早期TAVI后的体力活动与标准实践相比,奇特训练后的体力活动 - - 可行性研究的结果
Anja Haase-Fielitz1,2,3, Josefine Stoll4, Tilman Engel4
1Department of Cardiology, University Hospital Heart Centre Brandenburg, Brandenburg Medical School (MHB) Theodor Fontane, Bernau, Germany.
Clinical interventions in aging
|March 3, 2026
概括
通过导管大动脉植入 (TAVI) 后的异常训练是可行的,但与标准护理相比,没有短期的功能益处. 在TAVI后的早期患者活动在快速恢复计划中提出了挑战.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 穿透管大动脉植入后 (TAVI) 身体活动对于改善心血管结果和生活质量至关重要.
- 在接受TAVI的老年患者中,功能性流动性有限是常见的,这会影响康复和长期健康.
- 在TAVI之前和之后评估功能状态对于优化患者护理和康复策略至关重要.
研究的目的:
- 评估TAVI之前和之后不久的患者的功能状态.
- 为了确定一个古怪的培训计划的可行性,在TAVI后的早期开始.
- 为了比较异常训练与标准护理对功能移动性和下肢力量的影响.
主要方法:
- 一项受控可行性试验,涉及选用TAVI患者,但没有严重的运动限制.
- 评估压力中心 (CoP),定时上升和移动 (TUG) 测试,以及椅子上升测试 (CRT) 在TAVI之前和之后.
- 干预组每天接受10分钟的异常训练,从TAVI后的第二天开始;对照组接受标准护理.
主要成果:
- 大多数患者完成了TAVI CoP前测试;在古怪组中,需要支持的患者较少 (4.2%对31.0%,p=0.015).
- 在TAVI后,两组之间没有观察到TUG或CRT结果的显著差异 (p>0.15).
- 物理SF-12得分在对照组 (+8.9分) 得到了更大的改善,而不是在异常训练组 (+1.6分).
结论:
- 高龄的TAVI患者在手术前和手术后的早期表现出功能移动性有限.
- 在TAVI后的早期异常培训是可行的,但面临障碍,并且在标准护理上没有短期的功能优势.
- 在TAVI后促进早期患者活动仍然是快速恢复途径中的一个挑战.
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