患者的运动训练的效果与丰坦循环:一个系统的审查和元分析
Hee Joung Choi1, Soo-Jin Kim2, Duck Woo Lee3
1Department of Pediatrics, Keimyung University Dongsan Hospital, Daegu, Korea.
Korean circulation journal
|June 19, 2025
概括
运动康复显著提高了Fontan手术幸存者的运动能力. 特别是儿童的有氧运动计划,在峰值氧气消耗 (VO2) 方面取得了最佳结果.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 运动生理学 运动生理学
背景情况:
- 在Fontan手术后改善的长期存活率强调了运动能力的重要性.
- 运动能力是Fontan循环患者的关键预后因素.
- 有各种各样的康复计划存在,需要进行比较分析.
研究的目的:
- 系统地审查和元分析运动康复在Fontan循环患者的影响.
- 根据患者年龄组和运动方式来比较结果.
- 评估对峰值氧气消耗 (VO2) 和 VE/VCO2 斜率的影响.
主要方法:
- 在PubMed,Embase和Cochrane图书馆的数据库中搜索到2023年11月.
- 包括20项研究 (5项RCT,2项随机试验,13项队列研究).
- 对峰值氧气消耗 (VO2) 和 VE/VCO2 斜率进行了元分析.
主要成果:
- 与对照组 (SMD,0.48;p=0.0017) 和前后训练 (SMD,0.44;p=0.001) 相比,运动训练显著改善了峰值VO2.
- 在VE/VCO2斜率上没有观察到显著的变化.
- 亚组分析显示,有氧运动 (SMD,0.32;p=0.0136) 和儿科组 (SMD,0.49;p<0.05) 的VO2峰值显著改善.
结论:
- 运动训练有效地提高了Fontan后患者的运动能力.
- 有氧运动干预措施特别有益.
- 在较年轻的年龄开始运动康复可以获得更好的结果.
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