临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
9期
733-736,737
,共5页
COPD%CS%心率%运动强度
COPD%CS%心率%運動彊度
COPD%CS%심솔%운동강도
COPD%CS%Heart rate%Exercise intensity
目的：探讨运动中计数法（CS）与慢性阻塞性肺疾病（COPD）患者心率乃至运动强度的相关性。方法收集两组人群参加测试，第一组为2014年1月至2014年7月北京友谊医院呼吸科门诊 COPD 患者，共28人；第二组为健康人群，共25人。讲明实验方法并指导患者试做后，受试者先进行功率自行车运动，待心率较静息心率上升20%左右，开始 CS 测试，记录计数值（CSN1）和平均心率（HR1）；休息30 min 后进行平板运动，增减平板速度来调节运动强度，通过受试者的 CSN 来估计运动强度，当 CSN 在 CSN1±5以内时，记录为 CSN2，该时间段的平均心率记为 HR2。结果分别对两组人群使用配对 t 检验比较 HR1和 HR2，结果显示，COPD 组的 HR1和 HR2无显著性差异（ t =-1.523，P =0.139），健康人组的 HR1和 HR2无显著性差异（ t =-1.427，P =0.167）。COPD 组的 HR1和 HR2相关性比较，呈显著相关（ r =0.932）；健康人组的 HR1和 HR2相关性比较，呈显著相关（ r =0.944）。结论 CS 与 COPD 患者的心率有良好的相关性，可用作运动过程中自行评估运动强度的指标，指导康复及锻炼。
目的：探討運動中計數法（CS）與慢性阻塞性肺疾病（COPD）患者心率迺至運動彊度的相關性。方法收集兩組人群參加測試，第一組為2014年1月至2014年7月北京友誼醫院呼吸科門診 COPD 患者，共28人；第二組為健康人群，共25人。講明實驗方法併指導患者試做後，受試者先進行功率自行車運動，待心率較靜息心率上升20%左右，開始 CS 測試，記錄計數值（CSN1）和平均心率（HR1）；休息30 min 後進行平闆運動，增減平闆速度來調節運動彊度，通過受試者的 CSN 來估計運動彊度，噹 CSN 在 CSN1±5以內時，記錄為 CSN2，該時間段的平均心率記為 HR2。結果分彆對兩組人群使用配對 t 檢驗比較 HR1和 HR2，結果顯示，COPD 組的 HR1和 HR2無顯著性差異（ t =-1.523，P =0.139），健康人組的 HR1和 HR2無顯著性差異（ t =-1.427，P =0.167）。COPD 組的 HR1和 HR2相關性比較，呈顯著相關（ r =0.932）；健康人組的 HR1和 HR2相關性比較，呈顯著相關（ r =0.944）。結論 CS 與 COPD 患者的心率有良好的相關性，可用作運動過程中自行評估運動彊度的指標，指導康複及鍛煉。
목적：탐토운동중계수법（CS）여만성조새성폐질병（COPD）환자심솔내지운동강도적상관성。방법수집량조인군삼가측시，제일조위2014년1월지2014년7월북경우의의원호흡과문진 COPD 환자，공28인；제이조위건강인군，공25인。강명실험방법병지도환자시주후，수시자선진행공솔자행차운동，대심솔교정식심솔상승20%좌우，개시 CS 측시，기록계수치（CSN1）화평균심솔（HR1）；휴식30 min 후진행평판운동，증감평판속도래조절운동강도，통과수시자적 CSN 래고계운동강도，당 CSN 재 CSN1±5이내시，기록위 CSN2，해시간단적평균심솔기위 HR2。결과분별대량조인군사용배대 t 검험비교 HR1화 HR2，결과현시，COPD 조적 HR1화 HR2무현저성차이（ t =-1.523，P =0.139），건강인조적 HR1화 HR2무현저성차이（ t =-1.427，P =0.167）。COPD 조적 HR1화 HR2상관성비교，정현저상관（ r =0.932）；건강인조적 HR1화 HR2상관성비교，정현저상관（ r =0.944）。결론 CS 여 COPD 환자적심솔유량호적상관성，가용작운동과정중자행평고운동강도적지표，지도강복급단련。
Objective To explore the relationship between CS and heart rate in patients with COPD during exercise. Methods Two groups of persons were participated in this study,28 outpatients with chronic obstructive pulmonary disease(COPD)(22 males;6 females;with age at 66. 6 ± 8. 22 years old)from the Department of Respiratory Medicine of Beijing Friendship Hospital were allocated in group 1,they were di-agnosed as chronic obstructive pulmonary disease(COPD)during January 2014 to July 2014,and 25 healthy persons(3 males;22 females;aged at 24. 8 ± 2. 80 years old)were listed in group 2 for control. After being introduced with the experimental method and guided with trial tests,these persons were first exercised with cycle ergometer until the heart rate increased by 20% to the stable value,CS test started afterwards,the CSN and average heart rate were recorded and labeled as CSN1 and HR1,respectively. These persons then took the treadmill test after rest for thirty mi-nutes. The exercise intensity was adjusted by changing the treadmill speed till CSN fell into CSN1 ± 5,then CSN and the average heart rate were recorded and labeled CSN2 and HR2,respectively. Results The values of HR1 and HR2 in each group were compared with paired t test. No sig-nificant difference had been observed in both group 1( t = - 1. 523,P = 0. 139)and group 2( t = - 1. 427,P = 0. 167). HR1 and HR2 showed significant correlation in both groups,with a correlation coefficient r = 0. 932 in group 1 and r = 0. 944 in group 2. Conclusion CS shows good correlation with heart rate of patients with COPD,and it can be used as a self - evaluation indicator to determine the exercise intensity for guidance of the rehabilitation and daily exercise.
