[1]史秀莉,张庆,喻鹏铭.心力衰竭患者运动训练方式及其疗效的研究进展[J].心血管病学进展,2015,(5):535-538.[doi:10.3969/j.issn.1004-3934.2015.05.003]
 SHI Xiuli,ZHANG Qing,YU Pengming.Exercise Training Modalities and Their Treatment Effects on Patients with Heart Failure[J].Advances in Cardiovascular Diseases,2015,(5):535-538.[doi:10.3969/j.issn.1004-3934.2015.05.003]
点击复制

心力衰竭患者运动训练方式及其疗效的研究进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2015年5期
页码:
535-538
栏目:
主题综述
出版日期:
2016-05-20

文章信息/Info

Title:
Exercise Training Modalities and Their Treatment Effects on Patients with Heart Failure
作者:
史秀莉1张庆1喻鹏铭2
1.四川大学华西医院心血管内科,四川 成都 610041; 2.四川大学华西医院康复医学中心,四川 成都 610041
Author(s):
SHI Xiuli1 ZHANG Qing1 YU Pengming2
1.Department of Cardiology,West China Hospital, Sichuan University,Chengdu 610041,Sichuan,China; 2.Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu 610041,Sichuan,China
关键词:
心力衰竭 运动训练 训练方式 疗效
Keywords:
heart failure exercise training training modality treatment effect
分类号:
R541.6
DOI:
10.3969/j.issn.1004-3934.2015.05.003
文献标志码:
A
摘要:
运动训练可降低心力衰竭患者的病死率及再入院率,而不同运动训练方式取得的效果不同。目前心力衰竭患者最常用的运动训练方式为中等强度有氧训练,其可以有效改善患者的心功能,并且可以中等程度地降低全因死亡率及入院率。能耐受中等强度有氧训练的患者,可以考虑开始进行抗阻训练和高强度间歇性有氧运动训练。对于严重心力衰竭患者的早期心脏康复,则可进行运动强度较低的呼吸肌训练。因此,针对不同的慢性心力衰竭人群,应有针对性地选择合适的运动训练方式及组合,以使患者到达最优的治疗效果。
Abstract:
Exercise training can effectively reduce mortality and rehospitalization in patients with heart failure, but different training modalities generate different effects. Regular moderate-intensity aerobic exercise training has now become the most commonly used training method,which can effectively improve cardiac function and modestly reduce all-cause mortality and readmission rate. Resistance training and high-intensity interval aerobic exercise training should be considered for patients who can tolerate moderate-intensity aerobic exercise, while inspiratory muscle training can be used in early cardiac rehabilitation for more serious paitents as it has a relatively lower intensity. Therefore, different training modalities and combinations should be given to their appropriate heart failure populations in order to achieve optimal effects.

参考文献/References:

[1] Yancy CW,Jessup M,Bozkurt B,et al.2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J].ACirculation,2013,128(16):240-327.
[2] 中国康复医学会心血管病专业委员会,中国老年医学学会心脑血管病专业委员会.慢性稳定性心力衰竭运动康复中国专家共识[J].中华心血管病杂志,2014,9:714-720.
[3] Carvalho VO,Mezzani A.Aerobic exercise training intensity in patients with chronic heart failure:principles of assessment and prescription[J]. Eur J Cardiovasc Prev Rehabil,2010,18(1):5-14.
[4] Meyer P,Gayda M,Juneau M,et al.High-intensity aerobic interval exercise in chronic heart failure[Review][J].Curr Heart Fail Rep,2013,10(2):130-138.
[5] Arena R,Myers J, Forman DE,et al.Should high-intensity-aerobic interval training become the clinical standard in heart failure?[J].Heart Fail Rev,2013,18(1):95-105.
[6] Belardinelli R, Georgiou D, Cianci G,et al.10-year exercise training in chronic heart failure: a randomized controlled trial[J].J Am Coll Cardiol,2012,60(16):1521-1528.
[7] 沈玉芹,蒋金法,王乐民,等.有氧运动康复对慢性心力衰竭患者运动心排量及相关参数的影响[J].中华心血管病杂志,2011,39:700-705.
[8] 李明娥,霍红梅,王梅林,等.老年慢性心力衰竭患者运动康复的效果[J].血管康复医学杂志,2012,21(3):221-225.
[9] Wisløff U, Støylen A, Loennechen JP,et al.Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients:a randomized study[J].Circulation,2007,115:3086-3094.
[10] Fu TC, Wang CH, Lin PS,et al.Aerobic interval training improves oxygen uptake efficiency by enhancing cerebral and muscular hemodynamics in patients with heart failure[J].Int J Cardiol,2013,167:41-50.
[11] Haykowsky MJ,Timmons MP,Kruger C,et al.Meta-analysis of aerobic interval training on exercise capacity and systolic function in patients with heart failure and reduced ejection fractions[J].Am J Cardiol,2013,111(10):1466-1469.
[12] Cahalin LP,Arena R,Guazzi M,et al.Inspiratory muscle training in heart disease and heart failure: a review of the literature with a focus on method of training and outcomes[J].Exp Rev Cardiovasc Ther,2013,11(2):161-177.
[13] Marco E,Ramirez-Sarmiento AL,Coloma A,et al.High-intensity vs. sham inspiratory muscle training in patients with chronic heart failure: a prospective randomized trial[J].Eur J Heart Fail,2013,15(8):892-901.
[14] Plentz RD,Sbruzzi G,Ribeiro RA,et al.Inspiratory muscle training in patients with heart failure: meta-analysis of randomized trials[J].Arquivos Brasileiros de Cardiologia,2012,99(2):762-771.
[15] Winkelmann ER,Chiappa GR,Lima CO,et al.Addition of inspiratory muscle training to aerobic training improves cardiorespiratory responses to exercise in patients with heart failure and inspiratory muscle weakness[J]. Am Heart J,2009,158(5):768.e1-7.
[16] Montemezzo D,Fregonezi GA,Pereira DA,et al.Influence of inspiratory muscle weakness on inspiratory muscle training responses in chronic heart failure patients: a systematic review and meta-analysis[J].Arch Phys Med Rehabil,2014,95(7):1398-1407.
[17] Mandic S,Myers J,Selig SE,et al.Resistance versus aerobic exercise training in chronic heart failure[J].Curr Heart Fail Rep,2012,9(1):57-64.
[18] Mandic S,Myers J,Selig SE,et al.Resistance exercise training in patients with heart failure[J]. Curr Heart Fail Rep,2012,9(1):57-64.
[19] Dean AS,Libonati JR,Madonna D,et al.Resistance training improves vasoreactivity in end-stage heart failure patients on inotropic support[J].J Cardiovasc Nurs,2011,26(3):218-223.
[20] Savage PA,Shaw AO,Miller MS,et al.Effect of resistance training on physical disability in chronic heart failure[J].Med Sci Sports Exerc,2011,43(8):1379-1386.
[21] Palevo G,Keteyian SJ,Kang M,et al.Resistance exercise training improves heart function and physical fitness in stable patients with heart failure[J].J Cardiopulm Rehab Prev,2009,29(5):294-298.
[22] Hwang CL,Chien CL,Wu YT. Resistance training increases 6-minute walk distance in people with chronic heart failure: a systematic review[J]. J Physiother,2010,56(2):87-96.
[23] Spruit MA,Eterman RM,Hellwig VA,et al.Effects of moderate-to-high intensity resistance training in patients with chronic heart failure[J].Heart,2009,95(17):1399-1408.
[24] Meyer K,Leblanc MC.Aquatic therapies in patients with compromised left ventricular function and heart failure[J].Clin Invest Med,2008,31(2):E90-97.
[25] Teffaha D,Mourot L,Vernochet P,et al.Relevance of water gymnastics in rehabilitation programs in patients with chronic heart failure or coronary artery disease with normal left ventricular function[J].J Card Fail,2011,17(8):676-683.
[26] Mourot L,Teffaha D,Bouhaddi M,et al.Exercise rehabilitation restores physiological cardiovascular responses to short-term head-out water immersion in patients with chronic heart failure[J].J Cardiopulm Rehab Prev,2010,30(1):22-27.
[27] Adams V,Schuler G.Heart failure: exercise training—a magic bullet for chronic heart failure[J].Nat Rev Cardiol,2012,9(12):677-678.
[28] Duncan K,Pozehl B,Hertzog M,et al.Psychological responses and adherence to exercise in heart failure[J]. Rehabil Nurs J,2014,39(3):130-139.
[29] Brady S,Purdham D, Oh P,et al.Clinical and sociodemographic correlates of referral for cardiac rehabilitation following cardiac revascularization in Ontario[J].Heart Lung,2013,42(5):320-325.
[30] Wong WP,Feng J,Pwee KH,et al.A systematic review of economic evaluations of cardiac rehabilitation[J].BMC Health Serv Res,2012,12:243.

