文章摘要
潘海燕,唐荣,陈丽华,张靓,陆媛,吴晓晖.远程心电监护指导下居家运动康复对经皮冠状动脉介入治疗术后患者运动耐量及生活质量的影响[J].中国康复,2023,38(10):600-605
远程心电监护指导下居家运动康复对经皮冠状动脉介入治疗术后患者运动耐量及生活质量的影响
Effects of home-based exercise rehabilitation under the guidance of remote cardiogram monitoring on exercise tolerance and life quality of patients after PCI
  
DOI:
中文关键词: 冠心病  心脏康复  远程心电监护  运动耐量  生活质量
英文关键词: coronary heart disease  cardiac rehabilitation  remote ECG monitoring  exercise tolerance  quality of life
基金项目:南通市市级科技计划项目(MS12021071)
作者单位
潘海燕 南通大学附属医院心内科江苏 南通 226001 
唐荣 南通大学附属医院心内科江苏 南通 226001 
陈丽华 南通大学附属医院心内科江苏 南通 226001 
张靓 南通大学附属医院心功能室江苏 南通 226001 
陆媛 南通大学附属医院心功能室江苏 南通 226001 
吴晓晖 南通大学附属医院心内科江苏 南通 226001 
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中文摘要:
  目的:探讨远程心电监护指导下居家运动康复对经皮冠状动脉介入治疗术(PCI)后患者运动耐量及生活质量的影响。方法:71例PCI术后2周~6个月的患者被随机分为对照组38例和观察组33例,对照组采用基础药物治疗,观察组在基础药物治疗的基础上,接受远程心电监护指导下的居家运动康复,随访6个月。比较2组患者治疗前后心肺运动能力、左心功能以及反应生活质量的心绞痛发作状况、焦虑抑郁情绪和睡眠质量相关指标的变化。结果:对照组治疗后部分心肺运动指标和左室收缩功能较治疗前改善(均P<0.05)。观察组各项心肺运动指标、左室收缩和舒张功能、西雅图心绞痛量表得分(SAQ)、焦虑自评量表(SAS)和抑郁自评量表(SDS)得分以及匹兹堡睡眠质量指数(PSQI)总分均较治疗前显著改善(P<0.05,0.01)。治疗后观察组多项心肺运动指标、SAQ、SAS和SDS得分以及PSQI总分均显著优于对照组(P<0.05,0.01)。2组间6个月内再住院率和主要心血管不良事件发生率比较无统计学差异。结论:PCI术后患者在远程心电监护指导下进行居家运动康复,能够有效提高心肺运动能力和左心功能,稳定心绞痛发作,减轻焦虑抑郁程度,改善睡眠质量,从而提高总体生活质量。
英文摘要:
  Objective: To investigate the effects of home-based exercise rehabilitation under the guidance of remote cardiogram monitoring on exercise tolerance and life quality of patients after percutaneous coronary intervention (PCI). Methods: Totally, 71 patients who underwent PCI during 2nd week-6th month were randomly divided into the basic control group (group C,n=38) and the observation group (group O,n=33). Patients in group C maintained the basic medication, and those in group O received home-based exercise rehabilitation under the guidance of remote cardiogram monitoring in addition to the basic drug treatment. The follow-up time was 6 months. The changes in cardiopulmonary exercise capacity, left ventricular function, indicators reflecting the life quality including angina pectoris, anxiety, depression, and sleep quality were compared between the two groups before and after treatment. Results: Partial cardiopulmonary exercise indexes and left ventricular systolic function in group C were improved after treatment as compared with those before treatment (all P<0.05). All observed cardiopulmonary exercise indexes, left ventricular systolic and diastolic functions, scores of Seattle Angina Questionnaire (SAQ), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Pittsburgh Sleep Quality Index (PSQI) total score were significantly improved as compared with those before treatment (P<0.05, P<0.01). Among them, multiple cardiopulmonary exercise indexes, scores of SAQ, SAS, SDS and PSQI total scores in group O were significantly better than those in group C (P<0.05, P<0.01). There were no significant differences in the re-hospitalization rate and incidence of major cardiovascular adverse events within 6 months between the two groups. Conclusion: Home-based exercise rehabilitation under the guidance of remote cardiogram monitoring can effectively improve cardiopulmonary exercise capacity and left heart function, stabilize angina pectoris, reduce anxiety and depression, improve sleep quality, and thus improve the overall life quality of patients after PCI.
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