在心肌梗塞后的动脉高血压患者中适度体育训练计划的效果
David M Aronov1, Marina G Bubnova2, Nadezhda P Lyamina3
1National Medical Research Center for Therapy and Preventive Medicine, Moscow. aronovdm@mail.ru.
European journal of translational myology
|July 10, 2025
概括
心脏康复计划中的体育训练显著改善了高血压心肌梗塞后患者的运动能力,心脏功能和生活质量. 这种干预措施还减少了心血管事件和工作缺勤.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 心肌梗塞 (MI) 后高血压患者面临显著的心血管风险.
- 心脏康复计划 (CRP) 旨在改善这些患者的治疗结果.
- 结构化体育训练在CRP中的作用需要进一步阐明.
研究的目的:
- 评估体育训练的临床有效性,并将其整合到CRP中,用于MI后的高血压患者.
- 为了比较体力训练组和接受标准护理的对照组之间的结果.
主要方法:
- 206名高血压后心脏病发作患者被随机分为体育训练组 (PhTG,n=102) 或对照组 (CG,n=104).
- 一年来,PhTG每周进行三次轻度健身和中度骑自行车运动.
- 两组都接受了标准的药物治疗.
主要成果:
- PhTG在运动能力 (持续时间+38%,总工作+63.6%),心脏功能 (射出分数+7.6%) 和减速-压力产物 (-8.2%) 中显著改善.
- 休息时血压在PHTG下降 (静态 -3.1%,静态 -3.5%),而在CG上升 (静态 +3.1%,静态 +3.4%).
- 在PhTG中,缺血发作,心痛发作,使用尼糖,心血管事件 (-50%) 较少,工作缺勤减少 (-43.2%).
结论:
- 补充中度体育炼的CRP为高血压后心脏病患者提供了巨大的好处.
- 这种方法可以改善血压,工作能力,心脏功能和整体生活质量.
- 体育训练是全面心脏康复的重要组成部分.
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