| 摘要: |
| ［摘要］ 目的 探讨运动疗法对急性心肌梗死(AMI)患者心功能及运动耐量的影响。方法 选取该院2013-01～2015-11收治的急性ST抬高型心肌梗死（STEAMI）患者48例，随机分为运动组和对照组,两组均行静脉溶栓治疗及常规药物治疗。运动组治疗2周后进行程序性有规律运动治疗。对照组注意休息，适当运动。在运动治疗开始及第6个月时分别记录两组患者临床症状，检测脑钠肽（N-terminal-pro-B-type natriuretic peptide，NT-proBNP）、左室射血分数(left ventricular ejection fraction，LVEF)、6 min步行距离(6 minutes walking distance，6MWD)、运动耐量(exercise capacity)，比较两组患者治疗前后上述各项指标的变化。结果 随访6个月,与对照组比较，运动组NT-proBNP显著降低，LVEF和运动耐量明显提高，6MWD增加（P均<0.01）。结论 运动疗法可以明显改善AMI患者的心功能及运动耐量，改善患者生活质量。 |
| 关键词: 急性心肌梗死 运动疗法 运动耐量 |
| DOI：10.3969/j.issn.1674-3806.2017.11.13 |
| 分类号:R 542.2+2 |
| 基金项目: |
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| Effects of exercise therapy on cardiac function and exercise tolerance in patients with acute myocardial infarction |
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PENG Ren-cong, MA Pei-rong, ZHANG Ling, et al.
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Department of Cardiovascular Medicine, the Eighth People＇s Hospital of Nanning City, Guangxi 530001, China
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| Abstract: |
| ［Abstract］ Objective To investigate the effects of exercise therapy on cardiac function and exercise tolerance in patients with acute myocardial infarction(AMI).Methods Forty-eight patients with acute ST-segment elevation myocardial infarction(STEAMI) were collected in our hospital from January 2013 to November 2015, and were randomly divided into the exercise group and the control group. The exercise group was treated with intravenous thrombolytic therapy plus conventional drug therapy and exercise therapy. The control group was treated with intravenous thrombolytic therapy plus conventional drug therapy and routine treatment. The clinical symptoms, N-terminal-pro-B-type natriuretic peptide(NT-proBNP), left ventricular ejection fraction(LVEF), 6 minutes walking distance(6MWD) and exercise capacity were compared between the two groups at the beginning of exercise therapy and 6 months after the therapy.Results After a follow-up of 6 months, compared with those in the control group, the level of NT-proBNP was significantly lower, and the levels of LVEF, 6MWD and exercise tolerance were significantly higher in the exercise group(P<0.01).Conclusion Exercise therapy can significantly improve the cardiac function and exercise tolerance in the patients with AMI, and improve the quality of life. |
| Key words: Acute myocardial infarction Exercise therapy Exercise tolerance |
