摘要
目的:分析家庭心脏康复对老年冠心病(CHD)患者心功能及运动耐量的影响。方法:选取2021年7月-2022年7月河池市人民医院心内科收治的84例老年CHD患者,采用随机数字表法将患者分为对照组和观察组各42例。对照组给予常规出院指导,观察组出院后实施家庭心脏康复。比较两组左室收缩末期内径(LVESD)、左室舒张末内径(LVEDD)、左室射血分数(LVEF)、无氧阈(AT)、最大摄氧量值(VO2max)、6min步行距离及不良心血管事件发生情况。结果:治疗后,观察组LVESD、LVEDD低于对照组,差异有统计学意义(P<0.05),LVEF高于对照组,差异有统计学意义(P<0.05)。观察组6min步行距离、AT及VO2max均高于对照组,差异有统计学意义(P<0.05)。观察组不良心血管事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:家庭心脏康复有助于改善老年CHD患者心功能,提升运动耐量,降低不良心血管事件发生风险。
Objective To investigate the effects of home-based cardiac rehabilitation on cardiac function and exercise tolerance in elderly patients with coronary heart disease(CHD).Methods A total of 84 elderly patients with CHD admitted to the Department of Cardiology of Hechi People’s Hospital from July 2021 to July 2022 were selected as research objects,and were divided into control group and observation group,with 42 cases in each group.The control group was given routine discharge guidance,and observation group was given home-based cardiac rehabilitation after discharge.The LVESD,LVEDD,LVEF,AT,VO2max and 6 min walking distance and adverse cardiovascular events were compared between the two groups.Results After treatment,LVESD and LVEDD in observation group were lower than those in control group(P<0.05),and LVEF was higher than that in control group(P<0.05).The 6 min walking distance,AT and VO2max in observation group were higher than those in control group(P<0.05).The incidence of adverse cardiovascular events in the observation group was lower than that in control group(P<0.05).Conclusion Home-based cardiac rehabilitation can improve cardiac function,exercise tolerance and reduce the risk of adverse cardiovascular events in elderly patients with CHD.
出处
《医药前沿》
2023年第9期1-3,共3页
Journal of Frontiers of Medicine
基金
河池重点研发计划项目(河科AB200724)。
关键词
家庭心脏康复
冠心病
经皮冠状动脉介入
心功能
运动耐量
Home-based cardiac rehabilitation
Coronary heart disease
Percutaneous coronary intervention
Cardiac function
Exercise tolerance
