摘要
目的:研究康复训练对出院后不同时期老年冠心病患者心肺功能的影响。方法:随机抽取南阳市第二人民医院2018年8月至2019年12月期间收治的94例老年冠心病患者为研究对象,按照出院后病情不同时期划分为稳定组(出院2周~3个月内,52例)与早期组(出院2周内,42例),均给予康复训练干预,对两组患者的心肺功能改善进行评价和比较。结果:两组患者经干预后左室射血分数(LVEF)、左室舒张末径(LVEDD)、A峰E峰流速比值(E/A)、峰值摄氧量(VO2-peak)均有明显改善,且干预后6 min步行距离较干预前均有上升,差异具有统计学意义(P<0.05)。稳定组患者干预后LVEF、E/A、LVEDD、VO2-peak、6 min步行距离均优于早期组,差异均具有统计学意义(P<0.05)。结论:出院后冠心病患者实施康复训练对促进其心肺功能恢复有着重要意义,且在患者病情稳定期实施康复训练的效果优于早期出院期,更有利于提升患者生活质量、延长其生存周期。
Objective To study the effects of rehabilitation training on cardiopulmonary function in elderly patients with coronary heart disease at different periods after discharge.Methods A total of 94 elderly patients with CORONARY heart disease(CHD)admitted to Nanyang Second People’s Hospital from August 2018 to December 2019 were randomly selected as the study subjects.According to the different stages of their condition after discharge,they were divided into the stable group(2 weeks to3 months after discharge,52 cases)and the early group(2 weeks after discharge,42 cases).All patients were given rehabilitation training intervention.The improvement of cardiopulmonary function was evaluated and compared between the two groups.Results After intervention,the left ventricular ejection fraction(LVEF),the left ventricular end diastolic diameter(LVEDD),the ratio of peak A and peak E flow rate(E/A),and the peak oxygen uptake(VO2--PEAK)of 2 groups were significantly improved,and the walking distance 6 min after intervention was increased compared with that before intervention,with statistical significance(P<0.05).After intervention,LVEF,E/A,LVEDD,VO2--PEAK and 6 min walking distance in stable group were all better than those in early group,with statistical significance(P<0.05).Conclusion Rehabilitation training for patients with coronary heart disease after discharge from the hospital is of great significance to promote the recovery of their cardiopulmonary function,and the effect of rehabilitation training in the stable period of patients is better than that in the early discharge period,which is more conducive to improving the quality of life of patients and prolonging their life cycle.
作者
王同昂
符会妮
WANG Tong-ang;FU Hui-ni(The Second People's Hospital of Nanyang,Henan Nanyang 473000)
出处
《深圳中西医结合杂志》
2021年第17期30-32,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
河南省医学科技攻关计划项目资助课题(2018020986)
南阳市科技发展计划项目资助课题(KJGG2018084)。
关键词
冠心病
心肺功能
康复训练
老年人
Coronary heart disease
Cardiopulmonary function
Rehabilitation training
Elderly
