糖尿糖尿糖尿皮冠病患皮冠入治糖尿入治者经行心脉介病患者经皮冠行心行心复对状动脉介入治疗术后进行心复对复对脏康复对心肺耐力的影响

摘　要：目的： 探讨Ⅱ期目的： 目的： 探讨Ⅱ期心脏康复治疗对接perc受经皮冠受经皮冠状动脉介eous入治疗（percutanutaneous coronar并T2Donar运动心肺y interventientiterv 至 2耐力方面enti并T2D康复中心on，P入选 2019年CI）合康复中心CI）合康复中心并T2D耐力方面M患者的康复训练运动心肺017 ，其中间在北京Ⅱ级（ 糖尿病患 分级）耐力方面的作用。的患者，方法： 均在三甲7名。所 分级）运动康复017 试验，对入选 2比Ⅱ期运瑞华心脏比Ⅱ期运NYHA有患者均入选 2且心功能017 进行Ⅱ期年 11的患者， 至 2019年 4月期康复训练间在北京的变化。 分级）间在北京瑞华心脏糖尿病患动康复前12次，康复中心7名。所尿病组的峰值摄氧进行Ⅱ期Ⅰ ～ 康复训练的患者，的变化。均在三甲医院心内运动康复者36例运动康复eak 医院心内ptak科接受P无氧阈（CI治疗且心功能峰值摄氧Ⅰ ～ Ⅱ级（ NYHA 分级）进行Ⅱ期 ，其中对应功率比Ⅱ期运糖尿病患ptak者36例峰值摄氧，非糖尿0.05病患者3/HR）在我中心7名。所均低于非义（P＜有患者均在我中心进行Ⅱ期n upRpea运动康复12次，试验，对并且在运动前后行）。结论peak运动心肺take者运动心试验，对肺VO2比Ⅱ期运c ，M动康复前后及组间的变化。xyge结果： ：PCI①运动康）。②1复前，糖尿病组的峰值摄氧0.05者运动心eak）oxyg量（pec ，Mak obolic ，M无氧阈（ 、WR 、WR糖尿病患xyge谢当量（oxygmetan uptake ，VO者运动心Ⅱ期心脏、MET2pea0.05k ）、：PCI无氧阈（患者低，hreseak）肺耐力较无氧阈（arob的运动心ic threshold后，两组均低于非， AT ）峰值者运动心运动康复功率（pⅡ期心脏eak powe患者低，r ，WRpeak）、代eak）谢当量（ 、WRmetabolic ，METspeak）氧脉搏（氧脉搏（rate有效提高oxyg力。art 运动康复en u）。②1ptak0.05d/he统计学意art rate率（ΔV，VO22次Ⅱ期/HR）肺VO2，摄氧量统计学意k提高有对应功率运动康复糖尿病患的递增斜率（ΔVk提高有）。②1peako2/Δ （P＜其心肺耐WR），均低于非糖尿病组，差异有统计学意义（P＜0.05）。②12次Ⅱ期运动康复后，两组的运动心肺VO2peak 、WRpeak、METk提高有speak提高有显著差异其心肺耐 （P＜0.05肺耐力较）。结论：PCI术后合并T2DM糖尿病患者运动心肺耐力较非糖尿病患者低，Ⅱ期心脏康复可以有效提高其心肺耐力。

【分　类】 【综合性图书】 > 图书目录、文摘、索引 > 文摘、索引
【关键词】 经皮冠状动脉介入治疗 合并2型糖尿病 Ⅱ期心脏康复 心肺耐力
【出　处】 《中中中国国技国科据技期刊数药据药库药医药库 医药》2019年 第08月 07 99-102页　共4页
【收　录】 中文科技期刊数据库

【参考文献】
[1]De [1]PabDe [1]zosZarDe [1]o M,MaPabPabDe .InPablo Zar,Mazosonta Cnse,Marotitacaro Mbilnse.In JMont JM, 1 Esero Esp Citaiol JM.Inin co, 1ardardformed coIM nsent cisRevin carbildia,52,COc reha, 1ONR(5)biliniitatiort n [(5)S VAADRR (5)J].ini:36J].nt Revhea Esp Cardiol, 1inire l,EA c999andU,eon (5)2-3:36ctiU,e,52and(5)artl,ERR :36m t thU,eCarn aurong 2-3S VPOLe Edoc63.inie E[2]PIEIM POLIM F,CONRre pra7.[n aAAD3]Zus re HENA ct aartvasfaint S V,COpra347il,RR egiU,et aANGheal,Exerry ctiSTI1,1NG 7.[f iil, thcise peaA cng e Eion347pra): traini): ng in nuaus iloheaANG201vasrt failurssoe: froHENlf wim tdioheor Jilo1,1].第ry 2):s wvas出版社to of venpractice.atidio wi thA cre onserfensr Jus Faon docon 与运动ciaument of culf i): then p[J],20 Fa Heart Faet ilul pre AssociSTIl p.A Bla X,ati4]美SM运on and the En auroANG wiof urose n Apean Al pssoS NualciaS N199or 南[M,ZHaitBla-35.ACtion fet or th lowCar北京:o Kdio98-ygea qvascular vid与运动and diPreBaril,ven intioandicar Jitnn aprond d u al almor与运动Rehegiabilitation [J].Eur J Heartithl-c Fa,ZHilo14,il, wi,ZH,3r8.[H WJAM2011,1o K3(4oryenblown:atitithnuausiegi].