有氧运动联合电刺激短期内对脑卒中患者心肺适应性的影响

Effect of Aerobic Exercise Combined with Electrical Stimulation on Cardiopulmonary Fitness in Patients with Stroke in a short Duration

【目的】探讨联合应用有氧运动和电刺激短期内对脑卒中患者心肺适应性的影响。【方法】选取2018年9月至2019年12月上海市养志康复医院心肺康复科行康复治疗的60例脑卒中患者,根据随机数表法将其分为有氧运动+电刺激组(A组)、有氧运动组(B组)、电刺激组(C组),每组各20例。三组均进行常规的步态、平衡、力量和关节活动度训练。另外,A组接受有氧运动+电刺激、B组接受有氧运动和C组接受电刺激治疗,共4周。比较三组治疗前后心肺运动试验参数:最大摄氧量(V02max)、呼吸交换比(RER)、最大心率、收缩压、舒张压和运动时程。【结果】三组治疗前V02mflX、RER、最大心率、收缩压、舒张压和运动时程比较,差异无统计学意义(P>0.05)。治疗后,A组V02max、运动时程高于治疗前,且高于B组、C组,差异均有统计学意义(P<0.05);RER、最大心率、收缩压(SBP)和舒张压(DBP)与治疗前比较,差异无统计学意义(P>0.05),与B组、C组比较,差异无统计学意义(P>0.05)。治疗后,B组、C组各指标与治疗前比较,差异无统计学意义(P>0.05),且B组、C组组间比较差异无统计学意义(P>0.05)。【结论】有氧运动训练联合电刺激能够短期内提高脑卒中患者V()2max,是短期内提高脑卒中患者心肺适应性的有效康复途径。

【Objective】To invevStigate the effect of aerobic exercise combined with electrical stimulation on cardiopulmonary fitness in patients with stroke in a short duration.【Methods】Sixty patients with stroke were divided into aerobic exercise combined with electrical stimulation group(A),aerobic exercise group(B)and electrical stimulation group(C)according to the random number table method,with 20 cases in each group.Among three groups,all patients received conventional exercise training including gait,balance,strength,and range of motion activities.Additionally,patients in group A,group B and group C received aerobic exercise combined with electrical stimulation,aerobic exercise and electrical stimulation,respectively,the duration of the therapy was 4 weeks.The variables of cardiopulmonary exercise test before and after treatment including maximal oxygen consumption(V()2max),respiratory exchange ratio(RER〉,maximal heart ra te,systolic blood pressure,diastolic blood pressure and exercise duration were compared among three groups.IR e su ltsJ There were no obvious differences of VO2max,RER,maximal heart rate,systolic blood pressure,diastolic blood pressure and exercise duration among patient of the three groups before treatment.VO2max and exercise duration after treatm ent in patients of group A were higher than those before treatm ent(P<C0.05),and VO2max and exercise duration after treatment were higher in group A than in group B and C(P<0.05).There were no significant differences of RER,maximal heart ra te,systolic blood preSvSure and diastolic blood pressure after treatm ent in patients of group A compared to those before treatm ent(P>0.05).Compared with that before treatm ent,each variable after treatment in patients of group B and C had no obvious change(P>0.05)»and the variable after treatm ent in patients of group B had no significant difference compared to corresponding variable after treatment in patients of group C(P〉0.05).【Conclusion】Aerobic exercise combinedwith electrical stimulation can improve VO2max in patients with stroke in a short duration,which is an effective rehabilitation method for improving cardiopulmonary fitness in patients with stroke in a short duration.