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各位朋友：
大家好，現在是“每天健康三分鐘”時間，我是安陽道簡醫院的醫生胡軍輝。今天給大家講講“臥床靜養”還是“日行萬步”？心臟病患者能否進行運動？
冠心病患者總會為自己該如何活動而憂心忡忡。有人說，運動會加重心臟病；也有人說，越運動心臟恢復得就越快。那麼，心臟病患者到底能否進行運動？作為一種非醫療的健康干預，運動訓練採取的是主動促進健康的方式。事實上，幾乎所有心血管疾病都可以通過運動的方式進行治療，所有心血管疾病患者都應提倡進行適度運動訓練。可以說，在治療心血管疾病方面，運動治療和藥物治療同等重要。
然而，運動也是一把“雙刃劍”，過量的運動也會對心血管健康帶來危害。比如，長期耐力性運動會促使心臟容積增大；長期力量性訓練則會使心肌越來越肥厚。因此，在開始運動訓練前，必須由醫生進行科學的評估。從生理學意義上講，只有維持適當的運動量，才能使心臟更強大。
有些患者，剛放了一兩個支架就擔心得不行，整天臥床“靜養”。我就帶他們來參觀我們的康復訓練場所——有很多80多歲高齡的心血管疾病患者在那裡鍛鍊，患者看了後，從此天天腿腳不停、四處遊覽觀光。因此，對於這類患者，醫生要通過科學的評估手段，給予他們開展運動的信心，動員他們養成主動健康的生活方式。當然，運動治療的目的是將患者從水裡拉到岸上，而體育的目的則是讓健康人在岸上“更高、更快、更強”。因此，運動治療的安全性就顯得尤為重要。臨床工作中，有些患者只做了一組動作，肩關節就拉傷了——這是由於醫生沒有對患者的運動素質進行充分的評估。運動治療既要為患者的心臟帶來刺激，又要避免因運動給患者造成額外的損害。運動前只有經過縝密的評估，形成治療方案，才能把握好其中的“火候”。在實踐中，我們通過“心肺運動試驗”採集數據，制定出安全的運動處方，科學準確地指導患者的體能運動保健和運動愛好者的安全訓練以及體能的提升。
運動雖好，但運動強度過大會導致心跳過快，維持時間過長，會加劇動脈硬化。因此，一定要警惕運動疲勞，同時，在鍛鍊前，也一定要重視“後勤保障”。所以我希望心血管疾病患者在保證運動營養的情況下，在醫生許可的情況下，進行適量運動。正確的方法是通過間歇運動鍛鍊心臟。通過間歇刺激，可以提高心臟的能力和適應性，使心臟功能越來越強大。
最後祝大家生活愉快，身體健康！想了解更多健康科普小知識，請關注我們
【英文版】
Bed rest or daily walk? Can patients with heart disease exercise?
Dear friends, nice to meet you!Now it is time for “health talk for three minutes every day”,My name is Hu Junhui, a doctor of Anyang Daojian Hospital.Today, I'd like to talk to you. Which is better for patients with heart disease, stay in bed and rest or walk ten thousand steps a day ?Can patients with heart disease exercise?
Patients with coronary heart disease always worry about how to do exercise.Some people say that exercise can aggravate heart disease,others say that the more you exercise, the faster your heart will recover. So, can heart disease patients exercise? As a non-medical health intervention, sports training takes the initiative to promote health. In fact, almost all cardiovascular diseases can be treated by exercise, and all patients with cardiovascular diseases should do moderate exercise training.It can be said that exercise therapy and drug therapy are equally important in the treatment of cardiovascular diseases.
However, exercise is also a "double-edged sword", excessive exercise will also bring harm to cardiovascular health. For example, long-term endurance exercise can increase the volume of the heart,long-term strength training will make the heart muscle more and more fat. Therefore, it is necessary for doctors to make a scientific evaluation before starting sports training. In physiological sense, only by maintaining appropriate amount of exercise can the heart become stronger.
Patients with only two stents in their blood vessels were worried all day and stay in bed.So I took them to visit our rehabilitation training site - there were many cardiovascular disease patients in their 80s exercised there. After seeing the older people who exercised, the younger had been touring around every day. Therefore, for such patients, doctors should give them the confidence to carry out sports through scientific evaluation means, and mobilize them to develop an active and healthy lifestyle. Of course, the purpose of exercise therapy is to pull patients from the water to the shore, while the purpose of sports is to make healthy people "higher, faster and stronger" on shore. Therefore, the safety of exercise therapy is particularly important.
In clinical work, some patients only do a group of movements, and the shoulder joint is strained. This is because the doctor has not fully evaluated the patient's motor ability.Exercise therapy should not only stimulate the heart of patients,but also avoid extra damage caused by improper exercise. Only after careful evaluation before exercise, can we grasp the intensity of treatment.In practice, we collect data through cardiopulmonary exercise test, formulate safe exercise prescription,scientifically and accurately guide patients' physical exercise health care, sports enthusiasts' safety training and physical fitness improvement.
Exercise is good, but excessive exercise intensity will lead to rapid heartbeat, and maintaining for a long time will aggravate arteriosclerosis. Therefore, we must be alert to exercise fatigue. At the same time, before training, we must also pay attention to "logistics support". Therefore, I hope that patients with cardiovascular disease can exercise properly under the condition of ensuring sports nutrition and with the permission of doctors.The right way is to exercise the heart through intermittent exercise. Intermittent stimulation can improve the ability and adaptability of the heart and make the heart function more and more powerful.
Finally, I wish you all a happy life and good health!To learn more about health knowledge, please pay attention to us.
