Application of Cardiac Rehabilitation Aerobic Exercise in Patients with Stable Angina in Coronary Heart Disease.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jin Zhou, Ying Liu, Hua Zhao, Wei Yan, Litao Chen, Xing Sun, Xiaoman Feng, Jing Wang, Yongbin Pei, Shuya Li
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引用次数: 0

Abstract

Aims/Background A novel exercise protocol for cardiac rehabilitation aerobic (CRA) has been developed by Hebei Sport University, demonstrating efficacy in patients with coronary heart disease (CHD). The objective of this study was to evaluate the impact of CRA on precise cardiac rehabilitation (CR) for CHD patients presenting with stable angina pectoris. Methods The study cohort comprised patients with stable angina who were categorized into three groups: the CRA group (n = 35), the power bicycles (PB) group (n = 34), and the control group (n = 43). In addition to standard treatment, the CRA group underwent a 12-week CRA-based CR intervention, while the PB group participated in a similar program centered on PB exercise, and the control group received only standard treatment. Results At the end of the 12-week intervention, significant differences were observed among the groups in several physiological parameters, including systolic blood pressure (SBP), fasting blood glucose (FBG), triglycerides (TG), total cholesterol (TC), low-density lipoprotein (LDL), Glycated Haemoglobin (Hb-A1c), peak oxygen uptake (Peak VO2), anaerobic threshold (AT), and Peak VO2/heart rate (HR) (p < 0.05). Both the CRA and PB groups showed significant reductions in SBP, FBG, TG, TC, LDL, and Hb-A1c compared to the control group (p < 0.05). Additionally, both groups exhibited significant improvements in Peak VO2, AT, and Peak VO2/HR (p < 0.05). Intra-group analysis revealed that the CRA group showed significant improvements from baseline to post-intervention in SBP, diastolic blood pressure (DBP), FBG, TG, TC, high-density lipoprotein (HDL), LDL, Hb-A1c, Peak VO2, AT, and Peak VO2/HR (p < 0.05). Similarly, the PB group demonstrated significant improvements across these parameters (p < 0.05). Conclusion Both CRA and PB exercises are safe and effective for achieving precise CR in patients with CHD. A 12-week CRA intervention, conducted three times per week for 30 minutes per session, significantly improves cardiopulmonary function and biochemical makers in patients with stable angina. These improvements are comparable to those achieved through PB exercise in precise CR.

心脏康复有氧运动在冠心病稳定期心绞痛患者中的应用。
目的/背景河北体育大学开发了一种新的有氧心脏康复(CRA)运动方案,并证明了其对冠心病患者的疗效。本研究的目的是评估CRA对伴有稳定型心绞痛的冠心病患者精准心脏康复(CR)的影响。方法将稳定型心绞痛患者分为三组:CRA组(n = 35)、动力自行车组(n = 34)和对照组(n = 43)。除了标准治疗外,CRA组还进行了为期12周的基于CRA的CR干预,而PB组则参加了类似的以PB锻炼为中心的计划,而对照组仅接受标准治疗。结果12周干预结束时,两组患者收缩压(SBP)、空腹血糖(FBG)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL)、糖化血红蛋白(Hb-A1c)、峰值摄氧量(峰值VO2)、厌氧阈值(At)、峰值VO2/心率(HR)等生理指标差异均有统计学意义(p < 0.05)。与对照组相比,CRA组和PB组的收缩压、FBG、TG、TC、LDL和Hb-A1c均显著降低(p < 0.05)。此外,两组的峰值VO2、AT和峰值VO2/HR均有显著改善(p < 0.05)。组内分析显示,从基线到干预后,CRA组在收缩压、舒张压(DBP)、FBG、TG、TC、高密度脂蛋白(HDL)、LDL、Hb-A1c、峰值VO2、AT和峰值VO2/HR方面均有显著改善(p < 0.05)。同样,PB组在这些参数上也有显著改善(p < 0.05)。结论CRA和PB运动对冠心病患者实现精确的CR是安全有效的。一项为期12周的CRA干预,每周进行三次,每次30分钟,可显著改善稳定型心绞痛患者的心肺功能和生化指标。这些改进与通过精确CR的PB练习所取得的效果相当。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British journal of hospital medicine
British journal of hospital medicine 医学-医学:内科
CiteScore
1.50
自引率
0.00%
发文量
176
审稿时长
4-8 weeks
期刊介绍: British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.
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