冠状动脉旁路移植后多重运动治疗的有效性:对随机对照试验的系统审查
Md Moneruzzaman1, Wei-Zhen Sun1, Geoffrey J Changwe2,3
1Rehabilitation Center, Qilu Hospital of Shandong University, 250012 Jinan, Shandong, China.
Reviews in cardiovascular medicine
|July 30, 2024
概括
多重运动疗法显著提高了冠状动脉旁路移植 (CABG) 手术后的康复,改善了功能能力. 然而,过于复杂的程序可能无法改善生活质量,因此需要进一步研究最佳运动策略.
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:
- 冠状动脉旁路移植 (CABG) 手术旨在恢复心脏功能,但存在术后并发症的风险.
- 对于接受CABG的患者来说,有效的康复策略至关重要.
- 本综述考察了单次与多次运动治疗对CABG后恢复的影响.
研究的目的:
- 系统地审查单次和多次运动治疗干预措施对CABG手术后患者康复的影响.
- 为了比较不同炼方式在改善CABG后的功能能力和炼耐受性方面的有效性.
主要方法:
- 在包括PubMed,Scopus,Web of Science和EBSCOhost在内的数据库中进行系统的文献搜索,从2000年到2022年.
- 包括9项随机对照试验,涉及599名CABG患者.
- 分析与功能能力 (例如,6分钟的步行距离) 和运动耐受性 (例如,峰值氧气吸收) 相关的结果.
主要成果:
- 多次运动治疗,包括鼓舞性肌肉训练和有氧运动,与单次运动治疗相比,在住院患者的6分钟步行距离显著改善.
- 在多次炼组的随访中观察到氧气吸收的峰值改善,但在出院时没有.
- 门诊心脏康复包括高强度启发性肌肉训练,抵抗训练和有氧运动显著改善了6分钟的步行距离和出院时的峰值氧气吸收.
结论:
- 多重运动疗法在增强CABG后住院和门诊心脏康复的功能和运动能力方面表现出比单次运动疗法更高的疗效.
- 涉及广泛运动组合的协议可能不一定会改善生活质量.
- 鼓舞性肌肉训练和抵抗训练是显著影响结果的关键组成部分,值得进一步研究.
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