摘要
急性冠状动脉综合征(ACS)患者的死亡率仍呈逐年上升趋势,已成为我国重大的公共卫生问题。运动康复作为心脏病患者院外康复的重要组成部分,可在药物治疗的基础上进一步降低患者死亡率。既往研究已证明高强度间歇训练(HIIT)对心力衰竭、稳定性冠心病以及高血压等慢性心血管疾病的作用较步行、慢跑等中等强度持续性有氧训练(MICT)更加有效且高效,且具有较高的安全性。最新研究显示,HIIT还可较MICT更加显著地降低ACS患者的血小板反应、减轻心肌缺血再灌注损伤、增加患者运动依从性,且不增加血栓不良事件及恶性心律失常风险,有望成为ACS患者院外心脏康复策略中运动处方的重要内容。
Acute coronary syndrome(ACS),with increasing mortality year by year,has become a major public health problem in China.Exercise rehabilitation as an important part of the out-of-hospital rehabilitation for the patients with heart diseases can further reduce the mortality of patients on the basis of drug treatment.The available studies have proved that high-intensity interval training(HIIT)is more effective and efficient than moderate-intensity continuous training(MICT)such as walking and jogging on chronic cardiovascular diseases such as heart failure,stable coronary heart disease,and hypertension and has high security.According to the latest research,HIIT can reduce the platelet response,mitigate myocardial ischemia-reperfusion injury,and increase the exercise compliance of ACS patients more significantly than MICT.Moreover,it does not increase the risk of thrombotic adverse events or malignant arrhythmia.Therefore,HIIT is expected to become an important part of exercise prescription in out-of-hospital cardiac rehabilitation strategy for the patients with ACS.
作者
池蕾娟
刘宏军
杨超君
闵晓娟
CHI Leijuan;LIU Hongjun;YANG Chaojun;MIN Xiaojuan(Department of Cardiology,Yichang Hospital of Traditional Chinese Medicine,Clinical College of Traditional Chinese Medicine of China Three Gorges University,Yichang,Hubei 443000,China;Department of Cardiology,Yichang Central People’s Hospital,The First Clinical Medical College of China Three Gorges University,Yichang,Hubei 443000,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2023年第1期149-154,共6页
Acta Academiae Medicinae Sinicae
基金
宜昌市医疗卫生研究项目(A20-2-004)。
关键词
心血管疾病
急性冠状动脉综合征
高强度间歇训练
中等强度持续性有氧训练
心脏康复
cardiovascular disease
acute coronary syndrome
high-intensity interval training
moderate-intensity continuous training
cardiac rehabilitation
