CAJ | 학술논문

目的：探讨抗阻训练联合有氧训练对慢性心力衰竭（ CHF）患者心功能、运动耐力及生活质量的影响。方法选取2012年1月-2013年8月在佛山市中医院治疗且符合纳入和排除标准的 CHF 患者60例为研究对象，采用随机数字表法分为3组，即混合训练组、有氧训练组和对照组，每组各20例。3组均接受常规药物治疗，对照组进行日常生活活动，在此基础上，有氧训练组进行有氧训练12周，混合训练组进行抗阻训练联合有氧训练12周。于治疗前和治疗12周后对各组患者的左室舒张末期内径（ LVEDD）、左室收缩末期内径（ LVESD）、左室射血分数（LVEF）、最大耗氧量（VO2 max）、最大功率、力竭时间、6 min 步行距离测试（6MWT）结果及明尼苏达心力衰竭生活质量调查表（MLHFQ）得分进行评价和比较。结果治疗前，3组间 LVEDD、LVESD、LVEF、VO2 max、最大功率、力竭时间、6MWT 和 MLHFQ 得分各项指标比较，差异均无统计学意义（ P ﹥0.05）。治疗12周后，3组的 LVEF、VO2 max、6MWT 和 MLHFQ 得分比较，差异均有统计学意义（P ﹤0.05）；组间两两比较显示：有氧训练组、混合训练组与对照组比较，LVEF、VO2 max、6MWT 和 MLHFQ 得分间差异均有统计学意义（P ﹤0.05）；混合训练组与有氧训练组比较，LVEF 和 MLHFQ 得分间差异均有统计学意义（ P ﹤0.05），VO2 max 和6MWT 间差异均无统计学意义（ P ﹥0.05）。结论抗阻训练联合有氧训练可以改善 CHF 患者的心功能及运动耐力，进而改善患者的生活质量，为 CHF 临床治疗制定新的训练方案提供了科学依据。
목적：탐토항조훈련연합유양훈련대만성심력쇠갈（ CHF）환자심공능、운동내력급생활질량적영향。방법선취2012년1월-2013년8월재불산시중의원치료차부합납입화배제표준적 CHF 환자60례위연구대상，채용수궤수자표법분위3조，즉혼합훈련조、유양훈련조화대조조，매조각20례。3조균접수상규약물치료，대조조진행일상생활활동，재차기출상，유양훈련조진행유양훈련12주，혼합훈련조진행항조훈련연합유양훈련12주。우치료전화치료12주후대각조환자적좌실서장말기내경（ LVEDD）、좌실수축말기내경（ LVESD）、좌실사혈분수（LVEF）、최대모양량（VO2 max）、최대공솔、력갈시간、6 min 보행거리측시（6MWT）결과급명니소체심력쇠갈생활질량조사표（MLHFQ）득분진행평개화비교。결과치료전，3조간 LVEDD、LVESD、LVEF、VO2 max、최대공솔、력갈시간、6MWT 화 MLHFQ 득분각항지표비교，차이균무통계학의의（ P ﹥0.05）。치료12주후，3조적 LVEF、VO2 max、6MWT 화 MLHFQ 득분비교，차이균유통계학의의（P ﹤0.05）；조간량량비교현시：유양훈련조、혼합훈련조여대조조비교，LVEF、VO2 max、6MWT 화 MLHFQ 득분간차이균유통계학의의（P ﹤0.05）；혼합훈련조여유양훈련조비교，LVEF 화 MLHFQ 득분간차이균유통계학의의（ P ﹤0.05），VO2 max 화6MWT 간차이균무통계학의의（ P ﹥0.05）。결론항조훈련연합유양훈련가이개선 CHF 환자적심공능급운동내력，진이개선환자적생활질량，위 CHF 림상치료제정신적훈련방안제공료과학의거。
Objective To compare the effects of combined resistance - aerobic training on cardiac function,maximal exercise capacity and quality of life in chronic heart failure(CHF)patients. Methods Sixty CHF patients were randomly divided into three groups:combined resistance - aerobic training( n = 20),aerobic training( n = 20),or usual care( n = 20) . Combined resistance - aerobic training group and aerobic training group trained three times per week for 12 weeks. Cardiac func-tion,including inner diameter of left ventricular end - diastole( LVEDD),inner diameter of left ventricular end - systole (LVESD),left ventricular ejection faction(LVEF),cardiopulmonary exercise testing,the 6 - minute walk test,and quality of life were measured. Results There were no significant demographic differences between groups before treatment(P ﹥ 0. 05). Both combined resistance - aerobic and aerobic training significantly improved LVEF,VO2 max,6MWT,and quality of life com-pared with usual care after treatment(P ﹤ 0. 05). Combined aerobic - resistance training significantly improved LVEF and quali-ty of life compared with aerobic training after treatment(P ﹤ 0. 05). Conclusion Both combined resistance - aerobic and aero-bic training are effective interventions to improve cardiac function and exercise endurance in CHF patients. Combined training may be more effective in improving quality of life in patients with CHF.