| 崔维佳,谢金洲,罗 炼,石 睿,宁 靓.高强度间歇训练心脏康复对冠心病患者PCI术后心脏功能及应激因子的影响[J].,2021,(17):3346-3349 |
| 高强度间歇训练心脏康复对冠心病患者PCI术后心脏功能及应激因子的影响 |
| Effect of Cardiac Rehabilitation with High Intensity Intermittent Training on Cardiac Function and Stress Factors in Patients with Coronary Heart Disease after PCI |
| 投稿时间：2020-12-03 修订日期：2020-12-27 |
| DOI：10.13241/j.cnki.pmb.2021.17.031 |
| 中文关键词: 高强度间歇训练 心脏康复 冠心病 经皮冠状动脉介入 心脏功能 应激因子 |
| 英文关键词: High-intensity interval training Cardiac rehabilitation Coronary heart disease Percutaneous coronary intervention Cardiac function Stress factors |
| 基金项目:四川省卫生健康委员会基金项目（20PJ230） |
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| 中文摘要: |
| 摘要 目的：探讨高强度间歇训练心脏康复对冠心病患者经皮冠状动脉介入（PCI）术后心脏功能及应激因子的影响。方法：选择我院于2017年3月至2019年3月行PCI术冠心病患者86例，采用随机数字表法随机分为观察组43例与对照组43例。观察组患者采用高强度间歇训练心脏康复，对照组患者采用常规心脏康复。两组疗程均为12周。比较两组康复前后心脏功能、运动耐力、应激因子及生活质量影响。结果：观察组康复后左室射血分数（LVEF）和心输出量高于对照组（P<0.05）。观察组康复后峰值功率（PP）、运动持续时间（ED）和峰值摄氧量（VQ2peak）高于对照组（P<0.05）。观察组康复后C反应蛋白（CRP）、肿瘤坏死因子-α（TNF-α）和白介素-6（IL-6）水平低于对照组（P<0.05）。观察组康复后心绞痛稳定程度、疾病主观感受、躯体活动受限程度、心绞痛发作频率和治疗满意程度评分高于对照组（P<0.05）。结论：高强度间歇训练心脏康复可改善冠心病PCI术后心脏功能，减轻应激反应，改善患者运动耐力及生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of high-intensity interval training cardiac rehabilitation on cardiac function and stress factors in patients with coronary heart disease after percutaneous coronary intervention(PCI). Methods: A total of 86 patients with coronary heart disease underwent PCI in our hospital from March 2017 to March 2019 were selected and randomly divided into an observation group of 43 cases and a control group of 43 cases by random number table method. Patients in the observation group received high-intensity interval training for cardiac rehabilitation, and patients in the control group received conventional cardiac rehabilitation. The treatment course of both groups was 12 weeks. The effects of heart function, exercise endurance, stress factors and quality of life before and after rehabilitation were compared between the two groups. Results: The left ventricular ejection fraction (LVEF) and cardiac output after rehabilitation in the observation group were higher than those in the control group (P<0.05). Peak power (PP), exercise duration(ED) and peak oxygen uptake(VQ2peak) after rehabilitation in the observation group were higher than those in the control group (P<0.05). The levels of C-reactive protein (CRP), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) in the observation group after rehabilitation were lower than those in the control group (P<0.05). The scores of angina stability, subjective feelings of disease, physical activity limitation, frequency of angina pectoris and satisfaction degree of treatment in the observation group after rehabilitation were higher than those in the control group(P<0.05). Conclusion: High-intensity interval training for cardiac rehabilitation can improve cardiac function after PCI of coronary heart disease, reduce stress response, and improve exercise endurance and quality of life of patients. |
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