摘要
目的研究养心理论下中医心脏康复运动处方对老年冠心病经皮冠状动脉介入(PCI)治疗术后患者代谢水平、心功能的影响。方法选取开封市中医院2021年8月至2023年8月126例老年冠心病PCI术后患者采用随机数字表分组,对照组63例行常规康复指导,研究组63例给予养心理论下中医心脏康复运动处方,3个月后,对比两组患者心功能、代谢水平、自我管理能力、主要心血管不良事件(MACE)的发生情况。结果研究组干预后,6 min步行距离(6MWD)、左心室射血分数(LVEF)水平分别为(387.69±10.53)m、(61.01±5.44)%,均高于对照组(367.55±9.18)m、(57.45±6.06)%,左心室舒张末期内径(LVEDD)水平(58.70±0.97)mm低于对照组(59.59±1.05)mm,P<0.05;研究组干预后,总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平分别为(3.87±0.49)mmol/L、(2.62±0.23)mmol/L,均低于对照组(4.28±0.53)mmol/L、(2.79±0.22)mmol/L,高密度脂蛋白胆固醇(HDL-C)水平(1.66±0.21)mmol/L高于对照组(1.48±0.23)mmol/L,P<0.05;研究组干预后,自我管理能力评分(96.94±6.22)分高于对照组(90.34±5.84)分,P<0.05;两组MACE发生率比较,差异无统计学意义(P>0.05)。结论养心理论下中医心脏康复运动处方能够有效改善老年冠心病PCI术后患者代谢水平,提高自我管理能力,增强心功能,安全性高。
Objective To study the influence of traditional Chinese medicine cardiac rehabilitation exercise prescription on the metabolic level and cardiac function of elderly patients with coronary heart disease after percutaneous coronary intervention(PCI)under the theory of heart cultivation.Methods A total of 126 elderly patients with coronary heart disease after PCI were selected from Kaifeng Hospital of Traditional Chinese Medicine from August 2021 to August 2023 and grouped by random number table.63 patients in the control group received routine rehabilitation guidance,and 63 patients in the study group were given traditional Chinese cardiac rehabilitation exercise prescription under the theory of heart cultivation.Cardiac function,metabolic level,self-management ability and occurrence of major adverse cardiac events(MACE)were compared between the two groups after three months.Results After intervention,the 6-min walking distance(6MWD)and left ventricular ejection fraction(LVEF)levels of the study group were(387.69±10.53)m and(61.01±5.44)%,respectively,which were higher than those of the control group(367.55±9.18)m and(57.45±6.06)%.The left ventricular end-diastolic inner diameter(LVEDD)level(58.70±0.97)mm was lower than that of control group(59.59±1.05)mm,P<0.05.After intervention,the levels of total cholesterol(TC)and low density lipoprotein cholesterol(LDL-C)in the study group were(3.87±0.49)mmol/L and(2.62±0.23)mmol/L,respectively,which were lower than those in the control group(4.28±0.53)mmol/L and(2.79±0.22)mmol/L,respectively.High density lipoprotein cholesterol(HDL-C)level(1.66±0.21)mmol/L was higher than that of control group(1.48±0.23)mmol/L,P<0.05.After intervention,the score of self-management ability in the study group(96.94±6.22)was higher than that in the control group(90.34±5.84),P<0.05.There was no significant difference in the incidence of MACE between the two groups,P>0.05.Conclusion Under the theory of heart cultivation,TCM cardiac rehabilitation exercise prescription can effectively
作者
刘洁
余凌飞
陈晓蕾
LIU Jie;YU Ling-fei;CHEN Xiao-lei
出处
《中国疗养医学》
2024年第8期37-40,共4页
Chinese Journal of Convalescent Medicine
关键词
养心理论
心脏康复
冠心病
心功能
Theory of heart cultivation
Cardiac rehabilitation
Coronary heart disease
Cardiac function
