河南科技大学第一附属医院
纸质出版:2022
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杨亚旭, 宋欣欣, 焦春辉. △60%功率强度运动处方对动脉型肺动脉高压的疗效[J]. 临床心电学杂志, 2022,(1):53-56.
Yang yaxu, Song xinxin, Jiao chunhui. The effects of delta 60% power intensity exercise prescription on arterial pulmonary hypertension[J]. 2022, (1): 53-56.
目的 探讨在动脉型肺动脉高压(PH)患者的治疗中使用△60%功率强度的运动处方对改善患者心肺功能储备、血气指标以及运动耐量的价值。方法 选择我科117例动脉型肺动脉高压患者作为研究对象,使用随机数字表法将患者分为两组。对照组58例给予运动疗法干预,观察组59例联合采用心肺运动试验(CPET)检测数据制定个体化△60%功率强度运动处方,对比两组患者动脉血气指标、心肺储备功能和运动耐量。结果 干预后观察组患者氧分压(PaO
2
)较对照组高,二氧化碳分压(PaCO
2
)较对照组低(p
<
0.05);耗氧量、二氧化碳排出量、潮气末氧分压、氧脉搏较对照组高,潮气末二氧化碳分压、呼吸无效腔/潮气量比值较对照组低(p
<
0.05);无氧阈(AT)、峰值摄氧量(VO
2
peak)及6分钟步行距离(6MWD)高于对照组(p
<
0.05)。结论△60%功率强度的运动处方能够有效改善患者肺氧合功能,提升患者的运动耐量,提高患者的心肺功能储备。
Objective To explore the value of exercise prescription with △60% power intensity in the treatment of patients with arterial pulmonary hypertension(PH) on cardiopulmonary function reserve
blood gas index and exercise tolerance. Methods The total 117 patients with arterial pulmonary hypertension in our department were selected as the research object. The patients were divided into two groups by random number table. Fifty-eight cases in the control group were given exercise therapy intervention
and 59 cases in the observation group were combined with the test data of cardiopulmonary exercise test(CPET) to formula
te individualized △60% power intensity exercise prescription. The arterial blood gas index
cardiopulmonary reserve function and exercise tolerance of the two groups were compared. Results After the intervention
the partial pressure of oxygen(PaO
2
) in the observation group was higher than that in the control group
and the partial pressure of carbon dioxide(PaO
2
) was lower than that in the control group(p
<
0.05). Oxygen consumption
carbon dioxide output
end tidal oxygen partial pressure and oxygen pulse were higher than those in the control group
while end tidal carbon dioxide partial pressure and ineffective breathing chamber/tidal volume ratio were lower than those in the control group(p
<
0.05). The anaerobic threshold(at)
peak oxygen uptake(VO
2
peak) and 6-minute walking distance(6MWD) in the control group were higher than those in the control group(p
<
0.05).Conclusions Delta 60% power intensity exercise prescription can effectively improve patients’ pulmonary oxygenation function
improve patients’ exercise tolerance and improve patients’ cardiopulmonary function reserve.
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