中国康复理论与实践2017，Vol.23Issue(4)：415-419,5.DOI:10.3969/j.issn.1006-9771.2017.04.011
定量评估有氧运动对脊髓损伤患者心肺功能的影响
Cardiopulmonary Quantitatively Assessment for Spinal Cord Injury during Aerobic Exercise
潘钰 1徐泉 1杨晓辉 1萧演清 1吴琼 1闫澍妤 1屠媛媛1
作者信息
- 1. 北京清华长庚医院,清华大学医学中心,北京市102218
- 折叠
摘要
Abstract
Objective To quantitatively assess the cardiopulmonary exercise function of spinal cord injury (SCI) patients and observe the effect of aerobic exercise on cardiopulmonary function, motor function and activities of daily living. Methods From December, 2014 to June, 2016, 34 incomplete SCI patients (ASIA C and D) and 23 healthy controls received cardiopulmonary exercise test (CPET). SCI pa-tients were randomly divided into conventional rehabilitation group (n=17) and aerobic exercise group (n=17). The aerobic exercise group received aerobic exercise for four weeks. They were assessed with CPET, motor and sensory function, walking index for spinal cord injury II (WISCI II) and spinal cord independence measure (SCIM) before and four weeks after training. Results Oxygen uptake (VO2)peak, anaerobic threshold (AT), metabolic equivalent of energy (METpeak), VO2/heart rate (HR)peak, respiratory exchange rate (RER)peak, minute ventilation (VE)peak, work rate (WR)peak and systolic blood pressure (SBP)peak were lower in the patients than in the controls (t>2.714, P<0.05). VO2peak、AT、METpeak、VO2/HRpeak、WRpeak increased in the aerobic exercise group after training (t>2.431, P<0.05). METpeak and WRpeak improved in the conventional rehabilitation group after training (t>3.282, P<0.01). The scores of motor in ASIA and SCIM improved in both groups after training (t>2.985, P<0.05). Conclusion The cardiopulmonary function decreased in incomplete SCI patients, which could be improved by moderate intensity aerobic exercise.关键词
脊髓损伤/心血管疾病/心肺运动试验/有氧运动Key words
spinal cord injury/cardiovascular disease/cardiopulmonary exercise test/aerobic exercise分类
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潘钰,徐泉,杨晓辉,萧演清,吴琼,闫澍妤,屠媛媛..定量评估有氧运动对脊髓损伤患者心肺功能的影响[J].中国康复理论与实践,2017,23(4):415-419,5.
