在中度强度阻力训练期间,上升大动脉手术患者的血液动力学反应
Rikke Gottlieb1,2,3, Kasper Arnskov1, Marius Henriksen1,4
1Department of Physical Therapy and Occupational Therapy, Copenhagen University Hospital, Bispebjerg-Frederiksberg Hospital, Copenhagen, Denmark.
Translational sports medicine
|April 24, 2024
概括
上升的大动脉手术患者可以安全地进行中等阻力训练. 与健康个体相比,他们的静脉压 (SBP) 在运动期间的增加明显较小,这表明安全适应.
科学领域:
- 心血管外科心血管外科
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 在上升大动脉手术 (AAS) 患者中,建议进行术后运动.
- 抵抗训练可能会提高血压 (BP),造成大动脉解剖或破裂的风险.
- 在AAS患者中,对抗力训练的急性血液动力学反应尚不清楚.
研究的目的:
- 为了研究在中度强度抵抗训练期间AAS患者的峰值缩血压 (SBP) 增加.
- 将AAS患者的血液动力学反应与健康对照组的血液动力学反应进行比较.
主要方法:
- 在三组中等强度的腿按压期间,持续的,非侵入性的节奏到节奏的SBP监测.
- 使用15次重复的最大强度测试来确定适当的阻力水平 (约. 60-65%的最大强度).
- 参与者包括24名AAS患者 (平均年龄为60.0岁,手术后16.3个月,22名服用抗高血压药物) 和24名健康对照.
主要成果:
- 在AAS患者的腿部压力期间,SBP的中位峰值为152 mmHg (组1),154 mmHg (组2) 和165 mmHg (组3).
- 对照组中位数SBP峰值较高:170 mmHg (组1),181 mmHg (组2) 和179 mmHg (组3).
- 与基线相比,AAS患者的SBP最大增加为39%,而对照组的SBP最大增加为51%.
结论:
- 控制血压的AAS患者可以安全地完成三组中等强度的抵抗训练.
- 在抵抗运动期间AAS患者的SBP反应明显低于健康个体.
- 研究结果支持将抗力训练纳入AAS后康复方案,并仔细监测血压.
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