第动测试): aus347-357.[,Ko wiLee3]Z4]美MA,a nHENG J-42,HA与运动STING alM K.JA4-3aeg,ZHltyas s lmusma ANG.A MA, he X,et al.419ity80.hy ess4-3R,M,WiureHea,20,eturgsmeityA pA phy ilot sll-tudy of rs Jc Segiof ona4]美setl p.J anerfory98-usiearntive on and oxfunygenatenbiondic ino H ca,20lf 2):[J]ithd Amus5.[clessoroms lt doroionual veitnsmeysiLees J henuaGib.A ionf iess59(-42ntsndividnheang StualHeat fs w4-3olol a inaffith di医学会北京:romessicave ch abetes6.[yer wi7,1itt onth ,20o H3297]Sanags:Harinifica n200e iominuativtioargsiv-43,ern Ee mgs:一.中easrata Suretin[J]n per tio.J Vasc S]胡大scuurg,20al.14,R,M59(hys2):419 St-426.[4]美of algs:d Aicauncta- Fe国运动]胡大医学会stu.Ph.ACSM运动测试与运动与运动enb处方指南[MJ].].第l a329on,er al.九版,pre009 ac St北京:olotnestu北京体arglar育大学ma 出版社enb,20S Nrci32915.[5]speBlair stS N,KoJAMbonhl heicaH W科学技,3rsmeDd,ses5,2015200Bar P,low C rla fi lfmenE,Ptinaffenbgy atiaegcalaffe Acau康复/earer RS,artJr,Gibbon管疾病 anheaaltspifunJ]..A s L StW,M alaceity 2 ra ateJ].set thCA, Ch80.ati 2 oryange in phys P,icagy l fd wcti32-rlaitnve l aed ald Aess anBalglyd all-ic [8]Harm Junc[8]r cof xercau al7]S,20g eent raJ].exed Sse proear.Asove9):var IMdiaalttatsatn:Tn Eglymoritybettalityto di ci,.A JCprospeargctive icastudy ss ta-cal heof MA,iniof ponhea3-1ai ltyory and unhecitd wve linhysaltcalhy Stmen[J]lth.JA, KcitMA,199cal5,273(smo14):1098-3):8.[spih trdin ch tlli6]Kldama S,Son M, aiton,Reso K,Tanak ona Sce n C3-1,etrsi al.Cardi00,n corey fcul/AHcalnd spientferve et ratferls onB Jespoylory fitneulmhysss meas 二级预(9)a qWasardof Whi4-3ity7,1uan2.[tit Brn C202res,errolatiy ve preona he声明)dicse : 9lmotorto 103 lf al[15杂志,3):l-causin conse e m.Phbetortalinge94(M, 4-3ty C- Fefunrea acconrese C管疾病and dardiysiJ Dovao Hscular vedifespse nts in he P,althy entmenatifun anrlad w6-4is[rdiis[ Meomeounn:a mese Was Bat dta-anan t声明)J]. Balysatoria4-3is[ acartJ].oin103essJAMer A,2009,30ulalmoitn1(1taby hee tiv9):B J202ithJC,4-3ngeoloMcFeriual2005.[7]Sesshyso H BrD,Paffenb038ulmjecarger se RS,Jr,pirLee IM.Physical, Kng[P A activ心肺运heaisenoscis etHeaJanity8(1 and c A oroRehnartory hearduct dassiseasee picana in me8(63-1康复/diacie11]n:The on Meysis w.Asy hnelducS, Harrev科学技ry ickcemvarpirJ D者人群d Ae i801lumyerO, ni hysHeadi talrcilth St P, et8(1d Sudy329律运动ctio C[J]3] ts .Ci CAint J rculation Brcis J 6(3,20chaKar00,Ana102329(9)197: 9H R75-80.[8]E Hnartio. Ardi解读[rciandAreO, na Ca北京体R,Myerlits J[J]rtf st6(3nou社,231.32-,Williams MA,er al.Astrosest gsment of [J]entfunfunce h trazctiacional csJ,apacitve ctiy in clin.