摘要
目的 研究老年冠心病患者治疗中早期康复训练的临床应用效果,并分析此种干预模式对患者心肺功能指标水平的影响。方法 100例老年冠心病患者,依据随机抽签法分为观察组与对照组,各50例。两组均接受药物常规对症治疗,观察组同时实施早期康复训练干预。对比两组心肺功能指标[左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、6 min步行试验距离]、生活质量评分、并发症及再次入院发生情况。结果 治疗后,观察组LVEF(53.34±4.28)%、LVEDD(50.46±4.15)mm、6 min步行试验距离(338.09±41.25)m均优于对照组的(42.86±3.96)%、(58.32±4.37)mm、(296.87±50.38)m,差异有统计学意义(P<0.05)。观察组并发症发生率为4.00%、再次入院率为8.00%,均低于对照组的16.00%、24.00%,差异有统计学意义(P<0.05)。治疗后,观察组患者生活质量评分(89.24±2.36)分高于对照组的(86.73±2.17)分,差异有统计学意义(P<0.05)。结论 针对老年冠心病患者,予以常规治疗的同时积极实施早期康复训练,有助于改善患者心肺功能,进而提升其生活质量,可控制相关并发症的发生,并降低再次入院率,应用价值显著,值得借鉴及推广运用。
Objective To study the clinical effect of early rehabilitation training on elderly patients with coronary heart disease and analyze the impact of this intervention mode on the level of cardiopulmonary function indicators.Methods A total of 100 elderly patients with coronary heart disease were randomly divided into observation group and control group,with 50 cases in each group.Both groups received conventional drug symptomatic treatment,while the observation group also received early rehabilitation training intervention.The cardiopulmonary function indexes[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),6-min walking test distance],quality of life score,occurrence of complications and re-admissions were compared between the two groups.Results After treatment,the LVEF(53.34±4.28)%,LVEDD(50.46±4.15)mm,and 6-min walking test distance(338.09±41.25)m in the observation group were all better than(42.86±3.96)%,(58.32±4.37)mm,and(296.87±50.38)m in the control group,and the differences were statistically significant(P<0.05).The complication rate and readmission rate of the observation group were 4.00%and 8.00%,which were lower than 16.00%and 24.00%of the control group,and the differences were statistically significant(P<0.05).After treatment,the quality of life score(89.24±2.36)points of the observation group was higher than(86.73±2.17)points of the control group,and the difference was statistically significant(P<0.05).Conclusion For elderly patients with coronary heart disease,early rehabilitation training on the basis of the conventional treatment can help improve their cardiopulmonary function and quality of life,control the occurrence of related complications,and reduce the readmission rate.The application value is significantly,and this method is worthy of reference and promotion.
作者
李坤
LI Kun(Kuandian Manchu Autonomous County Central Hospital,Dandong 118200,China)
出处
《中国现代药物应用》
2022年第18期173-175,共3页
Chinese Journal of Modern Drug Application
关键词
冠心病
早期康复训练
心肺功能
生活质量
并发症
老年
Coronary heart disease
Early rehabilitation training
Cardiopulmonary function
Quality of life
Complications
Old age
