提踵表现(p = 0.01)有显著(p = 0.01)变化。训练期间记录的心率显著下降(p = 0.04)。除对照组的三个项目外,峰值摄氧量、等速和等长肌力、心率变异性和生活质量方面无显著差异。本研究结果表明,外周训练对有充血性心力衰竭临床体征的患者有益。

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