心肺联合康复对冠心病介入治疗后患者血脂、心肺功能的影响
Effects of combined cardiopulmonary rehabilitation on blood lipids and cardiopulmonary function in patients with coronary heart disease after interventional therapy
马卉 1牛静 1侯萍 1辛薇 1王苏 1马利祥1
作者信息
- 1. 066000,秦皇岛市第一医院介入导管室
- 折叠
摘要
目的 探讨心肺联合康复对冠心病介入治疗后患者血脂、心肺功能的影响.方法 选择 2022-11 至 2023-11秦皇岛市第一医院收治的接受介入治疗后的冠心病患者 180 例为研究对象,随机分为对照组(n=89)和试验组(n=91),对照组进行常规药物治疗,试验组进行心肺联合康复治疗,干预时间均为 3 个月.对两组患者干预前后的血脂水平、心肺功能、运动功能、生活质量和自我管理能力进行比较.结果 与干预前对比,两组干预后,三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、用力呼气量与用力肺活量比值(FEV/FVC%)、1 s用力呼气量(FEV1)、左心室射血分数(LVEF)、生理功能、躯体疼痛等均有明显改善,差异有统计学意义(P<0.05),试验组比对照组各项指标(LDL-C、FEV/FVC%、PEAKVO2 等)改善更明显,差异有统计学意义(P<0.05).结论 心肺联合康复可降低冠脉介入术后患者的血脂水平,增强心肺功能及运动功能,提高生活质量.
Abstract
Objective To investigate the effects of combined cardiopulmonary rehabilitation on blood lipid and cardiopulmo-nary function in patients with coronary heart disease after interventional treatment.Methods A total of 180 patients with coronary ar-tery disease admitted to the First Hospital of Qinhuangdao for interventional therapy from November 2022 to November 2023 were select-ed as the study subjects,and were randomly divided into control group(n=89)and experimental group(n=91).The control group received conventional drug treatment and the experimental group received combined cardiopulmonary rehabilitation.The intervention time was 3 months.The blood lipid level,cardiopulmonary function,motor function,quality of life and self-management ability were compared between the two groups before and after the intervention.Results Post-versus pre-intervention contrast in the two groups,TG,TC,HDL-C,LDL-C,FEV/FVC%,FEV1,LVEF,physiological function and pain were significantly improved,and the differ-ences were statistically significant(P<0.05).Post-versus pre-intervention in the experimental group,HDL-C self-management ability were improved(P<0.05).And the improvement of various indexes(LDL-C,FEV/FVC%and PEAKVO2)was more obvious in ex-perimental group than in control group(P<0.05).Conclusions Combined cardiopulmonary rehabilitation can reduce blood lipid lev-el,enhance cardiopulmonary function and exercise function,and improve the quality of life of patients after coronary intervention.
关键词
心肺联合康复/心脏康复/冠心病/生活质量/血脂Key words
combined cardiopulmonary rehabilitation/cardiac rehabilitation/coronary heart disease/quality of life/blood lipid引用本文复制引用
基金项目
秦皇岛市科学技术研究与发展计划任务(202301A203)
出版年
2024
国家科技期刊平台
NSTL
万方数据