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| 題 名 | 內科醫師應知道的運動醫學和心肺運動檢查知識:十五問=15 Must-Know Questions on Exercise Medicine and CPET for Internal Medicine Physicians |
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| 作 者 | 莊銘隆; | 書刊名 | 內科學誌 |
| 卷 期 | 36:2 2025.04[民114.04] |
| 頁 次 | 頁115-124 |
| 分類號 | 416.69 |
| 關鍵詞 | 心肺運動檢查; 無氧呼吸閾值; 間接性能量測量儀; 慢性病; 復健運動訓練; 呼吸困難; Cardiopulmonary exercise test; Anaerobic threshold; Indirect calorimetry; Chronic disease; Rehabilitation exercise training; Dyspnea; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6314/JIMT.202504_36(2).03 |
| 中文摘要 | 有效的運動才能促進健康,尤其是慢性病人,雖原發器官各自受損,但共同導致次發性 廢用少動肌肉失調,使呼吸困難、運動不耐、疲倦、虛弱更形嚴重,生活獨立性差,逐漸退 縮於家庭和社會。病人除了治療原器官外,本綜論敘述心肺運動檢查在鑑別喘、心悸、疲倦 原因,例如心悸應先明其因,不能浮濫開propranolol (inderal)和復健旨在運動訓練肢體肌肉, 增加增強有氧肌,減少無氧肌產生乳酸。運動訓練要點在頻率、強度、時間和類型。運動強 度由心肺運動檢查定錨個人無氧呼吸閾值,是訓練的指標和安全保證。透過氧消耗量來理解 運動與日常生活能量使用,如同間接性的能量測量儀原理。具備心肺運動知識,有助於了解 呼吸困難原理、運動訓練、能量營養。 |
| 英文摘要 | Effective exercise is essential for achieving health, especially for patients with chronic diseases. Although their primary organs are each damaged in different ways, they commonly experience secondary issues such as disuse, physical inactivity, and muscle dysfunction, which exacerbate symptoms like breathlessness, exercise intolerance, fatigue, and weakness, leading to poor independence in daily life and increasing social withdrawal. In addition to treating the primary organs, this review focuses on rehabilitation aimed at training the limb muscles, enhancing aerobic muscles, and reducing the production of lactic acid by anaerobic muscles. The key points of exercise training are frequency, intensity, time (duration), and type. Exercise intensity is anchored to the individual's anaerobic threshold determined by cardiopulmonary exercise testing, serving as both a training guide and a safety guarantee. Understanding oxygen consumption helps to comprehend the relationship between exercise and energy usage, similar to the principle of an indirect calorimeter. Possessing knowledge of cardiopulmonary exercise is beneficial for understanding the mechanisms of breathlessness, exercise training, and energy metabolism. |
本系統中英文摘要資訊取自各篇刊載內容。