|本期目录/Table of Contents|

[1]陈赛赛,娅茹,黄昊,等.不同时长床旁被动踏车运动对重症脑卒中 患者心脏血流动力学的影响[J].国际心血管病杂志,2023,02:113-116.
 CHEN Saisai,YA Ru,HUANG Hao,et al.Effects of bedside passive treadmill exercise with different durations on cardiac hemodynamics in patients with severe stroke[J].International Journal of Cardiovascular Disease,2023,02:113-116.
点击复制

不同时长床旁被动踏车运动对重症脑卒中 患者心脏血流动力学的影响(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2023年02期
页码:
113-116
栏目:
临床研究
出版日期:
2023-03-20

文章信息/Info

Title:
Effects of bedside passive treadmill exercise with different durations on cardiac hemodynamics in patients with severe stroke
作者:
陈赛赛娅茹黄昊林万隆孟琼
200436 上海市第三康复医院重症康复科
Author(s):
CHEN Saisai YA Ru HUANG Hao LIN Wanlong MENG Qiong
Department of Rehabilitation for Critically Ill Patients, Shanghai Third Rehabilitation Hospital, Shanghai 200436, China
关键词:
床旁被动踏车运动重症脑卒中心脏血流动力学
Keywords:
Bedside passive treadmill exercise Severe stroke Cardiac hemodynamics
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2023.02.013
文献标识码:
-
摘要:
目的:观察不同时长床旁被动踏车运动对重症脑卒中患者心脏血流动力学的影 响。 方法:选取上海市第三康复医院重症脑卒中患者60 例,随机分为3 组,各20 例,分别进 行30、60、90 min 床旁被动踏车运动。每组运动前后采用无创血压监测仪监测心脏血流动 力学变化。 结果:与运动前相比,30 min 组运动后收缩压(SBP)、舒张压(DBP)、平均 动脉压(MAP)、脉压差(PP)、总外周阻力(TPR)均下降(P 均<0.05),心率(HR)、每 搏输出量(SV)、心输出量(CO)差异均无统计学意义(P
Abstract:
Objective: To determine the effect of bedside passive treadmill exercise(BPTE)with different durations on cardiac hemodynamics in patients with severe stroke. Methods: Sixty patients with severe stroke in Shanghai Third Rehabilitation Hospital were random

参考文献/References

[1] Kumar S, Selim MH, Caplan LR. Medical complications after stroke[J]. Lancet Neurol, 2010, 9(1):105-118.
[2] Scheitz JF, Nolte CH, Doehner W, et al. Stroke–heart syndrome: clinical presentation and underlying mechanisms[J]. Lancet Neurol, 2018, 17(12):1109-1120.
[3] Prosser J, MacGregor L, Lees KR, et al. Predictors of early cardiac morbidity and mortality after ischemic stroke[J]. Stroke, 2007, 38(8):2295-2302.
[4] Dhamoon MS, Sciacca RR, Rundek T, et al. Recurrent stroke and cardiac risks after first ischemic stroke: the Northern Manhattan Study[J]. Neurology, 2006, 66(5):641-646.
[5] Hoier B, Walker M, Passos M, et al. Angiogenic response to passive movement and active exercise in individuals with peripheral arterial disease[J]. J Appl Physiol, 2013, 115(12):1777-1787.
[6] Hellsten Y, Rufener N, Nielsen JJ, et al. Passive leg movement enhances interstitial VEGF protein, endothelial cell proliferation, and eNOS mRNA content in human skeletal muscle[J]. Am J Physiol Regul Integr Comp Physiol, 2008, 294(3):R975-R982.
[7] 中华医学会神经病学分会, 中华医学会神经病学分会脑血 管病学组. 中国各类主要脑血管病诊断要点2019[J]. 中华神 经科杂志, 2019, 52(9):710-715.
[8] 彭斌,宿英英.中国重症脑血管病管理共识2015[J].中华 神经科杂志,2016,49(3):192-202.
[9] Ritz K, van Buchem MA, Daemen MJ. The heart-brain connection: mechanistic insights and models[J]. Neth Heart J, 2013, 21(2):55-57.
[10] Meng LZ, Hou WG, Chui J, et al. Cardiac output and cerebral blood flow: the integrated regulation of brain perfusion in adult humans[J]. Anesthesiology, 2015, 123(5):1198-1208.
[11] Truong AD, Fan E, Brower RG, et al. Bench-to-bedside review: mobilizing patients in the intensive care unit--from pathophysiology to clinical trials[J]. Crit Care, 2009, 13(4): 216.
[12] 黄晓琳, 陆敏, 彭军. 不同康复治疗计划对脑卒中患者功能 恢复的影响[J].中华物理医学与康复杂志, 2003, 24(6):33-35.
[13] Alex C, Lindgren M, Shapiro PA, et al. Aerobic exercise and strength training effects on cardiovascular sympathetic function in healthy adults: a randomized controlled trial[J]. Psychosom Med, 2013, 75(4):375-381.
[14] Skrypnik D, Bogdański P, Madry E, et al. Effect of physical exercise on endothelial function, indicators of inflammation and oxidative stress[J]. Pol Merkur Lekarski, 2014, 36(212): 117-121.
[15] Higashi Y, Kihara Y, Noma K. Endothelial dysfunction and hypertension in aging[J]. Hypertens Res, 2012, 35(11):1039- 1047.
[16] McDaniel J, Hayman MA, Ives S, et al. Attenuated exercise induced hyperaemia with age: mechanistic insight from passive limb movement[J]. J Physiol, 2010, 588(Pt 22):4507- 4517.
[17] Chaitman BR. Should early acceleration of heart rate during exercise be used to risk stratify patients with suspected or established coronary artery disease?[J]. Circulation, 2007, 115(4): 430-431.
[18] Steding-Ehrenborg K, Jablonowski R, Arvidsson PM, et al. Moderate intensity supine exercise causes decreased cardiac volumes and increased outer volume variations: a cardiovascular magnetic resonance study[J]. J Cardiovasc Magn Reson, 2013, 15(1):96.
[19] McDaniel J, Fjeldstad AS, Ives S, et al. Central and peripheral contributors to skeletal muscle hyperemia: response to passive limb movement[J]. J Appl Physiol, 2010, 108(1):76-84.
[20] Trinity JD, McDaniel J, Venturelli M, et al. Impact of body position on central and peripheral hemodynamic contributions to movement-induced hyperemia: implications for rehabilitative medicine[J]. Am J Physiol Heart Circ Physiol, 2011, 300(5):H1885-H1891.

备注/Memo

备注/Memo:
基金项目:上海市卫生健康委员会(202040035) 通信作者:娅茹, E-mail:yaru3000@126.com
更新日期/Last Update: 2023-03-20