心脏康复中吸烟和不吸烟者运动训练地预后差异.ppt

Outcome of exercise training in Cardiac Rehabilitation of Smoker and Non-smoker心脏康復中吸烟和不吸烟者運動訓练的預后差异 李常威醫生 Leonard S.W. Li Division of Rehabilitation Medicine University Department of Medicine, Tung Wah Hospital and The University of Hong Kong Components of CRP 心脏康復的成份 Prediction of outcome after cardiac rehabilitation預测在心脏康復的结果 Prediction of Long- Term Prognosis in 12,126 Men Referred for Cardiac Rehabilitation Kavanagh T et al, Circulation. 2002; 106:666-671 Aerobic Exercise Training in Cardiac Rehabilitation心脏康復的帶氧運動 Improvement in exercise capacity by an average of 15-25% 增加運動量百份之十五至二十五 Patients who have the poorest functional capacity get the largest benefit 功能性量度低的有最大效益 Exercise Training in Smokers吸烟者的運動訓練 Pulmonary rehabilitation for COPD 慢性支气管炎在胸肺康復 The emphasis is on the re-conditioning rather than aerobic exercise capacity training 主要在復元，而不是運動量增加 運動的重要性Importance of Exercise for COPD RCTs:Exercise in Heart Failure運動訓練在心脏衰竭的研究 Exercise Training in Cardiac Rehabilitation: Practical Considerations 運動訓練的實踐考慮 Upper limbs Vs Lower Limbs exercise 上肢：下肢訓练 Co-ordination balance 平衡 Stress 压力 Medications 药物 Stress test 心脏運動評估 Smoking 吸烟 Sleeping time 睡眠時閒 Use of RPE 辛苦情度評估 Smokers and Non-smokers in Cardiac Rehabilitation吸烟和不吸烟者在心脏康復 Smoking – risk factor for IHD 吸烟是冠心病的危险因素之一 Not uncommon to see smokers to enter cardiac rehabilitation program 參加心脏康復病人是吸烟者很常見 Used to have no or minimal respiratory symptoms 很少呼吸道的病癥 Any difference after exercise training? 兩者在運動訓練有否分别？ Phases of Cardiac Rehabilitation心脏康復期 Phase IV Phase II 第二期 Intense exercise after medical clearance 密什式運動 Group exercise 1:5 Exercise 運動 Aerobic exercise帶氧 Flexibility exercise 鬆弛 + Resistance exercise阻力 Aims: 目的 ? Exercise capacity 增加運動量 Exercise habit 習慣 Exercise Pro