Koroner arter hastalıklarında kardiak rehabilitasyonunun etkileri
Küçük Resim Yok
Tarih
1996
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
ÖZET Bu çalışmayı myokard infarktüsü geçiren, yaş dağılımı 34-75 arasında olan 20 erkek hastada gerçekleştirdik. Hastaların onuna kardiak rehabilitasyon programını uyguladık. Program bittiğinde rehabilitasyon grubuyla kontrol grubunu bazı parametreler açısından karşılaştırdık. Bu parametreler total kolesterol, trigliserid, LDL- kolesterol, HDL-kolesterol, vucüt yağ oranı, kardiak ejeksiyon fraksiyonu, VO2 max değerleriydi. Total kolesterol açısından her iki grupta da düşüş olduğu gözlendi. Rehabilitasyon grubunda bu düşüşün çok daha fazla olduğu ve istatistiksel olarak anlam taşıdığı saptandı (p<0.05). Her iki gruptaki azalmayı birbiriyle karşılaştırdığımızda aradaki fark istatistiksel olarak anlamlı bulundu (p<0.05). Trigliserid değerleri ise rehabilitasyon grubunda düşerken kontrol grubunda yükseldi. Her iki grupta trigliserid açısından meydana gelen değişmeler karşılaştırıldığında aradaki fark istatistiksel olarak anlamlı bulunmadı (p>0.05). HDL-kolesterol değerlerini kıyasladığımızda rehabilitasyon grubunda arttığını, kontrol grubunda ise azaldığını gördük. Kontrol grubunda HDL-kolesterol değerlerinde meydana gelen bu düşüş istatistiksel olarak anlamlı bulundu (p<0.05). LDL-kolesterol değerlerinin ise rehabilitasyon grubunda daha çok olmak üzere her iki grupta azaldığını gözledik. Bu değerlerin istatistiksel olarak anlamlı olmadığı saptandı (p>0.05). Hastaların vucüt yağ oranlarını ölçtüğümüzde elde edilen değerler şu şekildeydi, rehabilitasyon grubunda bu değerler rehabilitasyon programından sonra büyük oranda ve anlamlı (p<0.05) düşüş gösterdi. Kontrol grubunda ise hastaların vucüt yağ oranlarında artış olduğu gözlendi. Vucüt yağ oranlarında rehabilitasyon grubundaki artış, kontrol grubundaki düşüş ile istatistiksel olarak karşılaştırıldığında elde edilen değer anlamlı bulundu (p<0.05). Hastaların ejeksiyon fraksiyonu değerleri karşılaştırıldığında rehabilitasyon grubunda program sonrasında artmış, kontrol grubunda ise azalmış olduğunu gözledik. Ancak elde edilen sonuçlar istatistiksel olarak anlam taşımıyordu. Hastaların maksimal oksijen kullanma kapasitelerinin (V02 max) ise rehabilitasyon grubunda çok arttığını ve bu artışın istatistiksel olarak anlam taşıdığını saptadık (p<0.05). Kontrol grubunda da bu yönden bir artış söz konusuydu ancak istatistiksel olarak anlam taşımıyordu. 28
SUMMARY The patients in this experiment were 20 men who had myocardial infarction. They were between 34 and 75 years old. Ten of them had joined our cardiac rehabilitation programme. We compared some parameters of the experimental group to the control group after the rehabilitation programme had finished. These parameters were total blood cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol, body fatness ratio, cardiac ejection fraction and V02 max levels. Total cholesterol levels had decreased in the two groups. The decline was more in the rehabilitation group and it was statistically significant (p<0.05). The difference between the decrease in the two groups was statistically significant too (p<0.05). It was seen that the levels of the triglycerides was high in the control group while it was low in the rehabilitation group. The difference between the changes in the two groups was statistically significant (p<0.05). When we compared the concentrations of HDL-cholesterol we realized that HDL-cholesterol levels were higher in the rehabilitation group. The decrease in the control group was statistically significant (p<0.05). The value of LDL-cholesterol had decreased in both groups but to a larger extent in the rehabilitation group without being statistically significant (p>0.05). The values of the body fatness ratio of the patients were such that the body fatness in the experiment group had decreased in a larger amount after the completion of the rehabilitation programme (p<0.05). However in the control group, it was seen that body fatness ratio had increased. The difference between the changes in the rehabilitation and control groups was statistically significant (p<0.05). When we compared the ratios of cardiac ejection fraction of the patients in the two groups, it was seen that it had decreased in the control group and increased in the experimental group after the rehabilitation programme. However, these values were not statistically significant (p>0.05). The capacity of the maximal oxygen uptake (V02 max) of the patients in the rehabilitation group had increased in a larger amount and this increase was significant (p<0.05). There was an increase, though not significant, in the control group (p>0.05). 29
SUMMARY The patients in this experiment were 20 men who had myocardial infarction. They were between 34 and 75 years old. Ten of them had joined our cardiac rehabilitation programme. We compared some parameters of the experimental group to the control group after the rehabilitation programme had finished. These parameters were total blood cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol, body fatness ratio, cardiac ejection fraction and V02 max levels. Total cholesterol levels had decreased in the two groups. The decline was more in the rehabilitation group and it was statistically significant (p<0.05). The difference between the decrease in the two groups was statistically significant too (p<0.05). It was seen that the levels of the triglycerides was high in the control group while it was low in the rehabilitation group. The difference between the changes in the two groups was statistically significant (p<0.05). When we compared the concentrations of HDL-cholesterol we realized that HDL-cholesterol levels were higher in the rehabilitation group. The decrease in the control group was statistically significant (p<0.05). The value of LDL-cholesterol had decreased in both groups but to a larger extent in the rehabilitation group without being statistically significant (p>0.05). The values of the body fatness ratio of the patients were such that the body fatness in the experiment group had decreased in a larger amount after the completion of the rehabilitation programme (p<0.05). However in the control group, it was seen that body fatness ratio had increased. The difference between the changes in the rehabilitation and control groups was statistically significant (p<0.05). When we compared the ratios of cardiac ejection fraction of the patients in the two groups, it was seen that it had decreased in the control group and increased in the experimental group after the rehabilitation programme. However, these values were not statistically significant (p>0.05). The capacity of the maximal oxygen uptake (V02 max) of the patients in the rehabilitation group had increased in a larger amount and this increase was significant (p<0.05). There was an increase, though not significant, in the control group (p>0.05). 29
Açıklama
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Anahtar Kelimeler
Göğüs Kalp ve Damar Cerrahisi, Thoracic and Cardiovascular Surgery, Spor, Sports, Egzersiz, Exercise, Egzersiz, Exercise, Koroner hastalık, Coronary disease, Miyokard enfarktüsü, Myocardial infarction, Rehabilitasyon, Rehabilitation