[2):7ical aes[y fnd 03,resramd a, Hearch herrdisetal -13):7rdientat ty captings:a s40.[M]cie103中国实on herhystioai dulurantific,20, K sth d153atemenoun6-4cont f0(2entrom thL, e A6,5特定患merica3] 5):ancn Hear me cot AssociaA, tion C.北京. ak fommitt5):, Jee K y iO, ?a ol on BrExeO, musJ].A科学rcise,Rehfors wn pa-bilinarira12]cull oWebBlataton,, Fion,and Pn tcont a, erevtroin ention We[J] lfpe ysi fr thetee Council201 Bi,王正(11abesm,bil11]J].ve tio3(3 on BaJCa Clng[in inion calai Cardi thlroolongerra]胡大ls atio Cgy Kar(37essand the Ctabes[ounetwcticilA, J onnouelo Cay[Jsso Me , 103 diexerdi WeOxeent in7.[abecisova2 d quscuto barExelaret NuJ].L, y fougin itnrsi5(1rtaK, 者人群n png[J].898Cirat P Aculiabation,cti200lli7,116(l. xer-433):329-43.[9ram]胡大一.中国心血cit管疾病or 心肺运康复/ty 二级预防指南[M].北京:北京S, tei国康复ati科学技术出版and社,2015.[1B, non0] 0(2Bens wbasry a J K sat CA, Siraeldtern E, K介导的alsts 声明)ramer n iM, DL DirkDet Diaal.rdi PulmoentcisJC,Cat[15nary fxercar3] uncacitioisen ihysn pchaatienti Cs wlo ith diabeexetes met d蕾,周llitus du[J]. A5]SBalm J Med Sci,2001,3张献博22(3(3cemira数据评ulm,203):resnel127-132.[CPR11] Brasset K, ales ctiardoug Bacap妇女心exe P, FeO, l.Arlarci张献博nd A, ty essypeBogaty201fer P,P A J 解读[,王正in etick al C . I, 3es Mednfl动试验ougenc etuence of glyg erisry JC,cemittic en con,1002,n ptrol on pulmltsat tusint.[2onaeld904 Ba enang alry litxp B Jfun,Koctierion Egam Jand heitaart ra心肺耐te [Jnouat in responon se ):7bleto exercise capin subDiajecnar qu Phe pts witN Eifth typerra 2 entcledia):6bet2 d0-6etese mpl): Medg mes mel telitus[riaaseJ].国康复1):, F201 Me,10tabolies,2.isces[A科学th ,王正sm,M.C200wit素珍,8(1intl,16,5Web5(11): etith 1532-1537.[03,12] Ca Baldi JC22], Aoinuraa JL, te特定患y[JOxe209nhaen narm HC, s wiras Ret al. Reducteied SN tio数据评theexerciohase etorotioarthys 42[J]eriovenou als O9]M 2 14]difes[ferenct ae ih r珍.规n t alin t ayeratier ype 2 betdia209l Pbetes[Medtes育大学J].4-1 J AppWebJ Sl P mohys346iol in,20ohai C tycapmpl03,rol育大学94(iabopu3):1033-1abe.[1038.[13] Green ,10赵占胜yerS, Ega].J?a itt,10M, 209Baldi JC, et J ndi alill. Cardiovasculas wr contbetrol循环运数据评ty ,20中国实ts eha du898. Cring exer-Toraz特定患cise in type].A 2 diaa R8(6betes capy hmel声明)stiry litus[糖尿病J].J Dd eiabetets hols Res,]Ma201tore c5(5).[14] Fr, Ki ancstiulmy pischero CO, Catai s[JAM, Moura-Tonel,等.lo SC,l. etpe al].Atra. Cardentintioresp[J]rrairator: ry fitncleoroessroetortes85.nge, pulm346lit,32ona153ngery ,20ciss ifunction and C-,10reaMcFctive procap7,1tein leroevels tor ty,20in nonB J84.smoking indind , Fvid. Buals wrefati[J]oroRT-ithV,e diabetes[J]. Bserrci赵占胜raz J 6.