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1、抗阻训练和中等强度有氧运动对冠心病患者ADP和CRP的影响观察摘耍：目的观察弹力带抗阻训练和中等强度有氧运动训练对冠心病患者ADP、IGF-1和CRP水平的变化。方法我科2012年10月〜2013年10月收治的符合入组条件的冠心病患者，在药物治疗慕础上，随机分为A、B两组，A组给予3次/w,30~40min/次的中等强度有氧运动方案，13组给予3次/w,40〜60min/次的弹力带抗阻训练方案。结果A组和B组患者lw时ADP和CRP水平较本组运动训练开始前基线水平无明显变化(P>0.05),两组
2、间无显著性差异(P>0.05)；A组和B组患者4w和8w时ADP水平较本组运动训练开始前基线水平降升高(P0.05)；A组和B组患者lw.4w和8w时CR卩水平较木组运动训练开始前基线水平无变化(P>0.05),两组间无显著性差异(P>0.05)。ADP和CRPZ间未提示有相关性。结论弹力带抗阻训练和中等强度有氧训练改善了冠心病患者运动4w、8w后的ADP水平，但对CRP水平无明显影响；两种运动方式对冠心病患者ADP水平影响无显著性差异。关键词：抗阻训练；有氧运动；炎症因子；冠心病Abstrac
3、t：ObjectiveToobservetheelasticbandofmoder且teintensityresistancetrainingandaerobicexercisetrainingonADPandCRPlevelsinpatientswithcoronaryheartdiseasebeforethestartofexercisetrainingandattheendofthe1week,4weeks,8weeksofexercisetraining.MethodsFromOct.2
4、012toOct.2013,thepatientswithcoronaryheartdiseasecomplywiththeinclusioncriteria,onthebasisofdrugtreatmentwererandomlydividedintotwogroups,groupAandgroupB.GroupAreceivedmoderate-intensityaerobicexerciseprogram(threetimesaweekfor30-40minutes,during8wee
5、ks)andgroupBreceivedelasticbandresistancetrainingprogram(threetimesaweekfor40〜60minutes,during8weeks).ResultsTheADPlevelsofgroupAandBhavenosignificantchangeafter1weekexercisetrainingcomparerwiththe1evelsbeforethestartofexercisetraining,butnodifferenc
6、ebetweentwogroups.TheAD卩levelsofgroupAandBincreasedafter4weeksand8weeksexercisetraining(卩〈0.05),butnodifferencebetweentwogroups.TheCRPlevelsofgroupAandBhavenosignificantchangeafterexercisetrainingcomparerwiththe1evelsbeforethestartofexercisetraining.
7、NotipsbetweenADPandCRPcorrelated.ConclusionFourweeksandeightweeksofelasticbandresistancetrainingandmoderateintensityaerobicexercisetrainingimprovedtheADPlevelsinpatientswithcoronaryheartdisease,butnosignificanteffectonCRPlevels；Nosignificantimpactbet
8、weenthistwomethodsofexercisetraining・Keywords：Resistancetraining；Aerobicexercise；Inflammatoryfactors；Coronaryheartdisease一些炎症标志物水平审稿标志着冠心病(Coronaryheartdisease,CHD)危险增加。脂联素(Adiponectin,ADP)作为脂肪因子是一种天然的内分泌血管保护和抗炎症物质［1］。尽管ADP由脂肪组织分泌，但肥胖者体内脂联素水平远低丁非肥胖人群
