个体化运动处方对心血管疾病的康复效果研究进展

doi:10.3969/j.issn.1006-9771.2019.01.008

Abstract

Abstract: Currently, individualized exercise prescription plays a vital role in the cardiac rehabilitation of patients with chronic car-diovascular diseases. Many cardiopulmonary exercise tests proved that individualized exercise prescription can lower blood pressure and glucose of patients with cardiovascular diseases, improve cardiopulmonary function, and improve ex-ercise endurance and quality of life. At the same time, this paper also summarized that the individualized exercise pre-scription should be formulated in compliance with the principle (individuality, effectiveness, safety, professionalization, comprehensiveness and permanence), exercise intensity evaluation method (from previous heart rate, fatigue grading methods into cardiopulmonary exercise test) and the contents of the individualized exercise prescription (with a focus on the exercise intensity formulation).

Key words: cardiovascular disease, individualized exercise prescription, rehabilitation, review

CLC Number:

R651.2

ZHANG Shuang, CHEN Ying, WANG Xi, YU Zhen, PAN Li-niu, ZHANG Wei-hong. Advance in Rehabilitation Effects for Individualized Exercise Prescription on Cardiovascular Disease (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(1): 60-63.

References

[1] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J]. 中国循环杂志, 2018, 33(1): 1-8.
[2] Rauch B, Davos C H, Doherty P, et al.The prognostic effect of cardiac rehabilitation in the era of acute revascularisation and statin therapy: a systematic review and meta- analysis of randomized and non-randomized studies–The Cardiac Rehabilitation Outcome Study (CROS)[J]. Eur J Prev Cardiol, 2016, 23(18): 1914-1939.
[3] Sibilitz K L, Berg S K, Tang L H, et al.Exercise- based cardiac rehabilitation for adults after heart valve surgery[J]. Cochrane Database Syst Rev, 2016, 3: D010876.
[4] Lewinter C, Doherty P, Gale C P, et al.Exercise-based cardiac rehabilitation in patients with heart failure: a meta- analysis of randomised controlled trials between 1999 and 2013[J]. Eur J Prev Cardiol, 2015, 22(12): 1504-1512.
[5] Lane R, Harwood A, Watson L, et al.Exercise for intermittent claudication[J]. Cochrane Database Syst Rev, 2017, 12: D990.
[6] Tu H, Wen C P, Tsai S P, et al.Cancer risk associated with chronic diseases and disease markers: prospective cohort study[J]. BMJ, 2018, 360: k134.
[7] 杨丽华,吴站蓉. 实现综合性“现代心肺康复”[J]. 中国医药导报, 2014, 11(29): 165-168.
[8] Sandesara P B, Lambert C T, Gordon N F, et al.Cardiac rehabilitation and risk reduction: time to "rebrand and reinvigo-rate"[J]. J Am Coll Cardiol, 2015, 65(4): 389.
[9] Clarke H H.Application of measurement to health and physical education[M]. 2nd ed. New York: Prentice-Hall, 1950.
[10] 步斌,侯乐荣,周学兰,等. 运动处方研究进展[J]. 中国循证医学杂志, 2010, 10(12): 1359-1366.
[11] 刘洁. 个体化理念在心脏运动康复健康教育中的应用[J]. 包头医学, 2016, 40(2): 104-105.
[12] Ingle L, Carroll S.Cardiac rehabilitation and exercise training[J]. Heart, 2013, 99(17): 1298.
[13] 于潇涵,毕颖斐,毛静远,等. 心肺运动试验在心血管疾病中应用的研究进展[J]. 中西医结合心脑血管病杂志, 2017, 15(2): 176-179.
