The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1402
12
1
gregorian
2024
3
1
31
12
online
1
fulltext
fa
مقایسه اثر هشت هفته تمرین هوازی و ترکیبی بر برخی شاخصهای همودینامیکی در بیماران مرد میانسال تحت عمل جراحی عروق کرونر
Comparison of the Effect of Eight Weeks Aerobic and Combined Exercise on Some Hemodynamic Indicators in Middle-Aged Male Patients Undergoing Coronary Artery Bypass Graft Surgery
فیزیولوژی ورزش
Exercise Physiology
پژوهشي
Original article
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تمرینات ورزشی با تعدیل فشارخون و ضربان قلب نقش حفاظتی در بیماران قلبی میانسال دارد، هدف از پژوهش حاضر مقایسه اثر هشت هفته تمرین هوازی و ترکیبی بر برخی شاخص</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">­</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">های همودینامیکی در بیماران مرد میانسال تحت عمل جراحی عروق کرونر بود.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه کارآزمایی بالینی، در سال 1401 تعداد 30 مرد میانسال عمل جراحی عروق کرونر بهصورت تصادفی ساده به سه گروه هوازی (10نفر)، ترکیبی (10نفر) و کنترل (10نفر) تقسیم شدند. آزمودنی</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">­</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">های دو گروه مداخله به مدت هشت هفته، هفته</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">­</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ای سه جلسه تمرینات منتخب هوازی و ترکیبی (با شدت 55 تا 75 درصد حداکثر ضربان قلب بیشینه، به مدت 60 دقیقه) انجام دادند. قبل و بعد از مداخله اندازه</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">گیری فشارخون، تعداد ضربان قلب و درصد اشباع اکسیژن خون انجام شد. تجزیه و تحلیل داده</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">­</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ها با استفاده از روش</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">­</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">های آماری تی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">وابسته، تحلیل واریانس یک طرفه و آزمون تعقیبی توکی با سطح معنا</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">­</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">داری (0/05</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">≤ </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) انجام شد.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> تمرینات هوازی موجب کاهش معنادار فشارخون سیستولی (0/036=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، فشارخون دیاستولی (0/040=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) و تعداد ضربان قلب (0/013=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) شد اما میزان کاهش در گروه ترکیبی معنادار نبود (0/05<</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، تفاوت اثر بین گروهی هم معنادار نبود (0/05<</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">). افزایش درصد اشباع اکسیژن خون در هر دو گروه هوازی (0/000=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) و ترکیبی (0/007=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) و تفاوت اثر بین دو گروه معنادار بود (0/004=</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به نظر می</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">رسد تمرینات هوازی و ترکیبی به عنوان یک استراتژی مداخله</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ای مفید در بهبود شاخص</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">های همودینامیک موجب سازگاری بیشتر بیمار با شرایط پس از عمل جراحی قلب می</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شود.</span></span></span></span></span></span></span><br>
</div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">Introduction:</span></span></b> <span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt">Exercise training by modulating blood pressure and heart rate have a protective role for middle-aged cardiac patients. Aim of this study was to compare the effect of eight weeks of aerobic and combined exercise on some hemodynamic indicators in middle-aged male patients undergoing coronary artery bypass graft surgery.</span></span><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.1pt"></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b><span new="" roman="" style="font-family:" times=""> In this clinical trial, a sample of 30 middle-aged men who underwent coronary artery surgery in 2023 were enrolled after meeting predetermined eligibility criteria and randomized for participation. They were divided into three aerobic (n=10), combined (n=10) and control (n=10) groups. The individuals of the 2 intervention groups performed selected aerobic and combined exercises (with an intensity of 55 - 75% of the maximum heart rate, for 60 minutes) for 8 weeks, 3 sessions per week. Blood pressure, heart rate and peripheral oxygen saturation (SpO2) were measured before and after the intervention.</span> <span new="" roman="" style="font-family:" times="">The parametric paired sample t-test, one-way ANOVA test and Tukey's Test were used to examine differences at a significance level of P ≤ 0.05.</span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The effect of aerobic exercises on systolic blood pressure (P=0.036), diastolic blood pressure (P=0.040) and heart rate (P=0.013) was significant and caused a decrease in these indicators, but the decrease in the combined group was not significant (P>0.05). The intergroup effect difference was not significant (P>0.05). In both aerobic (P=0.000) and combined (P=0.007) groups, the peripheral oxygen saturation has increased significantly and intergroup mean difference was significant (P=0.004).</span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:15.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">It seems that aerobic and combined exercises as a helpful intervention strategy to improve hemodynamic indicators, make the patient more adaptable to the conditions after coronary artery bypass graft surgery.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
</div>
فشارخون, تعداد ضربان قلب, درصد اشباع اکسیژن خون, تمرینات هوازی و ترکیبی, عمل جراحی عروق کرونر
Blood pressure, Heart rate, Peripheral oxygen saturation, Aerobic and combined exercises, Coronary artery bypass graft surgery.
7381
7395
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4570-3&slc_lang=fa&sid=1
Peyman
Kaikhosro Doulatyari
پیمان
کیخسرو دولتیاری
p.k.doulatyari@gmail.com