有氧运动对脑卒中患者运动能力及心功能影响研究

Effects of aerobic training on exercise ability and cardiac function in patients with stroke

目的分析有氧运动对脑卒中患者运动能力及心功能的影响。方法选取2015年1月~2017年1月在本院接受治疗的脑卒中患者130例,依据患者耐受情况,将患者分为对照组和试验组各65例,对照组行基础药物治疗,试验组在对照组基础上行有氧运动训练,对两组患者指脉氧、血压、呼吸和心率进行动态监测,统计学处理相关数据,对其差异性进一步分析。结果治疗后两组患者摄氧量峰值、新陈代谢当量最大值与治疗前对比,差异均有统计学意义(P<0.05),且试验组与对照组对比差异有统计学意义(P<0.05);治疗后对照组和试验组两组患者体重、腰围及体质量指数(BMI)指标显著减少,试验组患者接受有氧运动后体重、腰围和BMI显著低于对照组,差异有统计学意义(P<0.05);治疗后,试验组顺应性提高得更明显,差异有统计学意义(P<0.05);两组患者接受治疗前Fugl一Meyer评分差异无统计学意义(P>0.05),在接受治疗之后,两组评分均有明显提高,试验组评分显著优于对照组,差异具有统计学意义(P<0.05)。结论有氧运动治疗可使脑卒中患者的运动能力及心功能得到显著改善,值得临床关注。

Objective To analyze the effect of aerobic exercise on exercise ability and cardiac function in stroke patients.Methods 130 stroke patients in our hospital from January 2015 to January 2017 were enrolled in.According to the patient's tolerance,the patients were divided into control group and experimental group with 65 cases in each group.The patients in control group received basic treatment and the patients in experimental group received basic treatment and aerobic exercise training.Compared blood pressure,pulse oxygen,heart rate and respiratory rate between two groups.Results After the treatment,peak oxygen uptake and the maximum equivalent were increased dramatically than.(P<0.05),and peak oxygen uptake and the maximum equivalent in test group were higher than those in control group after treatment(P<0.05);Body weight,waist circumference and BMI index were decrease significantly after treatment in the two groups.And body weight,waist circumference and BMI in test group were significantly lower than those in control group after treatment(P<0.05).Compliance in test group was improved more obviously than that in control group after treatment(P<0.05).There was no significant difference in the score of Meyer Fugl in the two groups before treatment(P>0.05);after treatment,the score of Meyer Fugl was significantly improved in the two groups,and the score of Meyer Fugl in test group was better than that in contro group(P<0.05).Conclusion Aerobic exercise therapy can improve the motor ability and cardiac function of patients with stroke.