运动训练对运动能力和血管功能的影响,经过透气管大动脉植入后 - - 一项试点研究
Luka Vitez1,2, Matjaž Bunc1,2, Borut Jug2,3
1Department of Cardiology, Division of Internal Medicine, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Journal of cardiovascular development and disease
|August 25, 2023
概括
无论是监督还是无监督的运动,都能改善经过过导管大动脉植入 (TAVI) 的患者的运动能力和血管功能. 监督训练可能为血管功能提供更大的好处,通过流介导扩张 (FMD) 来衡量.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 血管生物学 血管生物学
背景情况:
- 过导管大动脉植入 (TAVI) 是一种严重的大动脉狭窄的手术,但患者在手术后经常经历不良的运动能力.
- 运动干预对于改善TAVI患者的结果至关重要,但监督与无监督计划的比较有效性尚未得到充分证实.
研究的目的:
- 为了比较受监督的以中心为基础的运动训练与无监督的以家庭为基础的运动程序对TAVI后患者的运动能力和血管功能的影响.
主要方法:
- 随机对照试验涉及TAVI患者,他们被分配到监督 (12-24次,有氧和抵抗训练) 或无监督 (家庭,每月随访) 运动中.
- 通过心肺检测评估运动能力,通过流媒体扩张 (FMD) 评估血管功能,并在基线和干预后测量动脉硬度.
- 研究包括23名患者 (平均年龄为81岁,61%为女性);因COVID-19大流行病而导致的退学率为41%.
主要成果:
- 在这两组中,运动能力显著提高,这表明峰值氧气吸收,工作负载和累积运动时间的增加.
- 观察到流媒体扩张 (FMD) 的显著改善,监督炼组的效果比无监督组的效果更大.
- 对于其他血管功能参数,没有发现显著的群体间差异.
结论:
- 监督和无监督的运动计划都提高了TAVI后患者的运动能力和血管功能.
- 在这个患者群体中,监督的运动训练可能会在血管功能,特别是口炎方面提供优异的改善,相比于无监督的日常活动.
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