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題 名 | Comparison of Time-Related Changes between Body Weight and Subsequent Effects of Supervised Cardiac Rehabilitation in Patients with Acute Myocardial Infarction=急性心肌梗塞病人接受心臟復健運動療法後其療效的持續性與體重變化的比較 |
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作 者 | 賴嘉珀; 李志偉; 王志鴻; 謝仁哲; 林繼謨; | 書刊名 | 慈濟醫學 |
卷 期 | 13:4 2001.12[民90.12] |
頁 次 | 頁203-209 |
分類號 | 415.3161 |
關鍵詞 | 身體質量指數; 有氧運動值; 急性心肌梗塞; 監視型心臟復健運動療法; 居家運動訓練; Body mass index; Anaerobic threshold; Acute myocardial infarction; Supervised cardiac rehabilitation; Home-based exercise training; |
語 文 | 英文(English) |
中文摘要 | 目的:接受過心臟復健運動療法的急性心肌梗塞病人,在臨床上常有 運動耐受力比治療中降低之情形。本研究的目的在探討心臟復健運動療法後療效 持續性的影響因素。材料與方法:94名急性心肌梗塞之病人於接受過心臟復健 運動療法後,鼓勵其繼續居家自我運動訓練。有氧運動值(AT)於心臟復健療法 前、後和6個月後分別測試之。結果:依AT值的經時變化可分為(1)增加組 (incremental group,n=39)的AT值從心臟復健運動療法前的1.08±0.19 watt/kg增 加至6個月後的1.23±0.32 watt/kg,(2)降低組(decrescent group,n=55)的AT值變 化呈倒V字型,其最高點為心臟復健運動療法後的1.16±0.18 watt/Kg。增加組的 平均體重減少了0.4±1.2 kg/m2,而降低組的平均體重增加了0.3±0.9 kg/m2。另 外,增加組較降低組有較多的病人繼續居家運動療法(85% Vs 65%,p<0.05)。冠 狀動脈硬化的嚴重度,冠狀動脈氣球擴張術的施行時間和冠心病危險因子對AT 值的經時變化並無明顯影響。結論:心臟復健運動療法後其療效的持續性與體重 的變化成反比關係,而這些變化的關係可能與病人的持續居家自我運動訓練有 關。(慈濟醫學2001; 13:203-209) |
英文摘要 | Objective: We studied what factors can be used to predict the subsequent effects on anaerobic threshold (AT) post supervised cardiac rehabilitation program in patients who had suffered an acute myocardial infarction (AMI). Materials and Methods: Nety-four patients were asked to continue home-based exercise training after eight weeks of supervised exercise training. Exercise tests were performed at three stages including pre-training, post-training and sixth month post training. Results: There were two different time-related AT changes. In the incremental group (n=39), the AT value increased lineally from1.08±0.19 watt/kg at the post-training stage to1.23±0.32 watts/kg at sixth month after training (p<0.05). In the decrescent group (n=55), the AT value was an inverted V curve with a peak of 1.16±0.18 watts/kg at the post-training stage. Body mass index (BMI) for the incremental group decreased from 23.7±2.2 kg/m2 to 23.3±2.7 kg/m2, while BMI increased from 23.6±2.7 kg/m2 to 23.8±2.7 kg/m2. The percentage of patient compliance with an ongoing continuous home-based exercise training was higher in the incremental group than in the decrescent group (85% Vs 65%, p<0.05). Conclusion: Body weight alternations were converse to the subsequent AT value after supervised cardiac rehabilitation and were partially associated with continuous home-based exercise training. (Tzu Chi Med J 2001; 13:203-209) |
本系統中英文摘要資訊取自各篇刊載內容。