摘要
目的:观察有氧运动对冠心病经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者心肺功能、运动能力及生活质量的影响。方法:选取2020年1—6月三明市中西医结合医院收治的47例冠心病PCI术后患者为对照组,选取2020年7—12月收治的47例冠心病PCI术后患者为试验组。两组均给予常规治疗,对照组给予双联抗血小板聚集治疗,试验组在对照组基础上进行有氧运动。比较两组治疗前与治疗1年后心肺功能指标、运动能力及生活质量。结果:治疗1年后,试验组左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)均明显低于对照组,左室射血分数(LVEF)明显高于对照组,差异有统计学意义(P<0.05)。治疗1年后,试验组最大通气量(maximum ventilation,MVV)、第1秒用力呼气容积(forced expiratory volume in one second,FEV1)、FEV1/用力肺活量(FVC)(FEV1/FVC%)均明显大于对照组,差异有统计学意义(P<0.05)。治疗1年后,试验组6 min步行试验(6 min walking test,6MWT)距离长于对照组,差异有统计学意义(P<0.05)。治疗1年后,试验组生理职能、生理功能、社会功能、情感职能、精力、躯体疼痛、精神健康及总体健康评分均明显高于对照组,差异有统计学意义(P<0.05)。结论:有氧运动可有效促进冠心病PCI术后患者心肺功能恢复,提高运动能力及生活质量,获得更好的康复效果。
Objective:To observe the effects of aerobic exercise on cardiopulmonary function,exercise function and quality of life of patients with coronary heart disease after percutaneous coronary intervention(PCI)operation.Method:A total of 47 patients with coronary heart disease after PCI operation admitted to Sanming Integrated Medicine Hospital from January to June 2020 were selected as the control group,and 47 patients with coronary heart disease after PCI operation admitted from July to December 2020 were selected as the experimental group.Both groups were given routine treatment,the control group was given dual antiplatelet aggregation therapy,the experimental group was given aerobic exercise on the basis of the control group.The cardiopulmonary function indexes,exercise function and quality of life were compared between the two groups before and after 1 year of treatment.Result:After 1 year of treatment,left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)in the experimental group were significantly lower than those in the control group,and left ventricular ejection fraction(LVEF)was significantly higher than that in the control group,the differences were statistically significant(P<0.05).After 1 year of treatment,the maximum ventilation(MVV)and forced expiratory volume in one second(FEV1),FEV1/forced vital capacity(FVC)(FEV1/FVC%)were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).After 1 year of treatment,the 6 min walking test(6MWT)distance of the experimental group was longer than that of the control group,and the difference was statistically significant(P<0.05).After 1 year of treatment,the scores of physical vocational ability,physical function,social function,emotional function,energy,physical pain,mental health and overall health in the experimental group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Aerobic exercise can effectively promote the recovery of cardiopulmonary function in patients with coronary heart disease after PCI operation,and improve their exercise function and quality of life,thereby obtaining better rehabilitation effect.
作者
高腊梅
朱剑丽
GAO Lamei;ZHU Jianli(Sanming Medical and Polytechnic Vocational College,Sanming 365000,China;不详)
出处
《中外医学研究》
2023年第8期145-149,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
冠心病
经皮冠状动脉介入治疗
有氧运动
抗血小板聚集
运动能力
Coronary heart disease
Percutaneous coronary intervention
Aerobic exercise
Antiplatelet aggregation
Exercise function