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Chin Circul J:湘雅医院刘遂心等研究称,药物结合运动治疗心血管神经症效果优

2017-05-15 许菁 中国循环杂志

心血管神经症是以心血管疾病的有关症状为主要表现的临床综合征,在临床上比较多见。中南大学湘雅医院刘遂心、李萃等研究发现,心血管神经症患者存在自主神经功能紊乱,有氧联合抗阻训练的综合运动能有效地改善心血管神经症患者的临床症状。运动后心率恢复是衡量自主神经功能紊乱的新指标,本研究应用心肺运动试验测定的运动后 1 min 心率恢复(HRR1)作为观察指标。研究者发现,心血管神经症患者与正常人比较,静息心率

血管神经症是以心血管疾病的有关症状为主要表现的临床综合征,在临床上比较多见。
中南大学湘雅医院刘遂心、李萃等研究发现,心血管神经症患者存在自主神经功能紊乱,有氧联合抗阻训练的综合运动能有效地改善心血管神经症患者的临床症状。

运动后心率恢复是衡量自主神经功能紊乱的新指标,本研究应用心肺运动试验测定的运动后 1 min 心率恢复(HRR1)作为观察指标。研究者发现,心血管神经症患者与正常人比较,静息心率增快,运动后 1 min 心率恢复延迟。
 
进一步观察发现,β受体阻滞剂和(或)地西泮和综合运动均能改善心血管神经症患者的临床症状及自主神经功能,静息心率、HRR1、SCL-90 评分均明显改善。而且与单纯药物治疗相比,药物联合运动对 HRR1 的改善更明显。
 
研究纳入 48 例心血管神经症患者(心血管神经症组),与 30 例正常人(对照组)比较;从心血管神经症患者中选取 30 例患者,14例给予药物治疗,16例在药物治疗基础上结合运动治疗(有氧训练 抗阻训练)。
 
有氧训练的运动形式包括院内主要采用固定踏车、平板跑步机、上肢液阻;家庭运动主要为快走。时间 为 30~60 min,3~5 次 / 周。抗阻训练同样结合 Borg评分来调整运动强度,控制在11~13 分之间。心血管神经症患者均选择适宜强度的弹力带行抗阻训练,每个动作 2~3 组,每组重复 8~12 次动作,组间间隔 1~2 min,3次/周。
 
原始出处:

李萃,董蕾,刘遂心,等. 心血管神经症患者自主神经功能的变化及综合运动干预对其的影响. 中国循环杂志, 2017, 32: 322.

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    2017-05-22 184****9840

    学习了谢谢分享。

    0

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    2017-05-19 lou.minghong

    学习了

    0

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    2017-05-17 xiaoshitou
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