| 于晓燕,汤 婷,赵佳文,苏 敏,周建秀.个体化康复运动训练联合八段锦运动对冠心病PCI术后患者心功能、生活质量和心境状态的影响[J].,2022,(2):294-298 |
| 个体化康复运动训练联合八段锦运动对冠心病PCI术后患者心功能、生活质量和心境状态的影响 |
| Effects of Individualized Rehabilitation Exercise Training Combined with Baduanjin Exercise on Cardiac Function, Quality of Life and Mood State of Patients with Coronary Heart Disease after PCI |
| 投稿时间：2021-06-21 修订日期：2021-07-17 |
| DOI：10.13241/j.cnki.pmb.2022.02.018 |
| 中文关键词: 个体化康复运动训练 八段锦运动 冠心病 PCI 心功能 心境状态 生活质量 |
| 英文关键词: Individualized rehabilitation exercise training Baduanjin Exercise Coronary heart disease PCI Cardiac function Mood state Quality of life |
| 基金项目:江苏省青年自然科学基金项目（BK20180830） |
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| 中文摘要: |
| 摘要 目的：观察个体化康复运动训练联合八段锦运动对冠心病患者经皮冠状动脉介入术（PCI）术后心功能、心境状态和生活质量的影响。方法：选取2017年9月-2018年9月期间来我院接受治疗的100例冠心病PCI术后患者，根据随机数字表法分为对照组和研究组，各50例。对照组患者在常规治疗的基础上接受个体化康复运动训练，研究组患者在对照组的基础上联合八段锦运动。观察两组心功能、生活质量和心境状态变化情况。统计两组6个月内心血管不良事件发生率。结果：干预后，两组患者6 min步行试验（6MWT）距离、左心室射血分数(LVEF)均较干预前升高，且研究组的变化程度优于对照组（P<0.05）。干预后，两组患者紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱评分均较干预前下降，精力-活力、与自我有关的情绪评分较干预前升高，且研究组的变化程度优于对照组（P<0.05）。研究组6个月内的心血管不良事件发生率低于对照组，但是两组组间对比无统计学差异（P>0.05）。干预后，两组总体/精神健康、精力、情感/生理职能、躯体疼痛、生理/社会功能各维度评分升高，且研究组较对照组高（P<0.05）。结论：八段锦运动联合个体化康复运动训练可促进冠心病PCI术后患者心功能、生活质量和心境状态改善，同时还可控制心血管不良事件发生风险。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effects of individualized rehabilitation exercise training combined with Baduanjin Exercise on cardiac function, mood state and quality of life in patients with coronary heart disease after percutaneous coronary intervention (PCI). Methods: 100 patients with coronary heart disease after PCI in our hospital from September 2017 to September 2018 were selected, they were randomly divided into control group and study group by random number table method, with 50 cases in each group. The patients in the control group received individualized rehabilitation exercise training on the basis of routine treatment, and the patients in the study group combined with Baduanjin Exercise on the basis of the control group. The cardiac function, quality of life and mood state changes in the two groups were observed. The incidence of cardiovascular adverse events in the two groups within 6 months was counted. Results: After intervention, the distance of 6-min walking test (6MWT) and left ventricular ejection fraction (LVEF) in the two groups were higher than those before intervention, and the change degree in the study group was better than that in the control group (P<0.05). After intervention, the scores of tension-anxiety, depressed-dispirited, anger-hostility, fatigue-retardation and puzzle-confusion in the two groups were lower than those before intervention, and the scores of energy-vitality and self-related emotions were higher than those before intervention, and the change degree in the study group was better than that in the control group(P<0.05). The incidence of cardiovascular adverse events in the study group within 6 months was lower than that in the control group, but there was no significant difference between the two groups(P>0.05). After intervention, the scores of overall/mental health, energy, emotional/physiological function, physical pain and physiological/social function in the two groups increased, and the study group was higher than the control group(P<0.05). Conclusion: Baduanjin Exercise combined with individualized rehabilitation exercise training can not only promote the improvement of cardiac function, quality of life and mood state of patients with coronary heart disease after PCI, but also control the risk of cardiovascular adverse events. |
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