| 程会兰,谢丽娜,丰金香,张伟伟,郭靖,翁雅婧.心肺运动试验指导下的心脏康复对冠心病PCI术后患者运动耐量及生活质量的临床研究[J].中国康复,2019,34(12):639-642 |
| 心肺运动试验指导下的心脏康复对冠心病PCI术后患者运动耐量及生活质量的临床研究 |
| Effects of cardiac rehabilitation on exercise tolerance and quality of life in patients with coronary heart disease after PCI under CPET |
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| DOI： |
| 中文关键词: 心脏康复 心肺运动试验 PCI 运动耐量 生活质量 |
| 英文关键词: cardiac rehabilitation cardiopulmonary exercise testing percutaneous coronary intervention exercise tolerance quality of life |
| 基金项目:昆山市科技局（KS1772） |
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| 中文摘要: |
| 目的：探讨冠心病经皮冠状动脉介入术（PCI）后患者在心肺运动试验(CPET)指导下的心脏康复对其运动耐量及生活质量的影响。方法：将60例冠心病PCI术后患者随机分为观察组和对照组各30例，观察组在CPET评估下制定运动方案，对照组自行身体锻炼。治疗前后，用心肺运动试验评定患者最大摄氧量（VO2 Max）、无氧阈值（AT）、最大代谢当量、无氧阈时代谢当量、最大功率；等速肌力测试计算患者优势侧屈膝及伸膝的疲劳系数；简明健康调查量表（SF-36）和抑郁自评量表（SDS）评估患者生活质量。结果：治疗12周后,观察组VO2 Max、AT、最大代谢当量、无氧阈时代谢当量、最大功率较治疗前及对照组均明显提高(均P＜0.05)；2组屈、伸膝疲劳系数均明显低于治疗前（均P＜0.05），且观察组屈、伸膝疲劳系数均低于对照组（均P＜0.05）；观察组SF-36各项评分均高于治疗前（均P＜0.05），对照组总体健康（GH）、社会功能（SF）、情感职能（RE）、精神健康（MH）四个维度评分均比治疗前提高（均P＜0.05），观察组躯体疼痛（BP）、GH、活力（VT）、SF、MH五个维度评分均高于对照组（均P＜0.05）。观察组SDS评分明显低于治疗前及对照组（均P＜0.05）。结论：CPET指导下的心脏康复能改善冠心病PCI术后患者的运动耐量及生活质量，值得临床推广。 |
| 英文摘要: |
| Objective: To investigate the effects of cardiac rehabilitation on exercise tolerance and quality of life in patients with coronary heart disease after percutaneous coronary intervention（PCI）under the guidance of cardiopulmonary exercise testing (CPET). Methods: Sixty patients with coronary heart disease after PCI were divided into treatment group and control group (n=30 each). Treatment group received rehabilitation exercise treatment, and control group did exercise by themselves. CPET was used to evaluate the patients’ maximal oxygen uptake(VO2 Max), anaerobic threshold(AT), maximun metabolic equivalent, metabolic equivalent without oxygen threshold and maximum power. The dominant knee of the patient was chosen as testee, and the fatigue coefficients of the knee flexion and extension were calculated by isokinetic muscle strength testing.The Mos 36-item short form health survey(SF-36）and self rating depression scale(SDS) were used to evaluate patients’ quality of life. Results: After 12 weeks of treatment,the parameters of VO2 Max, AT,maximun metabolic equivalent,metabolic equivalent without oxygen threshold and maximum power were significantly higher in the treatment group than those before treatment and control group(all P<0.05). The fatigue coefficients of knee flexion and extension in both groups were significantly lower than those before treatment (all P<0.05), and those in the treatment group were significantly lower than those in control group (all P<0.05). The scores of SF-36 in the treatment group were significantly improved as compared with those before treatment (all P<0.05), and the scores of GH, SF, RE and MH in the control group were significantly improved as compared with those before treatment (all P<0.05). The scores of BP, GH, VT, SF and MH in the treatment group were significantly higher than those in the control group (all P<0.05). SDS score in the treatment group was significantly lower than that before treatment (P<0.05), and lower than that in the control group (P<0.05). Conclusion: Cardiac rehabilitation under the guidance of CPET can improve the exercise tolerance and quality of life of patients with coronary heart disease after PCI, which is worthy of clinical promotion. |
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