摘要
目的探讨运动康复疗法在老年稳定性冠心病合并卒中患者中的应用效果。方法选取河南中医药大学第一附属医院2018年5月-2020年5月收治的老年稳定性冠心病合并卒中患者124例作为研究对象,应用随机数字表分为对照组和观察组,每组62例。对照组给予常规药物治疗及康复干预,观察组在此基础上给予运动康复疗法,于治疗前和治疗3个月后采用蒙特利尔认知功能评估量表评估两组患者的认知功能,采用无氧阈值、运动持续时间、峰值功率与峰值摄氧量评估运动耐力,采用Barthel指数评分评价患者的日常生活能力,采用36条简明健康状况调查量表判定患者的生活质量,并进行安全性评价。结果治疗3个月后,观察组蒙特利尔认知功能评估量表各维度中命名、注意、延迟回忆、视空间及执行能力及总分均明显高于治疗前,其中注意、视空间及执行能力及总分高于对照组,差异均有统计学意义(P<0.05)。治疗前两组无氧阈值、运动持续时间、峰值功率与峰值摄氧量比较,差异均无统计学意义(P>0.05);治疗3个月后,两组上述指标均明显高于治疗前,观察组相应指标高于对照组,差异均有统计学意义(P<0.05)。治疗3个月后,两组Barthel指数评分和简明健康状况量表评分均较治疗前升高,观察组评分高于对照组,差异均有统计学意义(P<0.05)。两组治疗期间均未见明显不良反应。结论运动康复疗法能有效改善老年稳定性冠心病合并卒中患者的认知功能,提升其运动耐力和日常生活能力,改善生活质量,安全性较高。
Objective To determine the effect of exercise rehabilitation therapy in elderly patients with stable coronary heart disease and stroke.Methods One hundred twenty-four elderly patients with stable coronary heart disease and stroke who were admitted to the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from May 2018 to May 2020 were enrolled in this study.After randomization,62patients in the control group were given conventional drug treatment and rehabilitation intervention.The 62patients in the observation group were given exercise rehabilitation treatment alone.The montreal cognitive assessment scale(MoCA)was used to assess cognitive function in the two groups before and 3 months after treatment.The anaerobic threshold(AT)and exercise duration(ED),Cardiopulmonary Function Test(CPET),peak power(PP)and peak oxygen uptake(peak VO2)to assess exercise endurance,the Barthel Index score(BI)to evaluate activities of daily living,and 36 concise health status surveys were also used to assess the 2 groups of patients.The SF-36 scale was used to determine the patient’s quality of life and conduct a safety evaluation.Results After 3 months treatment,the naming,attention,delayed recall,visuospatial,executive ability and total MoCA scores in the observation group were significantly higher than before treatment(P<0.05).Specifically,attention,visuospatial and executive ability,and total scores were higher than the control group(P<0.05).The differences in AT,ED,PP,and peak VO2between the two groups before treatment were not statistically significant(P>0.05),but after 3 months of treatment,the above indices were significantly higher in both groups than before treatment(P<0.05),and the corresponding indices in the observation group were higher than the control group(P<0.05).The BI and SF-36 scale scores were higher in both groups after 3 months of treatment than before treatment(P<0.05),and the scores in the observation group were higher than the control group(P<0.05).No significant adverse effects were observed during treatment in either group.Conclusion Exercise rehabilitation therapy effectively improved the cognitive function of elderly patients with stable coronary heart disease and stroke,enhanced exercise endurance,improved activities of daily living and the quality of life,and wasdeemed to be safe.
作者
朱琳
王瑞平
谷玉静
寇娟
王静
ZHU Lin;WANG Rui-ping;GU Yu-jing;KOU Juan;WANG Jing(Rehabilitation Center,The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China;不详)
出处
《慢性病学杂志》
2022年第10期1486-1490,共5页
Chronic Pathematology Journal
关键词
稳定性冠心病
卒中
运动康复疗法
认知功能
运动耐力
Stable coronary artery disease
Stroke
Sports rehabilitation therapy
Cognitive function
Sports endurance
