心梗后心脏康复治疗.ppt

文档介绍：?我应该怎么运动?我什么时候可以回到工作岗位?我可以做哪些家务?我什么时候可以回到以前正常的生活?心脏康复的概念和分期心脏康复(CardiacRerehabilitation,CR)始于上世纪80年代1995年AHCRP指南提出:CR由药物治疗、合理运动、危险因素干预、健康教育、:Minutesperweekspentinmoderate-intensitysportsactivity(low-active,135min/wk;intermediatelyactive,136-195min/wk;andhighlyactive,>195min/wk)TotalBodyFatIntra-;289:323-330173sedentary,overweight(BMI>24kg/m2)post-:positionNS5%20%†15%34%*8%20%*ChangefromBaseline202171199174197190200188TG Men Women39564**********HDL-C Men Women118102131120134135138155LDL-C Men WomenYearandLipidLevel(mg/dL)1961932102092**********TC Men ;92:773-777*P=†P=-C=Highdensitylipoproteincholesterol,LDL-C=Lowdensitylipoproteincholesterol,TG=TriglycerideExerciseEvidence:;289:1785-91Nurse’sHealthStudy运动降低肥胖和糖尿病的发生率ExerciseEvidence:;347:716-25Quintilesofactivity(MET-hour/week**)WalkingRelativeRiskofCHDVigorousexercise*RelativeRiskofCHDP==’sHealthInitiativeObservationalStudy12345**Averageactivehoursperweekenergyexpenditureperactivity*Includesaerobics,aerobicdancing,jogging,tennis,andswimminglapsCHD=CoronaryheartdiseaseExerciseEvidence:运动对冠心病的影响