定量评估有氧运动对脊髓损伤患者心肺功能的影响

发布时间：2018-01-29 06:30

  本文关键词： 脊髓损伤 心血管疾病 心肺运动试验 有氧运动　出处：《中国康复理论与实践》2017年04期 　论文类型：期刊论文

【摘要】：目的定量评估脊髓损伤患者心肺运动功能,探讨有氧运动对脊髓损伤患者心肺功能、运动功能及日常功能的影响。方法选取2014年12月至2016年6月本科34例不完全性脊髓损伤患者(ASIA C级和D级),另取23例正常对照者作为对照组,进行心肺运动试验测试。患者随机分成常规康复组(n=17)和有氧运动组(n=17),有氧运动组接受有氧运动训练4周。评估训练前后患者进行心肺运动试验、ASIA运动和感觉评分、脊髓损伤步行指数Ⅱ(WISCIⅡ)和脊髓功能性独立评分(SCIM)。结果脊髓损伤患者峰值摄氧量(VO_(2peak))、无氧阈(AT)、峰值能量代谢当量(MET_(peak))、峰值氧脉搏(VO_2/HR_(peak))、峰值呼吸交换率(RER_(peak))、峰值分钟通气量(VE_(peak))、峰值功率(WR_(peak))、峰值收缩压(SBP_(peak))较对照组降低(t2.714,P0.05)。有氧运动组4周训练后VO_(2peak)、AT、MET_(peak)、VO_2/HR_(peak)、WR_(peak)较训练前改善(t2.431,P0.05)。常规康复组4周训练后MET_(peak)和WR_(peak)较治疗前明显改善(t3.282,P0.01)。两组患者训练4周后ASIA运动评分和SCIM评分较前明显改善(t2.985,P0.01)。结论不完全性脊髓损伤患者心肺功能下降,给予中等强度的有氧运动,可有效改善心肺储备功能。
[Abstract]:Objective to evaluate the cardiopulmonary function in patients with spinal cord injury (sci), and to explore the effect of aerobic exercise on cardiopulmonary function in patients with spinal cord injury. Methods from December 2014 to June 2016, 34 patients with incomplete spinal cord injury received Asia C and D grades. Another 23 normal controls were used as control group to test cardiopulmonary exercise test. The patients were randomly divided into routine rehabilitation group (n = 17) and aerobic exercise group (n = 17). The aerobic exercise group received aerobic exercise training for 4 weeks. Before and after training, the patients underwent cardiopulmonary exercise test and Asia exercise and sensory score. Spinal cord injury walking index 鈪，

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