心脏运动康复对PCI术后冠心病患者心肺功能及生活质量的影响

目的评价心脏运动康复对冠心病经皮冠状动脉介入治疗(PCI)术后患者心肺功能及生活质量的影响。方法入选确诊并已行PCI出院的冠心病患者110例,按个人意愿分为康复组和对照组各55例,收集患者的一般资料、入选时和运动治疗6月后心肺运动试验、心脏超声的相关指标及西雅图心绞痛量表(SAQ)等数据,并进行统计学分析,评估心脏运动康复对冠心病PCI术后患者心肺功能及生活质量的影响。结果 6个月运动康复治疗后,康复组患者无氧阈(AT)、最大摄氧量(VO2max)、氧脉搏(O2pulse)、最大运动时间、左心室射血分数(LVEF)、SAQ评分均优于干预前与对照组,差异有统计学意义(P0. 05)。结论心脏运动康复治疗可以改善冠心病PCI术后患者的心肺功能,提高患者的运动耐力及生活质量,是冠心病PCI术后患者二级预防的重要组成部分。

The effects of cardiac exercise rehabilitation on cardiopulmonary function and quality of life in patients with coronary heart disease after percutaneous coronary intervention

Aim To explore the effects of cardiac exercise rehabilitation on cardiopulmonary function and quality of life in patients with coronary heart disease after percutaneous coronary intervention(PCI). Methods 110 patients with coronary heart disease who were diagnosed and had undergone PCI were randomly divided into the rehabilitation group and the control group, according to the order of treatment and personal wishes, 55 cases in each group. General data of patients, cardiopulmonary exercise test after 6 months of exercise, cardiac ultrasound related indicators and Seattle angina scale (SAQ) were collected, and statistical analysis was performed to assess the effects of cardiac exercise rehabilitation on cardiopulmonary function and quality of life in patients with coronary heart disease after PCI. Results After 6 months exercise rehabilitation treatment, the anaerobic threshold(AT), maximal oxygen uptake(VO₂ max), oxygen pulse(O₂ pulse), maximal exercise time, left ventricular ejection fraction(LVEF) and SAQ score in the rehabilitation group were significantly higher than before intervention and control group (P<0.05). Conclusions Cardiac exercise rehabilitation therapy can improve cardiopulmonary function, exercise endurance and quality of life in patients with coronary heart disease after percutaneous coronary intervention. It is an important part of secondary prevention in patients with coronary artery disease after percutaneous coronary intervention.