文章摘要

有氧结合抗阻运动应用于冠心病患者康复训练中对运动功能、血管内皮功能、血脂水平及生活质量的影响

作者: 1牟静, 1陈丽娜, 1张学萍, 1刘怡
1 徐州市中心医院冠心病监护病房，江苏 徐州 221009
通讯: 陈丽娜 Email: Chenlinax@163.com
DOI: 10.3978/j.issn.2095-6959.2022.07.010

摘要

目的：探讨有氧结合抗阻运动应用于冠心病患者康复训练中对运动功能、血管内皮功能、血脂水平及生活质量的影响。方法：将2020年8月至2021年8月徐州市中心医院收治的冠心病患者135例随机分为对照组、研究A组、研究B组，每组45例。其中对照组实施常规治疗，研究A组实施有氧运动训练方案，研究B组实施有氧结合抗阻运动训练方案。收集3组治疗前、治疗6个月后血管内皮功能、血脂水平、运动功能与生活质量变化情况。结果：研究B组治疗6个月后超声颈动脉内膜-中层厚度(intima-media thickness，IMT)、Crouse斑块积分水平均明显低于对照组、研究A组，内皮依赖性血管舒张功能(flow-mediated dilation，FMD)高于对照组、研究A组，差异有统计学意义(P<0.05)；研究B组治疗6个月后血清总胆固醇(total cholesterol，TC)、三酰甘油(triglyceride，TG)、低密度脂蛋白胆固醇(low-density lipoprotein cholesterol，LDL-C)水平均明显低于对照组、研究A组；高密度脂蛋白胆固醇(high-density lipoprotein cholesterol，HDL-C)高于对照组、研究A组；研究B组治疗6个月后峰值耗氧量(VO2peak)、无氧代谢阈值氧耗量(VO2AT)水平均明显高于对照组、研究A组，差异有统计学意义(P<0.05)；研究B组治疗6个月后生活质量均明显优于对照组、研究A组，差异有统计学意义(P<0.05)。结论：相较于单纯有氧运动，有氧结合抗阻运动应用于冠心病患者康复训练中可改善血管内皮功能及生活质量，降低血脂水平，提高运动功能。
关键词： 有氧运动；抗阻运动；冠心病；血管内皮功能；血脂；运动功能；生活质量

Effect of aerobic combined with resistance exercise on motor function, vascular endothelial function, blood lipid level and quality of life in the rehabilitation training of patients with coronary heart disease

Authors: 1MOU Jing, 1CHEN Lina, 1ZHANG Xueping, 1LIU Yi
1 Coronary Care Unit, Xuzhou Central Hospital, Xuzhou Jiangsu 221009, China

CorrespondingAuthor: CHEN Lina Email: Chenlinax@163.com

DOI: 10.3978/j.issn.2095-6959.2022.07.010

Abstract

Objective: To explore the effects of aerobic combined with resistance exercise on motor function, vascular endothelial function, blood lipid level and quality of life in patients with coronary heart disease in rehabilitation training. Methods: A total of 135 patients with coronary heart disease admitted to Xuzhou Central Hospital from August 2020 to August 2021 were randomly divided into control group, study group A, and study group B, with 45 cases in each group. Among them, the control group was given routine treatment, the study group A was given aerobic exercise training program, and the study group B was given aerobic combined resistance exercise training program. The changes of vascular endothelial function, blood lipid level, motor function and quality of life were collected before treatment and after 6 months of treatment in the three groups. Results: After 6 months of treatment, the carotid intima-media thickness (IMT) and the Crouse plaque score in the study group B were significantly lower than those in the control group and study group A. Flow-mediated dilation (FMD) was higher than the control group and study group A, the difference was statistically significant (P<0.05); after 6 months of treatment, serum total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) levels in study group B were significantly lower than the control group and study group A; high-density lipoprotein cholesterol (HDL-C) in study group B was higher than the control group and study group A; the peak oxygen consumption (VO2peak) and anaerobic metabolic threshold oxygen consumption (VO2AT) levels of study group B after 6 months of treatment were significantly higher than those of the control group and study group A, the difference was statistically significant (P<0.05); the quality of life of study group B after 6 months of treatment was significantly better than that of control group and study group A, the difference was statistically significant (P<0.05). Conclusion: Compared with simple aerobic exercise, aerobic combined with resistance exercise can improve vascular endothelial function and quality of life, reduce blood lipid levels, and improve motor function in the rehabilitation training of patients with coronary heart disease.

Keywords： aerobic exercise; resistance exercise; coronary heart disease; vascular endothelial function; blood lipids; exercise function; quality of life

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