加速训练作为开放心脏手术后心脏康复的安全性和有效性 - 一项试点研究
Yuta Kanazawa1, Shunsuke Saito2, Shohei Okubo1
1Department of Cardiac and Vascular Surgery, School of Medicine, Dokkyo Medical University.
概括
加速训练 (AT) 对于心脏手术后的患者来说是安全有效的. 在结合心脏康复 (CR) 的情况下,AT有助于预防住院期间肌肉和身体功能丧失.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 运动生理学 运动生理学
背景情况:
- 心脏手术后的恢复通常涉及肌肉质量和功能衰退.
- 标准的心脏康复 (CR) 可能无法完全减轻这些损失.
研究的目的:
- 评价加速训练 (AT) 的安全性和有效性,在患者立即开心手术后.
- 为了确定AT是否可以防止骨肌肉质量损失,软弱和身体功能下降.
主要方法:
- 一项随机对照研究,涉及70名心脏开放手术后的患者.
- 一组接受标准CR;另一组使用振动平台接受CR加AT.
- 评估身体表现,肌肉质量,肌肉强度和内皮功能标志物.
主要成果:
- 在AT期间没有报告任何不良事件.
- 在AT组显示大腿肌肉质量在出院时显著减少.
- 在内皮功能标志物 (ICAM-1,VCAM-1) 中没有发现显著差异.
结论:
- 加速训练 (AT) 是一项安全有效的干预措施,用于患者立即开心手术后.
- 当添加到CR时,AT可以帮助在早期恢复期间保持骨肌肉质量,力量和身体功能.
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