本文關(guān)鍵詞： 脊髓損傷 心血管疾病 心肺運動試驗 有氧運動　出處：《中國康復(fù)理論與實踐》2017年04期 　論文類型：期刊論文

【摘要】：目的定量評估脊髓損傷患者心肺運動功能,探討有氧運動對脊髓損傷患者心肺功能、運動功能及日常功能的影響。方法選取2014年12月至2016年6月本科34例不完全性脊髓損傷患者(ASIA C級和D級),另取23例正常對照者作為對照組,進行心肺運動試驗測試。患者隨機分成常規(guī)康復(fù)組(n=17)和有氧運動組(n=17),有氧運動組接受有氧運動訓(xùn)練4周。評估訓(xùn)練前后患者進行心肺運動試驗、ASIA運動和感覺評分、脊髓損傷步行指數(shù)Ⅱ(WISCIⅡ)和脊髓功能性獨立評分(SCIM)。結(jié)果脊髓損傷患者峰值攝氧量(VO_(2peak))、無氧閾(AT)、峰值能量代謝當(dāng)量(MET_(peak))、峰值氧脈搏(VO_2/HR_(peak))、峰值呼吸交換率(RER_(peak))、峰值分鐘通氣量(VE_(peak))、峰值功率(WR_(peak))、峰值收縮壓(SBP_(peak))較對照組降低(t2.714,P0.05)。有氧運動組4周訓(xùn)練后VO_(2peak)、AT、MET_(peak)、VO_2/HR_(peak)、WR_(peak)較訓(xùn)練前改善(t2.431,P0.05)。常規(guī)康復(fù)組4周訓(xùn)練后MET_(peak)和WR_(peak)較治療前明顯改善(t3.282,P0.01)。兩組患者訓(xùn)練4周后ASIA運動評分和SCIM評分較前明顯改善(t2.985,P0.01)。結(jié)論不完全性脊髓損傷患者心肺功能下降,給予中等強度的有氧運動,可有效改善心肺儲備功能。
[Abstract]:Objective to evaluate the cardiopulmonary function in patients with spinal cord injury (sci), and to explore the effect of aerobic exercise on cardiopulmonary function in patients with spinal cord injury. Methods from December 2014 to June 2016, 34 patients with incomplete spinal cord injury received Asia C and D grades. Another 23 normal controls were used as control group to test cardiopulmonary exercise test. The patients were randomly divided into routine rehabilitation group (n = 17) and aerobic exercise group (n = 17). The aerobic exercise group received aerobic exercise training for 4 weeks. Before and after training, the patients underwent cardiopulmonary exercise test and Asia exercise and sensory score. Spinal cord injury walking index 鈪，

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