运动训练对冠心病PCI术后患者心功能及生活质量的影响

发布时间：2018-01-07 15:09

本文关键词：运动训练对冠心病PCI术后患者心功能及生活质量的影响　出处：《吉林大学》2016年硕士论文　论文类型：学位论文

更多相关文章： 冠心病 运动训练 心功能 生活质量

【摘要】：目的:本研究旨在制定既符合科学依据又个体化的基于运动训练的心脏康复计划,通过合理的运动训练处方,结合PCI术后常规抗血小板药物及降脂药物的使用,改善冠心病患者PCI术后心功能储备,提高患者的生活质量,促成其早日回归正常生活。方法:将58例于2014年4月至2015年3月在吉林大学中日联谊医院心内科住院的冠心病PCI术后患者随机分为A、B两组。A组为康复组、B组为对照组,每组各29例患者。对照组仅给予术后常规口服抗血小板药物及降脂药物治疗;康复组除给予常规抗血小板药物及降脂药物治疗外,在康复医师指导下,按照运动处方进行循序渐进的运动训练。分别于治疗前及治疗6周后,测定左室射血分数(LVEF)、SF-36简明健康状况量表评分、生活满意度量表评分。结果:治疗前对照组与康复组的性别、年龄等一般资料比较,差异无统计学意义(P0.05)。1.康复组与对照组治疗前后心功能的比较。治疗6周后,康复组与对照组比较,左室射血分数明显提高(P0.01);2.康复组与对照组治疗前后生活质量的比较。治疗6周后,康复组与对照组比较,SF-36简明健康状况量表评分、生活满意度量表评分均有提高(P0.01)。结论:冠心病患者PCI术后在常规口服抗血小板药物及降脂药物的基础上,结合运动训练可有效改善患者的心功能,提高患者生活质量,使其能够早日回归正常生活。
[Abstract]:Objective: the purpose of this study was to establish a heart rehabilitation plan based on exercise training, which was both scientific and individualized, and to adopt a reasonable exercise training prescription. Combined with the use of routine antiplatelet drugs and lipid-lowering drugs after PCI, the cardiac function reserve and quality of life of patients with coronary heart disease were improved after PCI. Methods: from April 2014 to March 2015, 58 patients with coronary heart disease (CHD) who were hospitalized in cardiology department of Sino-Japanese Friendship Hospital of Jilin University were randomly divided into two groups: A. Group B, group A, rehabilitation group, group B as control group, each group with 29 patients. The control group was only treated with routine oral antiplatelet drugs and lipid-lowering drugs. The rehabilitation group was treated with routine antiplatelet drugs and lipid-lowering drugs. Under the guidance of rehabilitation doctors, the rehabilitation group was trained gradually according to the exercise prescription before treatment and 6 weeks after treatment. Left ventricular ejection fraction (LVEF) and SF-36 score were measured. Results: sex and age of control group and rehabilitation group were compared before treatment. After 6 weeks of treatment, the left ventricular ejection fraction (LVEF) in rehabilitation group was significantly higher than that in control group (P 0.01). 2.Comparison of quality of life before and after treatment between rehabilitation group and control group. After 6 weeks of treatment, the score of SF-36 brief health status scale was compared between rehabilitation group and control group. Conclusion: patients with coronary heart disease after PCI are based on routine oral antiplatelet drugs and lipid-lowering drugs. The combination of exercise training can effectively improve the heart function of patients, improve the quality of life of patients, so that they can return to normal life as soon as possible.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R541.4

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