摘要
目的探讨心肺运动康复在老年冠脉慢血流的临床应用效果。方法选取2016年3月至2018年4月的102例冠脉慢血流患者,作为研究对象。所有入选患者年龄均≥60周岁,将患者分为A组与B组,各51例,其中A组患者采用西药常规治疗,患者年龄在61~74岁,平均(65.35±1.63岁;B组在A组药物治疗的基础上,采用心肺运动康复治疗,患者年龄在61~73岁,平均(65.39±1.14)岁;2组患者临床一般资料无明显差异,可以进行对比。结果A组患者TIMI血流分级2级(1.96%)、3级(50.98%)显著低于B组TIMI血流分级2级(5.88%)、3级(82.35%),组间比较,差异有统计学有意义(P<0.05)。A组患者TIMI血流分级0级(15.67%)、1级(31.37%)显著高于B组TIMI血流分级0级(3.92%)、1级(7.84%),组间比较,差异有统计学有意义(P<0.05),A组患者心电图疗效评价中有效(50.98%)、无效(49.04%)与B组心电图疗效评价中有效(80.39%)、无效(19.61%)比较,差异有统计学意义(P<0.05);A组患者心绞痛疗效评价中有效(58.82%)、无效(41.18%)与B组绞痛疗效评价中有效(90.20%)、无效(9.80%)相比,差异有统计学有意义(P<0.05)。结论心肺运动康复在老年冠脉慢血流的临床应用效果极佳,能够改善患者慢血流现象,降低患者心绞痛发生的频率,使患者ST段回到等电位线或是T波倒恢复至基线以上,临床领域值得广泛推广与应用。
Objective To explore the clinical effect of cardiopulmonary exercise rehabilitation in elderly patients with coronary slow blood flow.Methods 102 patients with coronary slow blood flow from March 2016 to April 2018 were selected as the study subjects.All patients were over 60 years old,and were divided into group A and group B,51 cases in each group.Group A was treated with routine western medicine,the average age of patients was 65.35+1.63 years old.Group B was treated with cardiopulmonary exercise rehabilitation on the basis of drug treatment in group A,the average age of patients was 65.39+1.14 years old,and the average age of patients was 65.39+1.14 years old.There is no significant difference in the data,so they can be compared.Results TIMI blood flow grade 2(1.96%)and 3(50.98%)in group A were significantly lower than TIMI blood flow grade 2(5.88%)and 3(82.35%)was group B.There were significant differences between the groups(P<0.05).TIMI grade 0(15.67%)and grade 1(31.37%)in group A were significantly higher than those in group B(3.92%)and grade 1(7.84%).There were significant differences between the groups(P<0.05).Effective(50.98%)and ineffective(49.04%)in the evaluation of ECG efficacy in group A were significantly different from those in group B(80.39%)and ineffective(19.61%)in the evaluation of ECG efficacy(P<0.05),which was statistically significant.Effective(58.82%)and ineffective(41.18%)in the evaluation of angina efficacy in group A and effective(90.20%)and ineffective(9.80%)compared with that in group B(90.20%).they were significantly different between the groups(P<0.05)statistically significant.Conclusion Cardiopulmonary exercise rehabilitation has a very good clinical application effect in elderly patients with coronary slow blood flow.It can improve the phenomenon of slow blood flow,reduce the frequency of angina pectoris,and make ST segment return to the isopotential line or T wave fall back to the baseline.It is worth popularizing and applying widely in clinical field.
作者
齐万争
李小峰
周艳艳
李毅飞
QI Wan-zheng;LI Xiao-feng;ZHOU Yan-yan;LI Yi-fei(Dept.of Geriatric,The First People's Hospital of Shijiazhuang,Shijiazhuan Hebei 050000,China;Dept.of Emergency,The First People's Hospital of Shijiazhuang,Shijiazhuan Hebei 050000,China;Dept.of Obstetrics,The First People's Hospital of Shijiazhuang,Shijiazhuan Hebei 050000,China)
出处
《昆明医科大学学报》
CAS
2020年第2期115-119,共5页
Journal of Kunming Medical University
基金
石家庄市科学技术局基金资助项目(171462343)。
关键词
心肺运动康复
老年冠脉慢血流
临床
观察
Cardiopulmonary exercise rehabilitation
Elderly coronary slow blood flow
Clinical
Observation
