缩短疗养时间优化冠心病患者康复

E. Kasparov, S. V. Klemenkov, S. S. Gorbunova
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引用次数: 0

摘要

目的:探讨在为期两周的疗养院治疗中,碘溴浴(IBB)和体能训练(PT)在不同组合下对冠心病(CHD)稳定型心绞痛患者体能表现的影响。设计:随机、对照、前瞻性研究。材料和方法。研究纳入126例冠心病患者,分为3组。42例患者(第一组)在自行车测力仪上给予IBB和PT;在服用IBB(复合物1号)前1.5 - 2小时进行PT治疗,43例(2组)患者在服用IBB(复合物2号)后1.5 - 2小时进行IBB和PT治疗,41例(3组,对照组)患者在服用IBB和治疗性运动(TE)复合物3号后进行PT治疗。冠心病组患者每隔一天开一次物理因子治疗,疗程为2周(14天)。采用24小时动态心电图监测、肺活量和自行车几何测量对冠心病患者的结果进行评价。结果。螺旋和自行车几何测量显示,与复合体2或IBB和TE相比,复合体1对冠心病患者的康复课程具有更明显的训练效果和冠状动脉储备的增加。冠心病患者24小时动态心电图监测时心肌缺血程度的下降也以复合体1号康复后最大。复合物的训练效果,即在服用IBB前使用PT,使冠心病患者冠脉储备增加,心肌缺血减少,比服用IBB后使用PT或IBB和TE时使用PT更大。结论。因此,缩短使用碘溴浴和体育锻炼时间至14天的冠心病患者的康复效果取决于两者的组合。在服用IBB前给予PT治疗效果最好。关键词:冠心病,浴疗,体能训练,体能表现心律失常,心肌缺血
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimization of Rehabilitation for Patients with Coronary Heart Disease in Shortened Sanatorium Treatment Time
Aim: to study the effect of a two-week course of sanatorium treatment using both iodine-bromine baths (IBB) and physical training (PT) on physical performance of coronary heart disease (CHD) patients with stable angina when using their different combinations. Design: the randomized, controlled, prospective study. Materials and methods. The study included 126 CHD patients, divided into 3 groups. 42 patients (Group 1) were prescribed IBB and PT on a bicycle ergometer; with PT performed 1,5–2 hours before taking IBB (Complex No. 1). 43 individuals (Group 2) were prescribed IBB and PT, with the latter performed 1,5–2 hours after taking IBB (Complex No. 2). 41 patients (Group 3, control) received IBB and therapeutic exercises (TE) Complex No. 3). Physical factors in the groups of CHD patients were prescribed every other day, with the treatment duration being 2 weeks (14 days). The evaluation of the results in CHD patients was carried out using 24-hour Holter ECG monitoring, spiro- and bicycle ergometry. Results. A spiro- and bicycle ergometry showed that the rehabilitation courses for CHD patients with the Complex No. 1 gives a more pronounced training effect and an increase in coronary reserve than the Complex No. 2 or when prescribing IBB and TE. The decrease in myocardial ischemia while 24-hour Holter ECG monitoring in CHD patients was also the largest after the Complex No. 1 rehabilitation. The training effect of the Complex, i.e. when PT was prescribed before taking IBB, led to both a greater increase in the coronary reserve and a decrease in myocardial ischemia in CHD patients, compared with either prescribing PT after taking IBB or when using IBB and TE. Conclusion. Thus, the rehabilitation effectiveness for CHD patients with a shortened time of using iodine-bromine baths and physical training up to fourteen days depends on their combinations. The best result was obtained when prescribing PT before taking IBB. Keywords: coronary heart disease, balneotherapy, physical training, physical performance cardiac arrhythmia, myocardial ischemia.
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