摘要
目的研究心脏康复综合干预模式对冠心病患者心肺储备功能、运动耐力和生活品质的影响。方法随机数表法将本院2016年7月至2018年7月诊治的64例冠心病患者分为观察组与对照组,各32例,分别给予综合心脏康复模式干预(医院+家庭)和医院心脏康复模式干预。两组患者均于干预6个月后到门诊复查,并检测比较患者干预前、干预后患者左心室射血分数(LVEF)、峰值功率(PP)、肺一秒率(FEV1/FVC)、用力肺活量(FVC)等心肺储备功能指标、以及无氧阈值(AT)、峰值摄氧量(VO 2峰值)、6 min步行距离(6MWD)等运动耐力指标;采用明尼苏达(LHFQ)生活品质评分评估患者生活质量。结果两组LVEF、PP、FEV1/FVC、FVC水平与干预前比较均明显上升(P<0.05),观察组上升幅度比对照组显著大(P<0.05);两组AT、VO 2峰值、6MWD与干预前比较均明显上升(P<0.05),观察组上升幅度明显大于对照组(P<0.05);观察组干预后LHFQ评分较对照组的显著少(P<0.05)。结论心脏康复综合干预模式能明显改善冠心病患者心肺储备功能、运动耐力和生活质量。
Objective To study the effect of comprehensive cardiac rehabilitation intervention model on cardiopulmonary reserve function,exercise tolerance and quality of life in patients with coronary heart disease.Methods A total of 64 patients with coronary heart disease who were diagnosed and treated in our hospital from July 2016 to July 2018 were divided into the observation group and the control group according to the random number table,with 32 cases in each group,and they were given comprehensive cardiac rehabilitation model intervention(hospital+family)and hospital cardiac rehabilitation model intervention respectively.After 6 months of intervention,the patients in both two groups were reviewed in outpatient department.The indexes of cardiopulmonary reserve function,including left ventricular ejection fraction(LVEF),peak power(PP),rate of forced expiratory volume in 1 second and forced vital capacity(FEV1/FVC)and forced vital capacity(FVC),and exercise tolerance indexes,including anaerobic threshold(AT),peak oxygen uptake(VO 2 peak)and 6 min walking distance(6MWD),were measured after 6 months of intervention and compared with those measured before intervention.The quality of life of the patients was assessed by Minnesota Living with Heart Failure Questionnaire(LHFQ)score.Results The levels of LVEF,PP,FEV1/FVC and FVC in the two groups significantly increased compared with those measured before intervention(P<0.05),and the increases in the observation group were significantly higher than those in the control group(P<0.05).The AT,VO 2 peak and 6MWD in the two groups significantly increased compared with those measured before intervention,and the increases in the observation group were significantly greater than those in the control group(P<0.05).The LHFQ score in the observation group after intervention was significantly lower than that in the control group(P<0.05).Conclusion Comprehensive cardiac rehabilitation intervention model can significantly improve cardiopulmonary reserve function,exercise tolerance and quality of life of patients with coronary heart disease.
作者
秦延平
霍仙娜
白瑞娟
杨萌
Qin Yanping;Huo Xianna;Bai Ruijuan;Yang Meng(Department of Cardiovascular Medicine,the Seventh People's Hospital of Zhengzhou,Zhengzhou 450000 China)
出处
《锦州医科大学学报》
CAS
2019年第6期96-98,共3页
Journal of Jinzhou Medical University
基金
2018年河南省医学科技攻关计划项目，编号:2018020865
关键词
冠心病
心脏康复模式
心肺储备功能
运动耐力
coronary heart disease
cardiac rehabilitation model
cardiopulmonary reserve function
exercise tolerance