[14] Budts W, Borjesson M, Chessa M, et al.Physical activity in adolescents and adults with congenital heart defects: individualized exercise prescription[J]. Eur Heart J, 2013, 34(47): 3669-3674.
[15] 孙兴国,胡大一. 心肺运动试验的实验室和设备要求及其临床实施难点的质量控制[J]. 中华心血管病杂志, 2014, 42(10): 817-821.
[16] Wasserman K, Hansen J, Sue D, et al.Principles of exercise testing and interpretation[M]. 5th ed. Philadelphia: Lippincott Williams ＆ Wilkins, 2011.
[17] Sun X G, Hansen J E, Beshai J F, et al.Oscillatory breathing and exercise gas exchange abnormalities prognosticate early mortality and morbidity in heart failure[J]. J Am Coll Cardiol, 2010, 55(17): 1814-1823.
[18] Fletcher G F, Ades P A, Kligfield P, et al.Exercise standards for testing and training: a scientific statement from the American Heart Association[J]. Circulation, 2013, 128(8): 873-934.
[19] Malhotra R, Bakken K, D'Elia E, et al. Cardiopulmonary exercise testing in heart failure[J]. JACC Heart Fail, 2016, 4(8): 607-616.
[20] 郑秀峰,赵美红,陈艳红. 高血压应用心肺运动试验精准制定个体化适度强度运动康复处方治疗的效果分析[J]. 中外医疗, 2017, 36(25): 62-63, 66.
[21] 夏莉娟,张琳,罗慧琴,等. 健步走对老年高血压患者血糖、血脂的干预作用[J]. 中国老年学杂志, 2013, 33(21): 5233-5235.
[22] Chun-Qi Z.Analysis on the effect of individualized aerobic exercise intervention for teenagers with type 2 diabetes[J]. Open Biomed Eng J, 2015, 9(1): 262.
[23] 郭娴. 中年人运动中心血管风险预警及运动改善风险和心肺耐力的效果研究[D]. 北京:北京体育大学, 2014.
[24] Stavropoulos-Kalinoglou A, Metsios G S, Veldhuijzen van Zanten J J, et al. Individualised aerobic and resistance exercise training improves cardiorespiratory fitness and reduces cardiovascular risk in patients with rheumatoid arthritis[J]. Ann Rheum Dis, 2013, 72(11): 1819-1825.
[25] Rissanen A E, Tikkanen H O, Koponen A S, et al.One-year unsupervised individualized exercise training intervention enhances cardiorespiratory fitness but not muscle deoxygenation or glycemic control in adults with type 1 diabetes[J]. Appl Physi-ol Nutr Metab, 2018, 43(4): 387-396.
[26] 张振英,孙兴国,席家宁,等. 心肺运动试验制定运动强度对慢性心力衰竭患者心脏运动康复治疗效果影响的临床研究[J]. 中国全科医学, 2016, 19(35): 4302-4309.
[27] 陶贵周,张川海. 心血管疾病患者心理评估及干预措施[J]. 医学与哲学(B), 2017, 38(3): 16-18.
[28] 杨献军,黄飞翔,时永超,等. 健身操训练对慢性心力衰竭患者运动耐量的影响[J]. 中华护理杂志, 2015, 50(2): 36-37.
[29] 张振英,孙兴国,席家宁,等. 心肺运动试验在慢性心力衰竭患者高强度个体化运动康复处方制定和运动康复效果评估中的作用研究[J]. 中国全科医学, 2016, 19(17): 2061-2067.
[30] 陈雪,樊秋明,霍婧婧,等. 个体化可量化运动对2 型糖尿病患者血糖控制、睡眠质量和生活质量的影响[J]. 中国疗养医学, 2017, 26(4): 342-345.
[31] Tung H, Shen S, Shih C, et al.Effects of a preoperative individualized exercise program on selected recovery variables for cardiac surgery patients: a pilot study[J]. J Saudi Heart Assoc, 2012, 24(3): 153-161.
[32] 渠泽普. 长期传统健身运动对老年高血压患者干预效果的研究[D]. 扬州:扬州大学, 2017.
[33] 朱颖莹,陈晓亮. 心肺运动试验在心血管疾病患者中的应用价值和前景[J]. 心电与循环, 2017, 36(4): 271-274.
[34] 孙兴国. 整体整合生理学医学新理论体系概论Ⅰ:呼吸调控新视野[J]. 中国应用生理学杂志, 2015, 31(4):295-301.
[35] 孙兴国. 整体整合生理学医学新理论体系概论Ⅱ:循环调控新视野[J]. 中国应用生理学杂志, 2015, 31(4):302-307.
[36] 孙兴国. 整体整合生理学医学新理论体系概论Ⅲ:呼吸循环代谢一体化调控环路中神经体液作用模式[J]. 中国应用生理学杂志, 2015, 31(4): 308-315.
[37] 刘艳玲,孙兴国,高华,等. 心肺运动指导个体化心衰患者康复的初步总结报告[J]. 中国应用生理学杂志, 2015, 31(4): 374-377.
[38] 孙兴国. 心肺运动试验的规范化操作要求和难点-数据分析图示与判读原则[J]. 中国应用生理学杂志, 2015, 31(4): 361-365.

Advance in Rehabilitation Effects for Individualized Exercise Prescription on Cardiovascular Disease (review)

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