心脏康复训练对慢性冠心病稳定型心绞痛患者PCI术后心功能和生活质量的影响

发布时间：2018-06-29 19:45

本文选题：心脏康复训练 + 慢性冠心病稳定型心绞痛　；参考：《中国老年学杂志》2017年08期

【摘要】：目的探讨心脏康复训练对慢性冠心病稳定型心绞痛患者经皮冠状动脉介入治疗(PCI)术后心功能和生活质量的影响。方法120例行PCI术的慢性冠心病稳定型心绞痛患者,采用随机数字表法分为观察组与对照组各60例,PCI术后给予对照组心内科常规干预,观察组在对照组的基础上实施心脏康复训练。采用西雅图心绞痛调查量表(SAQ)于干预前及干预4个月后对患者生活质量进行评价,检测两组左室射血分数(LVEF),采用纽约心脏协会功能分级(NYHA)评价两组心功能的受损情况,计算患者的代谢当量(MET),对比干预后两组不良心脏事件发生情况。结果干预4个月后两组LVEF、MET均显著上升,NYHA分级均降低,但观察组较对照组改善更显著(均P0.05);两组干预后躯体活动受限程度、心绞痛稳定程度、心绞痛发作频率、治疗满意程度、疾病主观感受评分均明显升高,且观察组均高于对照组(均P0.05);观察组不良心脏事件发生率显著低于对照组(P0.05)。结论对慢性冠心病稳定型心绞痛PCI术后患者实施心脏康复训练,可明显提高患者心脏功能,改善患者生活质量,提高患者的满意度。
[Abstract]:Objective to investigate the effects of cardiac rehabilitation training on cardiac function and quality of life in patients with stable angina pectoris after percutaneous coronary intervention (PCI). Methods 120 patients with stable angina pectoris of chronic coronary heart disease who underwent PCI were randomly divided into two groups: the observation group (n = 60) and the control group (n = 60). The observation group received cardiac rehabilitation training on the basis of the control group. The quality of life (QOL) was evaluated by the Seattle angina scale (SAQ) before and 4 months after intervention. Left ventricular ejection fraction (LVEF) was measured in both groups. The New York Heart Association functional scale (NYHA) was used to evaluate the impairment of cardiac function in the two groups. Metabolic equivalent (met) was calculated and adverse cardiac events were compared between the two groups after intervention. Results after 4 months of intervention, the LVEFNMET in both groups increased significantly, but the NYHA grade in the observation group was significantly improved than that in the control group (P0.05), the degree of restricted somatic activity, the stable degree of angina pectoris, the frequency of angina pectoris attack and the degree of satisfactory treatment were observed in the two groups after intervention. The scores of subjective perception of disease were significantly higher in the observation group than in the control group (P0.05), and the incidence of adverse cardiac events in the observation group was significantly lower than that in the control group (P0.05). Conclusion the cardiac rehabilitation training for patients with stable angina pectoris after PCI can obviously improve the heart function, improve the quality of life and improve the satisfaction of the patients.
【作者单位】：包头市中心医院心内科;
【分类号】：R541.4

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