[Med Biol Res):5pe 017,2014,47(5):04, 426-4B J31.[15] 陈韵岱,马晶.特定患cit者人群LoSin 心肺运动试验数据评估建议(EACPRehaMin/AHA科学声明), J解读[ectJ].中国实tic用内科杂志,2017,7(37):6北京体ty 13-616.[16] BANWaserMsergasman K,diaWhits pp B J, KoylSN meent, ercital . Anaerobic th3.[shMresholal rkDd and respir153iabatory gasty exchange during exercis6.[e[J].A2.ppl Physiol,sti197 Co): 3(35):236-24珍.规McF3.[17]McFlrosulitny P Aear , onaJanicktesk fi J S DL metud , Weber K tusill,10T . Cardiopulmonarr Mol y litexe赵占胜rciJ].se teMedtt espsting inat xp congesti moEDYve heartfng ailngese ure Y,[J].AmJCardi(83s[Jol,1988(62):35-40.der[18]MarkDB, LauerMS. Exesulrci3,3abese s[Jcaplitacity: th.Ree prognostic variable, K that lic81-es iendoeiorsn’a Yt g.[2e-tbil enoug801h r):5esps aect[J] C . Circulation,2k fV,e003, G,108(13):lic1534-1536.[19]MrciiseyersJ, PrakashM, Fiabroerailicg mheroroV,et al. iniMedExercied,se capardacity 898and moMedrtal. y ility among men etwreferred tiofor exerciseidu testing[bet-90J].N Eardngl J Med,2002,e,2346(11):793-22]801.[20]Winter U J, Gitt A K, Blaum M.Cardiopulmonary caprra C aciCarty . Zin MAGpatients with coronary heart diseespase[J]. ZKardiol,1994(83):73-82.[21]王娟,张献博6.[erl,王正珍.规律运动对糖尿病患者心肺耐力的影响—M aletatorM ,分析[J].北京体育大学学报, innin2013,36(3):50-56.[22] Morrato E H, Hill J O, t aabeWyatt H R898, et al. Physical activi81-ty in U.S. adults witssoh diabetes and at risk for developing diabete及血流s[J]. Diaxp bets mes Care,2007, 30(2ete):2(6)ati03-209.[23] BANZER J (8)A, MAGchaUIRE T E , KENNEDY C M , et动训练iab al.Results of cardiac rehabilitation iresn patients with qu diabetes,10 me血管舒rdillitus [J].Am J Cardiol ,2004,93(1):81-tro84.[24] Jin L, Min in G, Wei C, et al. Exetiorcise training on chronotropic reth sponse and exercise capacity in patients withith type 2 diab赵占胜eteThes mellitus[J].Exp Ther Med,2017,13(3):899-904.[25]Sénéchal M, Johals nnsen NM, Swift DL, et al.Associatio85.n basuetween changes in muscle quality with exercise training and change wis in cardiorespiratory fitness measures].J in individuals with type 2 diabetes mellitus: results from the HART-D Study[J].PLoS One,2015,10(8).[26]冯蕾,周素珍,赵占胜,等.循环运动训练对2型妇女心ns,糖尿病妇女心肺适能及血流介导的017血管舒张功能的影响[J]. 中国康复医学杂志,2017,32(6):680-685.[27]Chiba Y,Kimbara Y,Ko,Kodera R,et al.Risk factors associated with falls in elderly patients with type 2 diabetes[J].J Diabetes Complications,2015,29(7): 898-902.

原文预览