家庭心脏康复运动在冠心病患者经皮冠状动脉介入治疗术后的疗效

doi:10.3969/j.issn.1001-9057.2019.04.006

摘要/Abstract

摘要： 目的探讨家庭心脏康复运动在冠心病(CHD)患者经皮冠状动脉介入治疗(PCI)术后的疗效。方法纳入于三级医院行PCI术、在我社区居住的CHD患者92例，依据入院先后顺序分为对照组46例和观察组46例，对照组患者予以PCI术后常规治疗，观察组在此基础上予以家庭心脏康复运动，均治疗3个月。比较两组患者治疗前后BMI、心率、血压、左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、6min步行距离及代谢当量(METs)。采用西雅图心绞痛调查量表(SAQ)评估两组患者治疗前后的生活质量并进行比较。结果两组患者治疗前BMI、心率、血压、LVEDD、LVEF、6min步行距离、METs及SAQ各项评分比较，差异均无统计学意义(P＞0.05)。观察组患者治疗后BMI、舒张压及LVEDD均低于治疗前，LVEF、6min步行距离、METs及SAQ各项评分均高于治疗前(P＜0.05)；对照组患者治疗后LVEDD低于治疗前，SAQ中的心绞痛稳定状态、治疗满意度、疾病认知度评分均高于治疗前(P＜0.05)；治疗后观察组舒张压低于对照组，LVEF、6min步行距离、METs及SAQ各项评分均高于对照组(P＜0.05)。结论家庭心脏康复运动可降低CHD患者PCI术后的BMI，并调节血压，改善心功能，提高运动耐受力及生活质量。

关键词: 冠心病; 经皮冠状动脉介入治疗; 家庭心脏康复运动; 生活质量; 心功能心率; 运动耐受力

Abstract: Objective To explore the efficacy of home cardiac rehabilitation exercise in patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI).Methods According to the order of admission,92 patients with CHD who were received PCI in the third grade hospital and lived in our community were divided into control group(46 cases) and observation group(46 cases).Patients in control group were received conventional treatment after PCI,and patietns in observation group were received home cardiac rehabilitation exercise on basis of those in control group within 3 months.BMI,heart rate,blood pressure,left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),6 min walking distance and metabolic equivalent (METs) were compared between the two groups.The Seattle angina questionnaire(SAQ) was used to assess quality of life of patietns in the two groups before and after treatment and the results were compared.Results There were no significant differences of BMI,heart rate,blood pressure,LVEDD,LVEF,6 minutes walking distance,METs and score of every item in SAQ between patient of the two groups before treatment(P＞0.05).BMI,diastolic blood pressure and LVEDD after treatment in patients of observation group were lower than those before treatment,LVEF,6 minutes walking distance,METs and score of every item in SAQ were higher than those before treatment(P＜0.05).LVEDD after treatment in patients of control group was lower than that before treatment,scores of angina stability,treatment satisfaction and disease recognition in SAQ were higher than those before treatment(P＜0.05).Diastolic blood pressure after treatment in patients of observation group was lower than that of control group,LVEF,6 minutes walking distance,METs and score of every item in SAQ were higher than those of control group(P＜0.05).Conclusion Home cardiac rehabilitation exercise can reduce BMI in patients with CHD after PCI,regulate their blood pressure,improve cardiac function,improve exercise tolerance and quality of life.

Key words: Coronary heart disease; Percutaneous coronary intervention; Home cardiac rehabilitation exercise; Quality of life; Cardiac function; Heart rate; Exercise tolerance

陈碧华, 王青青, 高文娟, 经铃, 康菁. 家庭心脏康复运动在冠心病患者经皮冠状动脉介入治疗术后的疗效[J]. 临床内科杂志, 2019, 36(4): 235-238.

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家庭心脏康复运动在冠心病患者经皮冠状动脉介入治疗术后的疗效

Efficacy of home cardiac rehabilitation exercise in patients with coronary heart disease after percutaneous coronary intervention

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