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各位朋友：
大家好，现在是“每天健康三分钟”时间，我是安阳道简医院的医生胡军辉。今天给大家讲讲“卧床静养”还是“日行万步”？心脏病患者能否进行运动？
冠心病患者总会为自己该如何活动而忧心忡忡。有人说，运动会加重心脏病；也有人说，越运动心脏恢复得就越快。那么，心脏病患者到底能否进行运动？作为一种非医疗的健康干预，运动训练采取的是主动促进健康的方式。事实上，几乎所有心血管疾病都可以通过运动的方式进行治疗，所有心血管疾病患者都应提倡进行适度运动训练。可以说，在治疗心血管疾病方面，运动治疗和药物治疗同等重要。
然而，运动也是一把“双刃剑”，过量的运动也会对心血管健康带来危害。比如，长期耐力性运动会促使心脏容积增大；长期力量性训练则会使心肌越来越肥厚。因此，在开始运动训练前，必须由医生进行科学的评估。从生理学意义上讲，只有维持适当的运动量，才能使心脏更强大。
有些患者，刚放了一两个支架就担心得不行，整天卧床“静养”。我就带他们来参观我们的康复训练场所——有很多80多岁高龄的心血管疾病患者在那里锻炼，患者看了后，从此天天腿脚不停、四处游览观光。因此，对于这类患者，医生要通过科学的评估手段，给予他们开展运动的信心，动员他们养成主动健康的生活方式。当然，运动治疗的目的是将患者从水里拉到岸上，而体育的目的则是让健康人在岸上“更高、更快、更强”。因此，运动治疗的安全性就显得尤为重要。临床工作中，有些患者只做了一组动作，肩关节就拉伤了——这是由于医生没有对患者的运动素质进行充分的评估。运动治疗既要为患者的心脏带来刺激，又要避免因运动给患者造成额外的损害。运动前只有经过缜密的评估，形成治疗方案，才能把握好其中的“火候”。在实践中，我们通过“心肺运动试验”采集数据，制定出安全的运动处方，科学准确地指导患者的体能运动保健和运动爱好者的安全训练以及体能的提升。
运动虽好，但运动强度过大会导致心跳过快，维持时间过长，会加剧动脉硬化。因此，一定要警惕运动疲劳，同时，在锻炼前，也一定要重视“后勤保障”。所以我希望心血管疾病患者在保证运动营养的情况下，在医生许可的情况下，进行适量运动。正确的方法是通过间歇运动锻炼心脏。通过间歇刺激，可以提高心脏的能力和适应性，使心脏功能越来越强大。
最后祝大家生活愉快，身体健康！想了解更多健康科普小知识，请关注我们
【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.