相似文献/References:

[1]丁娟,刘地川.心力衰竭与线粒体功能障碍的研究进展[J].心血管病学进展,2016,(1):84.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.022]
 DING Juan,LIU Dichuan.Research Progress of Heart Failure and Mitochondrial Dysfunction[J].Advances in Cardiovascular Diseases,2016,(5):84.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.022]
[2]罗秀林,综述,张烁,等.肾动脉去交感神经术治疗心力衰竭——希望还是炒作[J].心血管病学进展,2016,(3):268.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.013]
 LUO Xiulin,ZHANG Shuo.Renal Sympathetic Denervation for Heart Failure—Hopes or Hypes[J].Advances in Cardiovascular Diseases,2016,(5):268.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.013]
[3]查凤艳,综述,覃数,等.心源性恶病质发病机制的研究进展[J].心血管病学进展,2016,(3):282.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.017]
 ZHA Fengyan,QIN Shu.Advances in Pathogenesis of Cardiac Cachexia[J].Advances in Cardiovascular Diseases,2016,(5):282.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.017]
[4]李慧,综述,齐国先,等.老年射血分数保留的心功能不全研究进展[J].心血管病学进展,2016,(4):354.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.007]
 LI Hui,QI Guoxian.Research Progress of Heart Failure with Preserved Ejection Fraction in Elderly People[J].Advances in Cardiovascular Diseases,2016,(5):354.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.007]
[5]亢玉,综述,张庆,等.二尖瓣瓣叶在功能性二尖瓣反流发生机制中的角色[J].心血管病学进展,2016,(4):376.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.013]
 KANG Yu,ZHANG Qing.Role of Mitral Leaflets in Pathogenesis of Functional Mitral Regurgitation[J].Advances in Cardiovascular Diseases,2016,(5):376.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.013]
[6]熊卓超,陈康玉,严激.无创血流动力学评价在心力衰竭中的应用进展[J].心血管病学进展,2019,(6):923.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.021]
 XIONG Zhuochao,CHEN Kangyu,YAN Ji.Application Progress of Noninvasive Hemodynamic Evaluation in Heart Failure[J].Advances in Cardiovascular Diseases,2019,(5):923.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.021]
[7]高薇 陈伟.铁过载性心肌病[J].心血管病学进展,2019,(5):680.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.006]
 GAO WeiCHEN Wei.Iron Overload Cardiomyopathy[J].Advances in Cardiovascular Diseases,2019,(5):680.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.006]
[8]何燕 刘育.C型利钠肽与心力衰竭[J].心血管病学进展,2019,(5):745.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.020]
 HE Yan,LIU Yu.C-type Natriuretic Peptide and Heart Failure[J].Advances in Cardiovascular Diseases,2019,(5):745.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.020]
[9]吴彤 高东来.心房颤动合并心力衰竭的射频消融治疗[J].心血管病学进展,2019,(5):757.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.023]
 WU TongGAO Donglai.Catheter Ablation of Atrial Fibrillation in Patients with Heart Failure[J].Advances in Cardiovascular Diseases,2019,(5):757.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.023]
[10]方砚 王效浣 郭朝霞.血流介导性血管扩张评价心血管病患者肱动脉内皮功能的研究进展[J].心血管病学进展,2019,(5):793.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.032]
 FANG Yan,WANG Xiaohuan,GUO Zhaoxia.Flow- mediated Vasodilation Evaluation of Brachial Artery Endothelial Function in Patients with Cardiovascular Disease[J].Advances in Cardiovascular Diseases,2019,(5):793.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.032]

备注/Memo

备注/Memo:
作者简介:史秀莉(1989—),在读硕士,主要从事心力衰竭运动康复的研究。Email: 1150795066@qq.com 通信作者:张庆(1968—),教授,博士,主要从事心力衰竭、心肌病、心脏影像学、高血压的基础与临床研究。Email: qzhang2000cn@yahoo.com
更新日期/Last Update: 2016-05-20