| 陈晓杰,陈英伟,董建增,邱春光,桑海强,陶海龙,程栋.有氧运动对阵发性房颤患者射频消融术后复发、运动功能和生活质量的影响[J].中国康复,2019,34(2):82-86 |
| 有氧运动对阵发性房颤患者射频消融术后复发、运动功能和生活质量的影响 |
| Effect of aerobic walking exercise after radiofrequency ablation on rehabilitation and life quality of paroxysmal atrial fibrillation patients |
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| DOI： |
| 中文关键词: 阵发性房颤 射频消融术 有氧运动 左心结构 生活质量 |
| 英文关键词: Paroxysmal atrial fibrillation Radiofrequency ablation Aerobic exercise Left cardiac structure Life quality |
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| 中文摘要: |
| 目的：探讨有氧运动干预对阵发性房颤患者射频消融术后复发、左心结构、运动功能及生活质量的影响。方法：收集我科行射频消融术的阵发性房颤患者122例，分为观察组60例和对照组62例，对观察组进行有氧步行运动干预，比较2组干预前后的房颤复发率、左心结构、运动功能及生活质量改善情况。结果：2组干预前后组间窦性心率人数比较均差异无统计学意义，但在术后1年时，观察组窦性心率人数比例高于对照组（P<0.05）。观察组术后1年左心房内径（LAD）、左心室射血分数（LVEF）及左心室重量指数（LVMI）均优于对照组（均P<0.05），6min步行试验的运动距离与对照组比较无显著性差异，但Borg呼吸困难评分低于对照组（P<0.05）；观察组术后1年除躯体疼痛外各生活质量方面评分均显著高于对照组（均P<0.05）。结论：有氧运动可以降低阵发性房颤患者射频消融术后复发率，改善左心结构和运动耐力并提高其生活质量。 |
| 英文摘要: |
| Objective: To discuss the effect of aerobic walking exercise after radiofrequency ablation on postoperative recurrence, left cardiac structure and function, movement function and life quality of paroxysmal atrial fibrillation patients. Methods: One hundred and twenty-two patients with paroxysmal atrial fibrillation who underwent the radiofrequency ablation in our department were chosen and divided into the experimental group and control group. The experimental group was given aerobic exercise intervention trial. The recurrent rate of atrial fibrillation, left cardiac structure and function, movement function and life quality before and after intervention between the two groups were compared. Results: There was no statistically significant difference between the two groups in the number of patients with sinus heart rate before and after intervention, but the recurrent rate of atrial fibrillation in experimental group was slightly higher than control group (30.6% vs. 21.7%). The left atrial diameter (LAD), left atrial ejection fraction (LVEF) and left ventricular mass index (LVMI) in experimental group one year after intervention were all better than control group (P<0.05). There was no significant difference in the walking distance of 6 minutes walking test between two groups, but the Borg score in experimental group was significantly higher than in control group (P<0.05). The life quality score in experimental group was all higher than in control group except body pain one year after intervention (P<0.05). Conclusion: Aerobic walking exercise could reduce the recurrence rate of paroxysmal atrial fibrillation after radiofrequency ablation, and improve the left cardiac structure and function, exercise tolerance and life quality. |
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