摘要
目的探讨系统心脏康复对老年冠心病(coronary heart disease,CHD)患者运动耐力及生活质量的影响。方法选取2016年8月至2019年6月就诊于我院的经皮冠状动脉介入(percutaneous coronary intervention,PCI)术后的老年冠心病患者60例,依据自愿分配原则分为治疗组与观察组。两组均进行常规药物治疗,治疗组患者在常规药物治疗的基础上由康复医师为其制订个体化运动处方并指导实施运动治疗,观察组仅行常规药物治疗,不给运动处方治疗。两组均于治疗12周使用COSMED运动心肺功能检测系统(意大利)进行心肺运动试验(Cardiopulmonary Exercise Testing,CPET)评估,并进行6min步行试验(6MWD),以评价患者运动耐力改善情况;使用SF-36量表评价患者生活质量。结果两组干预前各项运动耐力指标具有可比性(P>0.05),干预后各项指标较干预前明显提高(P<0.05);治疗组干预后各项运动耐力指标均高于观察组(P<0.05);两组干预前SF-36量表各纬度评分具有可比性(P>0.05),干预后生理功能、生理职能、活力、社会职能、总体健康评分较干预前提高(P<0.05);治疗组预后SF-36量表各纬度评分高于观察组(P<0.05)。结论老年冠心病患者进行系统心脏康复可提高其运动耐力及生活质量,值得临床推广应用。
Objective To investigate the effects of systemic cardiac rehabilitation on exercise tolerance and quality of life in elderly patients with coronary heart disease (CHD).Methods Sixty elderly patients with coronary heart disease who underwent percutaneous coronary intervention (PCI) from August 2016 to June 2019 were enrolled.The patients were divided into treatment group and observation group according to the principle of voluntary distribution.Both groups were treated with conventional drugs.On the basis of conventional drug therapy,the patients in the treatment group were given individualized exercise prescriptions and guided exercise therapy.The observation group only used conventional drug therapy and did not give exercise prescription treatment.Both groups were subjected to cardiopulmonary exercise testing( CPET) assessment using the COSMED Cardiopulmonary Function Test System (Italy) for 12 weeks,and a 6-minute walk test (6MWD) was performed to evaluate the improvement of exercise endurance;the patient's quality of life was evaluated using the SF-36 scale.Results The exercise endurance indexes of the two groups before intervention were comparable ( P > 0.05),and the indexes after intervention were significantly higher than those before intervention ( P < 0.05).The exercise endurance indexes of the treatment group were higher than those of the observation group.( P < 0.05);the latitude scores of the SF-36 scale before the intervention were comparable ( P > 0.05).The physiological function,physiological function,vitality,social function and overall health score after intervention were higher than those before intervention ( P < 0.05);the prognosis of the treatment group SF-36 scale was higher than the observation group ( P < 0.05).Conclusion Systemic cardiac rehabilitation in elderly patients with coronary heart disease can improve their exercise endurance and quality of life,which is worthy of clinical application.
作者
赵海鸿
宋炜
董继革
周洪伟
孙晓燕
林碧莹
孙月
ZHAO Haihong;SONG Wei;DONG Jige;ZHOU Hongwei;SUN Xiaoyan;LIN Biying;SUN Yue(Beijing Daxing District hospital of integrated traditional Chinese and Western medicine,Beijing 100076,China)
出处
《中国老年保健医学》
2019年第5期11-13,共3页
Chinese Journal of Geriatric Care
关键词
冠心病
心脏康复
运动耐力
生活质量
coronary heart disease
cardiac rehabilitation
exercise endurance
quality of life
