肥胖对心肌梗死后患者峰值有氧工作能力的影响.PDFVIP

ChineseJournalofRehabilitationMedicine, Sep. 2011, Vol.26,No.9 ·临床研究· 肥胖对心肌梗死后患者峰值有氧工作能力的影响* 刘 洵 BrodieDA 周 凤 冯 晟 陈彦平 刘 静 梁晓琳 李承蒙 BundredPE1 2 1 1 1 1 1 1 3 摘要 目的：检测肥胖对心肌梗死后（PMI）患者心脏康复早期有氧工作能力的影响。 方法：116例男性PMI患者根据其身体质量指数（BMI）高于或低于25和服用或未服用β-阻断剂被分为4组，然后进 行递增负荷运动实验，其间记录每级负荷时的摄氧量（VO ）、心率（HR）、血压和自我用力感觉（RPE），并持续监测122 导联心电图（ECG）。 结果：BMI＜25的两组患者都能坚持较长时间的运动（P＜0.05），有较高的峰值摄氧量（P＜0.05）和较低的有氧能力 的损伤(P＜0.01)。当RPE到达13时，其他组别的VO 分别是BMI＜25且服用β-阻断剂组的90%（未服用β-阻断2 剂，BMI＜25），75%（服用β-阻断剂，BMI＞25）和70%（未服用β-阻断剂，BMI＞25）。 结论：肥胖会影响患者运动中的功能和代谢能力，但服用β-阻断剂对此可有所补偿。BMI＜25对于减轻氧能力损 伤将会有明显的益处。 关键词 肥胖；身体质量指数；心肌梗死；β-阻断剂；运动心脏康复 中图分类号：R543.3 文献标识码：A 文章编号：1001-1242（2011）-09-0814-04 The influence of adiposity on peak aerobic capacity in post myocardial infarction patients/LIU Xun, Bro⁃ die DA, ZHOU Feng, et al.//Chinese Journal of Rehabilitation Medicine, 2011, 26(9): 814—817 Abstract Objective: To examine the influence of adiposity on the aerobic capacity of post myocardial infarction (PMI) pa- tientsduringearlystage of cardiac rehabilitation. Method: One hundred and sixteen male recent PMI patients were divided into four groups according to their body mass index (BMI) above or below 25, and with or without taking β-blocker. Then, a graded exercise test was performed; oxygen uptake (VO), heart rate (HR), blood pressure and ratings of perceived exertion (RPE) were2 recorded,and 12 leadelectrocardiogram (ECG)was monitoredcontinuously. Result: Both groups with BMI25 could persist longer exercise time (P0.05), had higher peak VO (P0.05),2 and lower functional aerobic impairment (P0.01). When RPE was at 13, relatively to the taking β-blocker and BMI25 group, the other groups had peak VO of 90% (no、β-blocker, BMI25), 75% (taking β-blocker,2 BMI25)and 70%(noβ-blocker, BMI25) respectively.