首页|基于心肺运动试验康复方案对冠心病慢性心衰患者心肺功能及生活质量的影响

基于心肺运动试验康复方案对冠心病慢性心衰患者心肺功能及生活质量的影响

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目的 探讨基于心肺运动试验(CPET)康复方案对冠心病慢性心衰患者心肺功能及生活质量的影响。方法 选取2021年6月至2022年6月威海市中医院收治的60例冠心病慢性心衰患者进行回顾性分析,按康复方案不同分为两组,每组各30例。对照组给予常规康复运动方案;干预组以CPET测试为基础制订康复方案。干预12周,比较两组患者干预前及干预后4、8、12周的心肺功能、生活质量评分、心血管事件。结果 干预前两组心肺功能、生活质量量表(SF-36)评分比较,差异无统计学意义(P>0。05);干预后4、8、12周,干预组6分钟步行试验(6MWT)距离、左心室射血分数(LVEF)、峰值摄氧量(PeakV02/kg)、SF-36评分高于对照组,代谢当量(METs)、脑钠肽前体(ProBNP)水平、超敏C反应蛋白(hs-CRP)水平低于对照组,差异有统计学意义(P<0。05)。干预组不良心血管事件发生率低于对照组,差异有统计学意义(x2=8。477,P=0。004)。结论 基于CEPT为核心的康复方案能够促进冠心病慢性心衰患者心功能恢复,增强其运动能力,提高生活质量,降低不良心血管事件发生风险。
Effect of rehabilitation plans based on cardiopulmonary exercise test on cardiopulmonary function and quality of life in patients with chronic heart failure caused by coronary heart disease
Objective To explore the effect of rehabilitation plans based on cardiopulmonary exercise test(CPET)on cardiopulmonary function and quality of life in patients with chronicheart failure caused by coronary heart disease.Methods A retrospective analysis was conducted on 60 patients with chronic heart failure caused by coronary heart disease admitted to Weihai Hospital of Traditional Chinese Medicine from June 2021 to June 2022.The patients were divided into two groups,a control group and an intervention group,according to different rehabilitation plans,with 30 patients in each group.The control group was given a routine rehabilitation exercise plan.The intervention group was given a developed rehabilitation plan based on CPET testing.After 12 weeks of intervention,the cardiopulmonary function,quality of life score,and cardiovascular events of the two groups before,4 weeks after intervention,8 weeks after intervention,and 12 weeks after intervention were compared.Results There was no statistically significant difference in the scores of the cardiopulmonary function and quality of life scale(SF-36)between the two groups before intervention(P>0.05).After 4,8,and 12 weeks of intervention,the intervention group had higher 6-minute walking test(6MWT)distance,left ventricular ejection fraction(LVEF),peak oxygen uptake(PeakVO2/kg),SF-36 score than the control group,while metabolic equivalents(METs),pro-brain natriuretic peptide(ProBNP)levels,and high sensitive C-reactive protein(hs-CRP)levels were lower than the control group,with statistically significant differences(P<0.05).The incidence of adverse cardiovascular events in the intervention group was lower than that in the control group,with statistically significant difference(x2=8.477,P=0.004).Conclusion A rehabilitation plan based on CEPT can promote the recovery of heart function,enhance exercise ability,improve quality of life,and reduce the risk of adverse cardiovascular events in patients with chronic heart failure caused by coronary heart disease.

Cardiopulmonary exercise testingChronic heart failure caused by coronary heart diseaseCardiopulmonary functionQuality of life

王丽媛、朱伟宁、姜坤

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山东省威海市中医院科教科,山东威海 264200

山东省威海市中医院脾胃病科,山东威海 264200

山东省威海市中医院心血管科,山东威海 264200

心肺运动试验 冠心病慢性心衰 心肺功能 生活质量

山东省医药卫生科技发展项目山东省威海市中医药科技项目

2021031011342021 Ⅱ-08

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(8)
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