文章摘要

四肢联动在脑卒中患者心肺适能评估中运用的可行性

作者: 1钱贞, 2李瑾, 2高民, 2张秋阳, 3陈伟
1 徐州医科大学医学技术学院,江苏 徐州 221000; 常州德安医院康复科,江苏 常州 213000
2 徐州市中心医院康复科,江苏 徐州 221000
3 徐州医科大学医学技术学院,江苏 徐州 221000
通讯: 陈伟 Email: chenwei2339@qq.com
DOI: 10.3978/j.issn.2095-6959.2017.11.026

摘要

目的: 分析四肢联动在脑卒中患者心肺适能评估中运用的可行性,探索评估脑卒中患者心肺功 能的适宜设备。方法: 19位脑卒中患者均先后使用功率自行车和四肢联动两种设备进行两次症状 限制性最大递增心肺运动试验,并用配对t检验分析两次试验获得的峰值摄氧量(VO2peak)以及峰 值心率(HRpeak)之间的差异,并采用Pearson相关系数检验它们的相关性。结果: 两次试验获得 的VO2peak以及HRpeak存在高度相关(分别r=0.95和r=0.96),使用四肢联动获得的VO2peak明显高 于功率自行车[(14.51±3.13) vs (12.60±3.52) mL·kg−1·min−1],HRpeak也明显增加[(116.26±10.98) vs (104.53±11.79) min−1],且差异均有统计学意义(P<0.05)。使用四肢联动的患者疲劳程度较自行车 轻(Borg呼吸困难:9.95±0.85 vs 14.79±1.23;Borg腿部疲劳:13.53±0.70 vs 15.95±0.85)。纳入研究的 19位患者均能顺利完成两次试验,没有发生任何不良事件。结论: 四肢联动在评估卒中患者心肺适能 方面是安全、有效、可行的,其测试结果更贴近患者真实的心肺功能,并且不容易引起患者疲劳。
关键词: 脑卒中 四肢联动 心肺适能 心肺运动测试

Feasibility analysis of application of limbs linkage equipment in cardiorespiratory tness assessment of stroke patients

Authors: 1, 2Li Jin, 2Gao Min, 2Zhang Qiuyang, 3Chen Wei
1 College of Medical Technology, Xuzhou Medical University, Xuzhou Jiangsu 221000; Department of Rehabilitation, Changzhou Dean Hospital, Changzhou Jiangsu 213000
2 Department of Rehabilitation, Xuzhou Central Hospital, Xuzhou Jiangsu 221000, China
3 College of Medical Technology, Xuzhou Medical University, Xuzhou Jiangsu 221000

CorrespondingAuthor: Chen Wei Email: chenwei2339@qq.com

DOI: 10.3978/j.issn.2095-6959.2017.11.026

Abstract

Objective: To analyze the feasibility of the application of limbs linkage equipment in cardiorespiratory fitness assessment of stroke patients, and explore the appropriate equipment for evaluating the cardiorespiratory function of stroke patients. Methods: Nineteen patients with stroke successively underwent two symptom limited maximal incremental cardiopulmonary exercise test using two devices: power cycling and limbs linkage. The difference in VO2peak of 2 tests was analyzed by paired t-test, and so did HRpeak. The correlation coefficient was tested by Pearson analysis. Results: ere was a signi cant correlation of VO2peak obtained in the two tests (r=0.95), and so did HRpeak (r=0.96). e average VO2peak value obtained by using limbs linkage equipment was significantly higher than that of power bicycle [(14.51±3.13) vs (12.60±3.52) mL·kg−1·min−1], and so did HRpeak [(116.26±10.98) vs (104.53±11.79) min−1]. e di erences were also statistically signi cant (P<0.05). Patients using limbs linkage equipment were less fatigued than those using bicycles (Borg dyspnea: 9.95±0.85 vs 14.79±1.23; Borg leg fatigue: 13.53±0.70 vs 15.95±0.85). e 19 patients in the study all successfully completed the two tests without any adverse events. Conclusion: Limbs linkage equipment is safe, e ective and feasible in assessing cardiorespiratory tness of stroke patients. e test results are closer to the real cardiorespiratory tness of stroke patients, and it is not easy to cause fatigue.
Keywords: stroke limbs linkage cardiorespiratory tness cardiopulmonary exercise test

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