摘要
目的 探讨自我锻炼计划在心脏康复中对冠心病患者心肺运动能力的影响.方法 选取2022年5-12月在院接受过经皮冠状动脉介入(PCI)或冠状动脉搭桥移植(CABG)手术的冠心病患者91例作为研究对象,根据组间基线资料均衡可比原则,分为监督运动组(45例)和自我锻炼组(46例).监督运动组根据患者身体情况设定运动计划,监督其按时完成运动项目,自我锻炼组根据出院后 1 周内进行的运动耐受性测试结果进行自主安排运动.6 个月后,比较两组患者的心肺功能改善情况.结果 运动计划开始前,自我锻炼组和监督运动组患者的最大心率、静息心率、最大速率压力和最大耗氧量等指标比较,差异无统计学意义(P>0.05);6 个月后,两组患者的最大心率及最大耗氧量均有所升高,但自我锻炼组患者高于监督运动组,组间差异有统计学意义(P<0.05);6 个月后,自我锻炼组患者的静息心率明显降低,最大速率压力明显升高,而监督运动组患者的静息心率则有所升高,最大速率压力明显降低,组间比较,两项指标差异均有统计学意义(P<0.05).结论 在参加心脏康复计划6个月后,自我锻炼组的心肺功能优于监督运动组,自我锻炼计划比监督运动更能有效改善冠心病患者的心功能.
Abstract
Objective To investigate the effect of self exercise plans on the cardiopulmonary exercise ability of patients with coronary heart disease in cardiac rehabilitation.Methods A total of 91 coronary heart disease patients who underwent percutaneous coronary intervention(PCI)or coronary artery bypass grafting(CABG)surgery from May to December 2022 were selected as the study subjects.According to the principle of balanced and comparable baseline data between groups,they were divided into a supervised exercise group(45 cases)and a self-management group(46 cases).The supervision exercise group sets exercise plans based on the patient's physical condition,supervises them to complete exercise projects on time,and the self-management group arranges exercise independently based on the Results of exercise tolerance tests conducted within one week after discharge.After 6 months,compare the improvement of cardiopulmonary function between the two groups of patients.Before the start of the exercise plan,there was no statistically significant difference in indicators such as maximum heart rate,resting heart rate,maximum rate pressure,and maximum oxygen consumption between the self exercise group and the supervised exercise group(P>0.05);After 6 months,the various indicators of the self exercise group were significantly better than those of the supervised exercise group,and the difference was statistically significant(P<0.05).Conclusion After 6 months of participating in the cardiac rehabilitation program,the cardiorespiratory exercise ability of the self exercise group was better than that of the supervised exercise group.The self exercise program can significantly improve the cardiac rehabilitation function of patients with coronary heart disease.
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