首页|增强型体外反搏联合运动康复训练对冠心病患者心肺储备功能的影响

增强型体外反搏联合运动康复训练对冠心病患者心肺储备功能的影响

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目的:探讨增强型体外反搏(EECP)联合运动康复训练对冠心病患者心肺储备功能的影响.方法:选取2021年4月—2023年4月项城市中医院收治的80例冠心病患者作为研究对象,采用随机数表法将其分为对照组(n=40)和观察组(n=40).两组患者均接受冠心病常规治疗,对照组给予康复运动训练干预,观察组在对照组干预方案基础上进行EECP干预,观察两组患者肺脏储备情况、心脏储备情况以及运动功能.结果:干预后,两组患者肺活量(FVC)、潮气量(VT)以及最大呼气流量(PEF)水平均高于干预前,组间比较,差异均无统计学意义(t=0.812、0.602、0.369,P>0.05);干预后,两组患者左室收缩末期容积(LVESV)水平均低于干预前,且观察组低于对照组,差异有统计学意义(t=2.518,P<0.05);两组患者左室射血分数(LVEF)、每搏量(SV)水平均较干预前高,且观察组高于对照组,差异均有统计学意义(t=2.045、2.079,P<0.05);干预后,两组患者峰值负荷功率(WR)、峰值摄氧量(PeakVO2)、峰值代谢当量(METs)以及无氧阈(AT)水平均高于干预前,且观察组高于对照组,差异均有统计学意义(t=3.220、2.167、3.137、2.109,P<0.05).结论:EECP联合运动康复训练应用于冠心病患者可以有效改善其心脏储备能力和运动功能,但在提高肺功能储备方面与单纯运动康复训练差异不明显.
Effect of Enhanced Extracorporeal Countercombat Combined with Exercise Rehabilitation Training on Cardiopulmonary Reserve Function in Patients with Coronary Heart Disease
Objective:To investigate the effect of enhanced extracoiporeal stroke(EECP)combined with exercise rehabilitation training on cardiopulmonary reserve in patients with coronary heart disease.Methods:80 CHD patients in the hospital from April 2021 to April 2023 were selected as study subjects and divided into control group(n=40)and observation group(n=40).Both groups received conventional treatment for coronary heart disease.The control group received rehabilitation exercise training intervention,and the observation group conducted enhanced extracorporeal counterstroke intervention on the basis of the intervention program of the control group.The lung reserve,heart reserve and exercise function of the two groups were compared.Results:After intervention,the levels of vital capacity(FVC),tidal volume(VT)and maximum expiratory flow(PEF)in two groups were higher than before intervention,and there was no statistically significant difference between the two groups(t=0.812,0.602,0.369;P>0.05).After intervention,the level of left ventricular end-systolic volume(LVESV)in both groups was lower than before intervention,and the level in the observation group was lower than that in the control group,with statistically significant difference(t=2.518,P<0.05).Left ventricular ejection fraction(LVEF)and stroke volume(SV)levels in 2 groups were higher than before intervention,and the observation group was higher than the control group,with statistically significant difference(t=2.045,2.079;P<0.05).After intervention,the levels of peak load power(WR),peak oxygen uptake(PeakVO2),peak metabolic equivalent(METs)and anaerobic threshold(AT)in 2 groups were higher than before intervention,and the levels in observation group were higher than those in control group,with statistically significant difference(t=3.220,2.167,3.137,2.109;P<0.05).Conclusion:EECP combined with exercise rehabilitation training in patients with coronary heart disease can effectively improve their cardiac reserve ability and exercise function,but the difference with the exercise rehabilitation training alone in improving pulmonary function reserve is not obvious.

Coronary heart diseaseEnhanced extracorporeal strokeExercise rehabilitation trainingHeart reserveLung reserve

韩春辉

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河南省项城市中医院心病二科,河南 项城 466200

冠心病 增强型体外反搏 运动康复训练 心脏储备能力 肺脏储备能力

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(24)