首页|心肺运动试验指导下的康复训练在冠心病PCI术后患者中的应用效果

心肺运动试验指导下的康复训练在冠心病PCI术后患者中的应用效果

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目的 探讨心肺运动试验指导下的康复训练在冠心病经皮冠状动脉介入治疗(PCI)术后患者中的应用效果.方法 选取2021年1月至2022年6月在河南省胸科医院接受PCI手术的108例患者作为研究对象,按照随机数表法分为观察组和对照组,各54例.两组患者均在PCI术后接受常规治疗和运动指导,观察组患者在此基础上接受心肺运动试验指导下的康复训练.采用心肺功能检测仪检测无氧代谢阈值(AT)、代谢当量(METs)和峰值摄氧量(VO2max)指标,心脏彩超检测左心室射血分数(LVEF),进行6分钟步行试验,并采用简明健康状况调查表评价生活质量.结果 两组患者康复训练后,AT、METs、VO2 max、LVEF、SF-36、6分钟步行距离均明显改善,并且观察组上述指标改善优于对照组(P<0.05).结论 心肺运动试验指导下的康复训练能够有效改善PCI术后患者心肺功能和运动功能,提高术后生活质量和康复效果.
Application Effect of Rehabilitation Training Under the Guidance of Cardiopulmonary Exercise Testing in Coronary Heart Disease After Percutaneous Coronary Intervention
Objective To explore the application effect of rehabilitation training under the guidance of cardiopulmonary exercise testing in coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 108 patients who underwent PCI surgery in Henan Chest Hospital from January 2021 to June 2022 were selected as the study objects,and were randomly divided into observation group and control group,with 54 cases in each group.Patients in both groups were received routine treatment and exercise guidance after PCI,and patients in the observation group were given rehabilitation training under the guidance of cardiopulmonary exercise testing on this basis.Anaerobic threshold(AT),metabolic equivalents(METs)and maximal oxygen consumption(VO2 max)were detected by cardiopulmonary function detector,left ventricular ejection fraction(LVEF)was detected by cardiac color ultrasound,6-minute walking test was conducted,and 36-item short form survey(SF-36)scale was used to evaluate quality of life.Results After rehabilitation training,the indexes of AT,METs,VO2 max,LVEF,SF-36,and 6-minute walking distance were improved in both groups,and the above indexes in the observation group were significantly higher than the control group(P<0.05).Conclusion Rehabilitation training under the guidance of cardiopulmonary exercise testing could effectively improve the cardiopulmonary function and motor function for patients after PCI,enhance the postoperative quality of life and rehabilitation effect.

percutaneous coronary interventioncardiopulmonary exercise testingrehabilitation trainingcardiorespiratory functionquality of life

巩晓旸

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河南省胸科医院急诊科,河南郑州 450000

经皮冠状动脉介入治疗 心肺运动试验 康复训练 心肺功能 生活质量

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(11)