| 肖 丹,袁 亮,马玉娇,刘珊珊,徐锦鸿.八段锦运动联合分阶段心脏康复训练在冠心病合并2型糖尿病PCI术后患者中的临床效果研究[J].,2024,(8):1460-1463 |
| 八段锦运动联合分阶段心脏康复训练在冠心病合并2型糖尿病PCI术后患者中的临床效果研究 |
| Clinical Effect Study of Baduanjin Exercise Combined with Staged Cardiac Rehabilitation Training in Patients with Coronary Heart Disease and Type 2 Diabetes Mellitus after PCI |
| 投稿时间：2023-07-11 修订日期：2023-07-30 |
| DOI：10.13241/j.cnki.pmb.2024.08.010 |
| 中文关键词: 八段锦 心脏康复 冠心病合并2型糖尿病 经皮冠状动脉介入术 临床效果 |
| 英文关键词: Baduanjin Cardiac rehabilitation Coronary heart disease and type 2 diabetes mellitus Percutaneous coronary intervention Clinical effects |
| 基金项目:国家自然科学基金青年项目(81901416) |
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| 中文摘要: |
| 摘要 目的：探讨八段锦运动联合分阶段心脏康复训练在冠心病合并2型糖尿病（T2DM）经皮冠状动脉介入术（PCI）后患者中的临床效果。方法：选择2021年3月~2022年12月期间我院收治的冠心病合并T2DM患者（n=132），均成功实施PCI术。按照随机数字表法将患者分为对照组（分阶段心脏康复训练，n=66）和实验组（对照组的基础上术后6 h接受八段锦运动，n=66）。对比两组心功能指标[左室收缩末内径（LVESD）、左室射血分数（LVEF）、左室舒张末径（LVEDD）]、焦虑抑郁情况[焦虑自评量表（SAS）、抑郁自评量表（SDS）]、健康生活质量量表简表（SF-36）各维度评分及总分，同时观察两组心血管不良事件发生率。结果：干预12周后，实验组LVEF高于对照组，LVESD、LVEDD低于对照组（P<0.05）。干预12周后，实验组SAS、SDS评分低于对照组（P<0.05）。干预12周后，实验组SF-36各维度评分及总分高于对照组（P<0.05）。实验组的心血管不良事件总发生率低于对照组（P<0.05）。结论：八段锦运动联合分阶段心脏康复训练干预冠心病合并二型糖尿病PCI术后患者，有助于改善心功能，减轻抑郁焦虑程度，进一步提高患者的生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical effect of baduanjin exercise combined with staged cardiac rehabilitation training in patients with coronary heart disease and type 2 diabetes mellitus (T2DM) after percutaneous coronary intervention (PCI). Methods: 132 patients with coronary heart disease and who were admitted to our hospital from March 2021 to December 2022 were selected, and PCI was successfully performed. Patients were divided into control group(cardiac rehabilitation training, n=66) and experimental group(baduanjin exercise 6 hours after operation on the basis of control group, n=66)according to the random number table method. The cardiac function indexes [left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD)], anxiety and depression [self-rating anxiety scale (SAS), self-rating depression scale (SDS)], health quality of life scale (SF-36) scores and total scores were compared between two groups before and after 12 weeks of intervention, and the incidence of cardiovascular adverse events was observed in two groups. Results: 12 weeks after intervention, LVEF in experimental group was higher than that in control group, LVESD and LVEDD were lower than those in control group(P<0.05). 12 weeks after intervention, the scores of SAS and SDS in experimental group were lower than those in control group (P<0.05). 12 weeks after intervention, total score and each dimension of SF-36 were higher than those in control group(P<0.05). The total incidence of cardiovascular adverse events in experimental group was lower than that in control group(P<0.05). Conclusion: Baduanjin exercise combined with staged cardiac rehabilitation training intervened in patients with coronary heart disease complicated with type II diabetes after PCI, which helped to improve cardiac function, alleviate depression and anxiety, and further improve the quality of life of patients. |
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