中国康复医学杂志
中國康複醫學雜誌
중국강복의학잡지
CHINESE JOURNAL OF REHABILITATION MEDICINE
2010年
4期
332-336
,共5页
王尊%范宏娟%陆晓%张丽霞%王彤
王尊%範宏娟%陸曉%張麗霞%王彤
왕존%범굉연%륙효%장려하%왕동
早期偏瘫%踏车运动试验
早期偏癱%踏車運動試驗
조기편탄%답차운동시험
early stroke hemiplegia%lower extremity ergometer stress test
目的:探讨利用踏车运动对脑卒中早期偏瘫患者进行运动试验的安全性和可行性,从而为脑卒中早期偏瘫患者进行运动试验和有氧训练运动强度的控制提供可行性依据.方法:36例脑卒中后早期(52.0±24.3d)偏瘫患者接受改良下肢踏车心电运动试验,其中10例接受手摇车心电运动试验,起始功率为0W,每3min功率增加2.5W.踏车速度维持在50-70转/min.结果:①36例患者中30例患者(83.3%)顺利完成运动试验;27例患者因疲劳不能坚持作为运动试验终止指标.3例患者因血压过高而终止试验;所有测试患者未出现心肌缺血症状及心电图表现.②30例完成试验的患者其试验终止心率平均为:(127.9±17.0)次/rain,与年龄预计最大心率相比有明显差异(P<0.01):是年龄预计最大心率的79.8%.而与年龄预计亚极量心率接近.是年龄预计亚极量心率的94.0%;30例患者的平均运动时间为10.6min.③运动时间与下肢功能Fugl-Meyer评分无相关性(P>0.05),与年龄呈负相关(P=O.005).④患者休息6min时所测血压与试验前安静时相比无明显差异(P>O.05);测试过程中出现心律失常心电图表现的3例患者在休息6min时心电图均恢复正常.⑤10例进行两种不同运动试验方案的患者在踏车运动中终止心率高于单臂手摇车运动中终止心率(P<0.05).患者在踏车运动中终止心率及运动时间均高于单臂手摇车运动中终止心率(P<0.05)和运动时间(P=0.01).结论:踏车运动试验可以作为脑卒中早期偏瘫患者获得有氧训练强度指标的检测手段.
目的:探討利用踏車運動對腦卒中早期偏癱患者進行運動試驗的安全性和可行性,從而為腦卒中早期偏癱患者進行運動試驗和有氧訓練運動彊度的控製提供可行性依據.方法:36例腦卒中後早期(52.0±24.3d)偏癱患者接受改良下肢踏車心電運動試驗,其中10例接受手搖車心電運動試驗,起始功率為0W,每3min功率增加2.5W.踏車速度維持在50-70轉/min.結果:①36例患者中30例患者(83.3%)順利完成運動試驗;27例患者因疲勞不能堅持作為運動試驗終止指標.3例患者因血壓過高而終止試驗;所有測試患者未齣現心肌缺血癥狀及心電圖錶現.②30例完成試驗的患者其試驗終止心率平均為:(127.9±17.0)次/rain,與年齡預計最大心率相比有明顯差異(P<0.01):是年齡預計最大心率的79.8%.而與年齡預計亞極量心率接近.是年齡預計亞極量心率的94.0%;30例患者的平均運動時間為10.6min.③運動時間與下肢功能Fugl-Meyer評分無相關性(P>0.05),與年齡呈負相關(P=O.005).④患者休息6min時所測血壓與試驗前安靜時相比無明顯差異(P>O.05);測試過程中齣現心律失常心電圖錶現的3例患者在休息6min時心電圖均恢複正常.⑤10例進行兩種不同運動試驗方案的患者在踏車運動中終止心率高于單臂手搖車運動中終止心率(P<0.05).患者在踏車運動中終止心率及運動時間均高于單臂手搖車運動中終止心率(P<0.05)和運動時間(P=0.01).結論:踏車運動試驗可以作為腦卒中早期偏癱患者穫得有氧訓練彊度指標的檢測手段.
목적:탐토이용답차운동대뇌졸중조기편탄환자진행운동시험적안전성화가행성,종이위뇌졸중조기편탄환자진행운동시험화유양훈련운동강도적공제제공가행성의거.방법:36례뇌졸중후조기(52.0±24.3d)편탄환자접수개량하지답차심전운동시험,기중10례접수수요차심전운동시험,기시공솔위0W,매3min공솔증가2.5W.답차속도유지재50-70전/min.결과:①36례환자중30례환자(83.3%)순리완성운동시험;27례환자인피로불능견지작위운동시험종지지표.3례환자인혈압과고이종지시험;소유측시환자미출현심기결혈증상급심전도표현.②30례완성시험적환자기시험종지심솔평균위:(127.9±17.0)차/rain,여년령예계최대심솔상비유명현차이(P<0.01):시년령예계최대심솔적79.8%.이여년령예계아겁량심솔접근.시년령예계아겁량심솔적94.0%;30례환자적평균운동시간위10.6min.③운동시간여하지공능Fugl-Meyer평분무상관성(P>0.05),여년령정부상관(P=O.005).④환자휴식6min시소측혈압여시험전안정시상비무명현차이(P>O.05);측시과정중출현심률실상심전도표현적3례환자재휴식6min시심전도균회복정상.⑤10례진행량충불동운동시험방안적환자재답차운동중종지심솔고우단비수요차운동중종지심솔(P<0.05).환자재답차운동중종지심솔급운동시간균고우단비수요차운동중종지심솔(P<0.05)화운동시간(P=0.01).결론:답차운동시험가이작위뇌졸중조기편탄환자획득유양훈련강도지표적검측수단.
Objective:To study the safety and feasibility of customized ergometer exercise test for early stroke hemiplegic patients and provide the basis for controlling the intensity of exercise test and early aerobic training. Method:Thirty-six early stroke patients were evaluated with customized lower-extremity ergometer,and 10 of them were tested with customized upper-extremity ergometer which was started with workload of zero watt and increased by 2.5W every 3min until the end.The exercise rate of lower extremities Wag kept at 50-70rpm. Result:①In all 36 patients,30 patients finished the test,including 27 cases discontinued the test for the reason of volitional generalized and/or leg fatigue and 3 cases terminated the test because of blood pressure higher than the termination criteria.Nobody showed the symptom and ECG signs of myocardial ischemia.②The mean heart rate of the test finished cases was(127.9±17.0)beats/rain,representing 79%of maximal age-predicted heart rate and 94.0%of submaximal age-predicted heart rate.The mean test time Was(10.6±3.68)min.③There was a negative correlation between the exercise time and the age(P=0.005),and no correlation with the lower extremity Fugl- Meyer scale(P>O.05).④There was no significant difference between the blood pressure at 6min after the test and that at rest before the test(P>0.05),and those 3 cases who showed arrhythmia during the test,showed normal ECG at 6min after the test. ⑤For those 10 cases who performed both the lower-extremity and upper-extremity ergometer exercise test, the HRmax obtained from lower-extremity ergometer test was higher than that from upper extremity ergometer exercise test (P<0.05),while they could endure longer exercise time in lower extremity ergometer exercise test(P=0.01). Conclusion: Lower extremity ergometer exercise test can provide precise intensity index for aerobic training early after stroke.