摘要
目的:探讨心脏I期、II期运动康复对冠心病(CHD)PCI术后患者心功能、生活质量及血清和肽素水平的影响。方法:在我院行PCI治疗出院的120例CHD患者,被随机均分为常规治疗组(接受常规护理、术后12周的健康宣教以及6个月的常规随访)和运动康复组(在常规治疗组基础上接受6个月的心脏康复I期、II期运动训练)。观察比较两组入院时、术后1个月、6个月的心功能、西雅图心绞痛调查表(SAQ)评分和血清和肽素水平。结果:与常规治疗组比较,运动康复组术后1个月的6min步行距离(6MWD)[(395.32±14.49)m比(418.75±18.14)m]显著升高,P=0.001;术后6个月LVEF[(52.77±6.60)%比(66.42±7.85)%]、6MWD[(416.39±19.85)m比(431.47±23.90)m]显著升高,左室舒张末期内径(LVEDd)[(5.42±0.79)cm比(4.77±0.83)cm]显著降低,P均=0.001。与常规治疗组比较,术后6个月运动康复组SAQ 5个维度得分及总分[(296.46±37.14)分比(378.68±42.66)分]均显著升高,P均=0.001。与常规治疗组比较,运动康复组术后1个月、6个月的血清和肽素水平[1个月:(7.64±1.42)pmol/L比(6.75±1.22)pmol/L,6个月:(5.11±1.18)pmol/L比(3.65±1.05)pmol/L]均显著降低,P均=0.001。结论:对冠心病PCI术后患者实施心脏I期、II期运动康复治疗,可显著提高患者心功能、改善生活质量以及降低血清和肽素水平。
Objective:To explore influence of cardiac stage Ⅰ,Ⅱ exercise rehabilitation on cardiac function,quality of life and serum copeptin level in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:A total of 120 CHD patients,who underwent PCI in our hospital and discharged,were randomly and equally divided into routine treatment group(received routine nursing,postoperative 12-week health education and six-month routine follow-up)and exercise rehabilitation group(received six-month cardiac rehabilitation stage Ⅰ,Ⅱ exercise training based on routine treatment group).Cardiac function,score of Seattle angina questionnaire(SAQ)and serum copeptin level were observed and compared between two groups at hospitalization,one and six months after PCI.Results:Compared with routine treatment group,there was significant rise in 6min walking distance(6MWD)[(395.32±14.49)m vs.(418.75±18.14)m]on one month after PCI,P=0.001;significant rise in LVEF[(52.77±6.60)%vs.(66.42±7.85)%]and 6MWD[(416.39±19.85)m vs.(431.47±23.90)m],and significant reduction in left ventricular end-diastolic dimension(LVEDd)[(5.42±0.79)cm vs.(4.77±0.83)cm]on six months after PCI in exercise rehabilitation group,P=0.001 all.Compared with routine treatment group on six months after PCI,there were significant rise in five dimension scores and total score of SAQ[(296.46±37.14)scores vs.(378.68±42.66)scores]in exercise rehabilitation group,P=0.001 all.Compared with routine treatment group,there was significant reduction in serum copeptin level[one month:(7.64±1.42)pmol/L vs.(6.75±1.22)pmol/L,six months:(5.11±1.18)pmol/L vs.(3.65±1.05)pmol/L]on one and six months after PCI in exercise rehabilitation group,P=0.001 both.Conclusion:Cardiac stage Ⅰ,Ⅱ exercise rehabilitation treatment can significantly improve cardiac function,quality of life and reduce serum copeptin level in CHD patients after PCI.
作者
吴巧
黄蕾
康忠俊
WU Qiao;HUANG Lei;KANG Zhong-jun(Department of Cardiology,First People′s Hospital of Ziyang City,Ziyang,Sichuan,641300,China)
出处
《心血管康复医学杂志》
CAS
2021年第4期387-392,共6页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
冠心病
血管成形术
气囊
生活质量
康复
Coronary disease
Angioplasty,balloon
Quality of life
Rehabilitation
