中国老年保健医学2024,Vol.22Issue(1) :44-47.DOI:10.3969/j.issn.1672-2671.2024.01.010

冠心病患者心肺运动试验结果分析

Analysis of cardiopulmonary exercise test results in patients with coronary heart disease

杨天祎 司徒炫明 洪伟栋 鹿小燕 江山 陈刚
中国老年保健医学2024,Vol.22Issue(1) :44-47.DOI:10.3969/j.issn.1672-2671.2024.01.010

冠心病患者心肺运动试验结果分析

Analysis of cardiopulmonary exercise test results in patients with coronary heart disease

杨天祎 1司徒炫明 1洪伟栋 2鹿小燕 2江山 1陈刚1
扫码查看

作者信息

  • 1. 中日友好医院 康复医学科 100029
  • 2. 中日友好医院 中西医结合心内科 100029
  • 折叠

摘要

目的 分析冠心病患者心肺运动试验(cardiopulmonary exercise testing,CPET)相关指标,探讨其CPET临床特点.方法 本研究为回顾性研究,选择2021 年5 月至2023 年8 月于中日友好医院中西医结合心内科门诊进行随访的冠心病患者103 例.按年龄分为60 岁以下组(n =37)与60 岁及以上组(n =66);60 岁及以上按性别分为男性组(n =37)与女性组(n =29);患者均接受CPET检测,比较不同年龄男性组、同一年龄不同性别组CPET指标特点,采用Spearman或Pearson相关性分析法分析性别、年龄与CPET试验指标相关性.结果 60 岁及以上男性组最大心率(Maximum Heart Rate,MHR)、峰值摄氧量(VO2 peak)、峰值氧脉搏(peak O2 pulse)、二氧化碳通气当量(EQCO2)、代谢当量(METs)均低于60 岁以下男性组,差异均有统计学意义(P<0.05);60 岁及以上女性组无氧阈下摄氧量(VO2 AT)、VO2 peak、peak O2 pulse、METs均低于 60 岁及以上男性组,差异均有统计学意义(P<0.05).Spearman或 Pearson相关性结果显示性别、年龄与心肺运动试验指标MHR、VO2 AT、VO2 peak、peak O2 pulse、METs具有相关性.结论 不同年龄、性别的冠心病患者的CPET结果均有差异.年龄与冠心病患者心肺功能相关结果呈负相关;女性患者的运动耐量明显低于同年龄段男性,临床需引起重视,应及时进行康复干预,提高心肺耐量,进而提高生活质量.

Abstract

Objective To analyze the relevant data of cardiopulmonary exercise testing(CPET)in patients with coronary heart disease,and explore the clinical features of CPET.Methods The present study was a retrospective study of 103 patients with coro-nary artery disease who were followed up from May 2021 to August 2023 in the outpatient clinic of the Department of Integrative Car-diology of China-Japan Friendship Hospital.The patients were divided into the under 60 years old group(n =37)and the aged 60 and above group(n =66)according to age;the aged 60 and above was divided into male group(n =37)and female group(n =29)accord-ing to gender;patients were all subjected to CPET test,and the characteristics of CPET indexes were compared among male group of different ages and different gender groups of the same age,and the correlation between gender,age,and CPET indexes was analysed by using the correlation analysis method of Spearman or Pearson.Correlation analysis was used to analyse the correlation between gender,age and CPET test indexes.Results Maximum heart rate(MHR),peak oxygen uptake(VO2peak),peak oxygen pulse(peak O2 pulse),carbon dioxide equivalents(EQCO2),and metabolic equivalents(METs)were lower in the aged 60 and above male group than in the under 60 years old male group,and the differences were statistically significant(P<0.05);The anaerobic subthreshold oxygen uptake(VO2 AT),VO2 peak,peak O2pulse,and METs were lower in the aged 60 and above female group than in the aged 60 and above male group,and the differences were all statistically significant(P<0.05).Spearman or Pearson correlation results showed a correlation between sex and gender and the cardiopulmonary exercise test indices MHR,VO2 AT,VO2peak,peak O2 pulse,and METs.Conclusion The results of CPET in patients with coronary heart disease of different ages and genders are different.Age is negatively correlated with the results of cardiopulmonary function in patients with coronary heart disease;the exercise tolerance of female patients is significantly lower than that of males of the same age,Clinical attention should be paid to rehabilitation intervention in time to improve cardiopulmonary tolerance.

关键词

冠心病/心肺运动试验/年龄/心肺耐力/摄氧量

Key words

coronary heart disease/cardiopulmonary exercise test/age/cardiopulmonaryendurance/oxygen uptake

引用本文复制引用

基金项目

首都卫生发展科研专项项目(首发2020-2-4064)

出版年

2024
中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
参考文献量18
段落导航相关论文