| 孙晓静,姜立清,张振英,冯 静,刘艳玲.运动康复锻炼对冠心病经皮冠状动脉介入术后患者心肺功能及生活质量的影响[J].,2019,19(7):1281-1284 |
| 运动康复锻炼对冠心病经皮冠状动脉介入术后患者心肺功能及生活质量的影响 |
| Effect of Exercise Rehabilitation Exercise on Cardiorespiratory Function and Quality of Life in Patients with Coronary Heart Disease after Percutaneous Coronary Intervention |
| 投稿时间：2018-08-23 修订日期：2018-09-18 |
| DOI：10.13241/j.cnki.pmb.2019.07.017 |
| 中文关键词: 运动康复锻炼 冠心病 经皮冠状动脉介入术 心肺功能 生活质量 影响 |
| 英文关键词: Exercise rehabilitation exercise Coronary heart disease Percutaneous coronary intervention for coronary heart disease Cardiopulmonary function Quality of life Influence |
| 基金项目:中国康复医疗机构联盟基金资助项目（20160102） |
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| 中文摘要: |
| 摘要 目的：探讨运动康复锻炼对冠心病经皮冠状动脉介入术（PCI）后患者心肺功能及生活质量的影响。方法：选取2016年10月-2018年4月期间我院收治的冠心病稳定性心绞痛患者80例，根据随机数字表法将患者分为对照组（n=40）和运动康复组（n=40），其中对照组给予常规康复运动，运动康复组在此基础上联合运动康复训练。比较两组患者术后12周的心肺功能指标，比较两组患者术前、术后2周、术后12周的6 min步行距离，比较两组患者术前、术后12周生活质量评分。结果：运动康复组患者术后12周峰值摄氧量、峰值通气量、峰值功率、每搏输出量、代谢当量以及摄氧效率斜率均高于对照组患者（P<0.05）。两组患者术后2周、术后12周6 min步行距离均较术前增加，且运动康复组高于对照组（P<0.05）。两组患者术后12周生理机能、生理职能、躯体疼痛、精神健康评分均较术前升高，且运动康复组高于对照组（P<0.05）；而两组患者术后12周社会功能、总体健康、精力、情感职能评分比较差异无统计学意义（P>0.05）。结论：PCI术后患者给予运动康复锻炼，可显著提升患者生活质量，对患者心肺功能恢复具有较好的促进作用。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of exercise rehabilitation exercise on cardiopulmonary function and quality of life in patients with coronary heart disease after percutaneous coronary intervention (PCI). Methods: A total of 80 patients with stable angina pectoris, who were treated in Affiliated Beijing Rehabilitation Hospital of Capital Medical University from October 2016 to April 2018, were selected and were randomly divided into control group (n=40) and exercise rehabilitation group (n=40). The control group was given routine rehabilitation nursing, on the basis of which, the exercise rehabilitation group was combined with exercise rehabilitation training.The cardiac and pulmonary function indexes of the two groups 12 weeks after operation were compared; the 6 min walking distance be- fore operation, 2 weeks after operation and 12 weeks after operation were compared between the two groups. The scores of the quality of life of the two groups were compared before and after 12 weeks after operation. Results: The peak oxygen uptake, peak ventilation, peak power, per stroke output,metabolic equivalent and oxygen uptake slope in the exercise rehabilitation group 12 weeks after operation were higher than those in the control group(P<0.05). The 6min walking distance 2 weeks and 12 weeks after operation in the two groups was higher than that before operation, and the 6min walking distance in the exercise rehabilitation group was higher than that in the control group(P<0.05). The physiological function, physical function, physical pain and mental health of the two groups 12 weeks after operation were higher than those before operation, and the exercise rehabilitation group was higher than that in the control group(P<0.05); while there were no significant differences in social function, overall health, energy and emotional function 12 weeks after intervention(P>0.05). Conclusion: Exercise rehabilitation exercise after PCI can significantly improve the quality of life of patients, and it plays a good role in promoting the recovery of cardiopulmonary function. |
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