基于C模型的心脏康复对心脏事件后患者运动耐受性和血液动力学指标的影响

Ł. Bielawa, K. Prusik, Kristof Prusik
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摘要

背景与研究目的:心血管疾病目前被归类为文明疾病。自20世纪以来,病例数量急剧增加。目前,波兰多达46%的死亡是由循环系统疾病引起的。本研究的目的是根据C模型评估心脏康复对心脏事件后患者运动耐量和血流动力学指标的影响。材料与方法:本研究在北京医院心脏康复科进行。研究组共32例患者,经入院体格检查,符合条件,根据6MWT进行体质初步评估。根据现行标准,该测试在入学后的第二天进行。随后,受试者按照C模型进行28天周期的早期心脏康复。结果:经过4周的心脏康复治疗,运动成绩有统计学意义的改善,平均增加了68.34 m。在完成康复周期后,根据Skala Borga的疲劳水平有统计学上显著的变化。正常体重、超重和肥胖患者由于康复周期的原因,6MWT结果的增加相似。结论:本研究结果表明,迫切需要教育患者预防和预防心血管疾病,并增加所有人在心脏病事件后康复的可获得性。
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The influence of cardiac rehabilitation according to the C model on exercise tolerance and hemodynamic indices in patients after cardiac incident
Background and Study Aim: Cardiovascular diseases are currently classified as civilization diseases. The number of cases since the 20th century has dramatically increased. Currently, as many as 46% of all deaths in Poland are caused by diseases of the circulatory system. The aim of the study is to assess the impact of cardiac rehabilitation according to the C model on exercise tolerance and hemodynamic indices in patients after a cardiac incident. Material and Methods: The research was carried out in the Department of Cardiac Rehabilitation in Szymbark. The study group consisted of 32 patients who, after physical examination at admission, were qualified for the preliminary assessment of physical fitness on the basis of 6MWT. The test was carried out the day after the admission, according to current standards. Subsequently, the examined persons underwent a 28-day cycle of early cardiac rehabilitation according to the C model. Results: As a result of a 4-week cardiac rehabilitation, a statistically significant improvement in physical performance was obtained, with a distance increase of 68.34 m on average. A statistically significant change in the level of fatigue according to Skala Borga after the completion of the rehabilitation cycle was demonstrated. Patients with normal body weight, overweight and obesity received a similar increase in 6MWT results due to the rehabilitation cycle. Conclusions: The results of this study indicate the urgent need to educate patients in the prevention and prevention of cardiovascular disease and to increase the availability of rehabilitation for all people after a cardiological incident.
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