摘要
目的 探讨康复训练对冠心病患者经皮冠状动脉介入（PCI）术后生活质量及心肺功能的影响.方法 共选取冠心病PCI术后患者69例,将其随机分为3组,其中对照组仅给予内科常规药物治疗,步行训练组在此基础上给予三阶段步行训练,步行＋呼吸训练组则在步行训练组治疗基础上辅以呼吸功能训练.经3个月相应治疗后,分别采用活动平板运动试验、肺功能检测仪及SF-36简明量表对3组患者心、肺功能及生活质量进行评定.结果 步行训练组及步行＋呼吸训练组患者经3个月治疗后,其心功能指标（包括总运动时间、最大心率、收缩压和峰值代谢当量）、肺功能指标[包括用力肺活量（FVC）、1秒钟用力呼气容积（FEV1）、50%用力呼气流量（FEF50）和肺一氧化碳弥散量（DLCO）]均较康复治疗前明显改善（P＜0.05）;治疗后步行＋呼吸训练组生活质量8个领域指标均有明显改善（P＜0.05）,而步行训练组仅躯体功能、心理健康、角色心理、活力/精力、身体疼痛及综合健康6个领域评分较康复训练前改善（P＜0.05）;对照组治疗前、后心肺功能及生活质量均无明显改善（P＞0.05）.结论 PCI术后给予步行及呼吸功能训练,可有效改善冠心病患者术后心、肺功能及生活质量.
Objective To quantify the effect of rehabilitation training on cardiopulmonary function and the quality of life of patients with coronary heart disease after percutaneous coronary intervention （PCI）. Methods Sixty-nine patients after PCI were randomly divided into three groups. Those in group A were given conventional medical therapy; group B had additional walking exercise; group C had both additional respiratory training and the additional walking exercise. Treadmill exercise tests, pulmonary function examinations and a health questionnaire were used to evaluate cardiopulmonary function and quality of life after three months of treatment. Results After three months of treatment cardiopulmonary function and quality of life had improved significantly in groups B and C, and there was significant difference between groups B and C. Conclusion Walking and respiratory function training can improve cardiopulmonary function and quality in life after PCI.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2010年第10期771-775,共5页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
冠状动脉成形术
步行运动
呼吸功能训练
心肺功能
生活质量
Percutaneous coronary intervention
Walking exercise
Respiratory training
Cardiopulmonary function
Quality of life
