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Am Heart J：心脏康复方案未能改善心梗后患者心脏自主神经功能

2014-02-25 高晓方 译 医学论坛网

心脏康复方案自主神经功能
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葡萄牙一项研究表明，在接受最佳药物治疗的心梗后患者中，基于锻炼的心脏康复方案(ECR)未能改善心脏自主神经功能。论文2月19日在线发表于《美国心脏杂志》(Am Heart J)。此项平行组研究共纳入96例年龄为56±10岁的受试者，并在急性心梗4周后随机分入锻炼组和对照组。ECR由每周3次最大心率70～85%的有氧锻炼和常规治疗组成;对照组仅接受常规治疗。基线和最终评估内容包括静息时短期心率变异性

葡萄牙一项研究表明，在接受最佳药物治疗的心梗后患者中，基于锻炼的心脏康复方案(ECR)未能改善心脏自主神经功能。论文2月19日在线发表于《美国心脏杂志》(Am Heart J)。

此项平行组研究共纳入96例年龄为56±10岁的受试者，并在急性心梗4周后随机分入锻炼组和对照组。ECR由每周3次最大心率70～85%的有氧锻炼和常规治疗组成;对照组仅接受常规治疗。基线和最终评估内容包括静息时短期心率变异性(HRV)、习惯性体育活动和膳食摄入。

结果显示，两组各有2例患者因脱失而未被纳入意向治疗分析。锻炼组和对照组最终分别纳入47和45例患者;基线时两组患者仅在硝酸盐药物应用方面存在显著差异。8周后，两组患者在传统和非线性HRV指数、习惯性体育活动和膳食摄入变化方面均无显著差异。


原文出处：

Norton Luis Oliveiraa,Fernando Ribeiroa, b, Madalena Teixeirac, Lilibeth Camposd, Alberto Jorge Alvesa, Gustavo Silvaa, José Oliveiraa.Effect of Eight-week exercise-based cardiac rehabilitation on cardiac autonomic function: A randomized controlled trial in myocardial infarction patients.American Heart Journal 17 February 2014 


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    2014-09-28 lfyang

    #心梗后#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2053383, encodeId=ae25205338382, content=<a href='/topic/show?id=93255105e89' target=_blank style='color:#2F92EE;'>#心梗后#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51057, encryptionId=93255105e89, topicName=心梗后)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43cb463, createdName=lfyang, createdTime=Sun Sep 28 06:36:00 CST 2014, time=2014-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1355831, encodeId=c2ce135583125, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Thu Feb 27 02:36:00 CST 2014, time=2014-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1422041, encodeId=bdf314220415b, content=<a href='/topic/show?id=e5f0e42224f' target=_blank style='color:#2F92EE;'>#神经功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74222, encryptionId=e5f0e42224f, topicName=神经功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu Feb 27 02:36:00 CST 2014, time=2014-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562210, encodeId=81a1156221046, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Thu Feb 27 02:36:00 CST 2014, time=2014-02-27, status=1, ipAttribution=)]
    2014-02-27 zhaojie88

    #ART#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2053383, encodeId=ae25205338382, content=<a href='/topic/show?id=93255105e89' target=_blank style='color:#2F92EE;'>#心梗后#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51057, encryptionId=93255105e89, topicName=心梗后)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43cb463, createdName=lfyang, createdTime=Sun Sep 28 06:36:00 CST 2014, time=2014-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1355831, encodeId=c2ce135583125, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Thu Feb 27 02:36:00 CST 2014, time=2014-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1422041, encodeId=bdf314220415b, content=<a href='/topic/show?id=e5f0e42224f' target=_blank style='color:#2F92EE;'>#神经功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74222, encryptionId=e5f0e42224f, topicName=神经功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu Feb 27 02:36:00 CST 2014, time=2014-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562210, encodeId=81a1156221046, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Thu Feb 27 02:36:00 CST 2014, time=2014-02-27, status=1, ipAttribution=)]
    2014-02-27 heli0118

    #神经功能#

    0

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    2014-02-27 爆笑小医

    #HEART#

    0