[Effects of aerobic exercise combined with resistance training on the cardiorespiratory fitness and exercise capacity of patients with stable coronary artery disease].
[Effects of aerobic exercise combined with resistance training on the cardiorespiratory fitness and exercise capacity of patients with stable coronary artery disease].
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有氧运动联合抗阻训练对稳定性冠心病患者心肺健康及运动能力的影响
DOI：
10.3760/cma.j.issn.0253-3758.2017.12.011
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
W. L. Zhang
中科院分区：
文献类型：
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作者：
S. X. Liu;Y. Y. Chen;K. Xie;W. L. Zhang
目的：观察有氧运动联合抗阻训练对稳定型冠心病患者心肺适能和运动能力的影响。研究方法：选取2014年6月至2015年12月我科收治的稳定期冠心病患者73例，随机分为对照组（n=38）和运动组（n=35）。两组患者均接受冠心病的常规内科治疗及相关的心脏健康教育。运动组在常规治疗和健康教育的基础上，进行为期12周的有氧运动结合抗阻训练。心肺功能和运动能力通过运动心肺功能测试进行评估。结果如下：（1）运动组在12周训练后的运动能力与基线水平相比显著增加：每公斤最大摄氧量（26.25±5.14）ml·kg（-1）·min（-1）vs.（20.88±4.59）ml·kg（-1）·min（-1），无氧阈（15.24±2.75）ml·kg（-1）·min（-1）vs.（13.52±2.92）ml·kg（-1）·min（-1）]，峰值氧脉搏（11.91±2.89）ml/次vs.（9.77±2.49）ml/次），峰值瓦特（113.2±34.0）W vs.（103.7±27.9）W），峰值代谢当量（（7.57±1.46）METs vs.（6.00±1.32）METs）（均P<0.05 vs.基线）。(2)每千克峰值摄氧量的改善程度（26.25±5.14）ml·kg（-1）·min（-1）vs.（22.32±4.00）ml·kg（-1）·min（-1），无氧阈（15.24±2.75）ml·kg（-1）·min（-1）vs.（13.76±2.51）ml·kg-1·min-1），峰值氧脉冲（11.91±2.89）ml/次vs.（9.99±2.15）ml/次）和峰值代谢当量运动组（7.57±1.46）METs显著高于对照组（6.47±1.17）METs（P均<0.05）。结论：有氧阈水平的有氧训练结合Thera-band阻力训练对稳定型冠心病患者是安全的。此组合运动计划可显著改善稳定型冠状动脉疾病患者的心肺适能及运动能力。
Objective: To observe the effects of aerobic exercise combined with resistance training on the cardiorespiratory fitness and exercise capacity of patients with stable coronary artery disease (CAD) . Methods: From June 2014 to December 2015, 73 patients with stable CAD in our department were recruited and randomly assigned to two groups: the control group (n=38) and the exercise group (n=35) . Patients in both groups received conventional medical treatment for CAD and related cardiac health education. While for patients in exercise group, a twelve-week aerobic exercise combined with resistance training program were applied on top of conventional treatment and health education. Cardiorespiratory fitness and exercise capacity were evaluated by cardiopulmonary exercise testing. Results: (1) The exercise capacity was significantly increased in the exercise group after 12 weeks training as compared to baseline level: peak oxygen uptake per kilogram ( (26.25±5.14) ml·kg(-1)·min(-1) vs. (20.88±4.59) ml·kg(-1)·min(-1)) , anaerobic threshold ( (15.24±2.75) ml·kg(-1)·min(-1) vs. (13.52±2.92) ml·kg(-1)·min(-1)], peak oxygen pulse ( (11.91±2.89) ml/beat vs. (9.77±2.49) ml/beat) , peak Watts ( (113.2±34.0) W vs. (103.7±27.9) W) , peak metabolic equivalent ( (7.57±1.46) METs vs. (6.00±1.32) METs) (all P<0.05 vs. baseline) . (2) The degree of improvement of peak oxygen uptake per kilogram ( (26.25±5.14) ml·kg(-1)·min(-1) vs. (22.32±4.00) ml·kg(-1)·min(-1)) , anaerobic threshold ( (15.24±2.75) ml·kg(-1)·min(-1) vs. (13.76±2.51) ml·kg(-1)·min(-1)) , peak oxygen pulse ( (11.91±2.89) ml/beat vs. (9.99±2.15) ml/beat) and peak metabolic equivalent ( (7.57±1.46) METs vs. (6.47±1.17) METs) were significantly higher in exercise group than in control group (all P<0.05) . Conclusion: Aerobic training at an aerobic threshold level combined with Thera-band resistance training is safe for patients with stable coronary artery disease. This combined exercise program can significantly improve the cardiorespiratory fitness and exercise capacity of patients with stable coronary artery disease.