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|本期目录/Table of Contents|

正常人和心肌缺血患者运动心肺功能指标的探讨(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1998年第3期
页码:
157-159
栏目:
论著
出版日期:
1998-05-01

文章信息/Info

Title:
Examination of cardio- pulmonary functions during execise im normal persons and patients with myocardial ischemia
作者:
潘 棱　俞 玲　胡锡衷
福建省立医院心血管病研究所 福州 350001
Author(s):
Pan Ling ;  Yu Ling ;  Hu Xizhong
Institute for Cardiovascular Diseases, Fujian Provincial Hospital, Fuzhou 350001
关键词:
摄氧量　无氧阈　心肺功能
Keywords:
oxygen intake 　maximal oxygen pulse　cardiopulmonary function
分类号:
-
DOI:
-
文献标识码:
-
摘要:
用逐级负荷踏车试验对24例正常人(男19例, 女5例) 和11例心肌缺血患者(男) 进行运动心肺功能的测定, 结果表明: 最大摄氧量、相对最大摄氧量、最大氧脉搏、最大心率、最大通气量受性别、年龄、体力活动影响。心肌缺血患者和正常人的心肺功能指标在静息下与无氧阈时两组无明显差异。而随着运动负荷的增加, 当出现无氧阈时, 心肌缺血组的摄氧量、相对摄氧量及通气量均低于正常组, 两组有显著差异。而在极量负荷时, 心肌缺血组的最大摄氧量、相对最大摄氧量、最大氧脉搏和最大通气量均低于正常组, 并有显著差异。因此运动负荷试验是临床上评估心肺功能非常有用的方法。
Abstract:
Cardio-pulmonary functions during execise in 24 normal persons and 11 patients with myocardial ischemia were measured through stepped pedaling test. The results showed that the maximal oxygen intake(Vo2max) , the relative maximal oxygen intake(Vo2max/kg) , the maximal oxygen pulse (Vo2max/HR) , the maximal heart rate (HRmax) , the maximal voluntary ventilation(VEmax) were affected by such factors as sex, age and physical movement of the persons tested.There was no significant difference in cardiopulmonary function between the normal and myocardial ischemia groups at rest. With increasing exercise, the Vo2, Vo2/kg, VE of the patient group were lower than those of the normal group at anaerobic threshold (P < 0.05). The Vo2max ,Vo2max/kg,Vo2max/HR,VEmax of the patient group were lower than those of the normal group at maximal exercise(P <0.05).Therefore exercise test can be a very useful clinical method in the assessment of cardiopulmonary function.

参考文献/References

［1］Bruce RA , Kusumi F, Hosmer D. Maximal oxygen intake and monographic assessment of functional aerobic impairment in cardiovascular disease. Am Heart J , 1973; 85: 546.

［2］Wehr KL , Johnson RL Jr. Maximal oxygen consumption in patients with lung disease. J ClinInvest, 1976; 58: 880.

［3］Bell AC, Hinson MM. Prediction of maximal oxygen intake in women twenty to forty years of age. J Sports Med Phys Fitness,1974; 14: 208.

［4］Stratton JR, Levy WC, Cerqueira MD. Cardiovascular responses to exercise. Effects of aging and exercise training in healthy men, Circu lation, 1994; 89: 1648.

［5］穆魁津, 林友华.肺功能测定原理与临床应用.第1版.北京:北京医科大学中国协和医科大学联合出版社, 1993: 170～ 186.

［6］浦钧宗.最大吸氧量的测定及其应用.中国运动医学杂志,1988; 7 (2) : 120.

［7］赵连云, 蔡玉芬, 王惠芬, 等.运动负荷气体交换法评价心肺功能的研究及临床应用.中华结核和呼吸杂志, 1990; 13 (3) : 180.

备注/Memo

备注/Memo:
(收稿1997-03-17　修回1998-04-27)
更新日期/Last Update: 1998-05-01