摘要
目的探讨运动处方在冠状动脉粥样硬化性心脏病(冠心病)慢血流患者中的应用效果。方法选取2021年1月至2023年1月武威市人民医院104例冠心病慢血流患者,随机分为两组,各52例。对照组患者予以常规干预措施,观察组患者予以运动处方干预。两组患者均干预3个月。对比两组患者预后情况、治疗前后心率(heart rate,HR)、氧脉搏(oxygen pulse,O_(2)pulse)、峰值摄氧量(peak oxygen intake,VO_(2)peak)、左心室射血分数(left ventricular ejection fraction,LVEF)、峰值脉氧饱和度(peak pulse oxygen saturation,SpO_(2)peak)、运动耐量、峰值分钟通气量(peak ventilation,VEpeak)、最大运动负荷、灌注量、6 min步行距离(6-minute walking distance,6MWD)、达峰时间(time to peak,T)及焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、自我效能感量表(general self-efficacy scale,GSES)评分。结果干预后观察组患者LVEF、O_(2)pulse、SpO_(2)peak、VO_(2)peak及VEpeak高于对照组,HR低于对照组,差异有统计学意义(P<0.05)。干预后与对照组相比,观察组患者的最大运动负荷、运动耐量、6MWD、灌注量高于对照组,T低于对照组,差异有统计学意义(P<0.05);干预后观察组患者的SAS、SDS评分均较对照组低,GSES评分均较对照组高,差异有统计学意义(P<0.05);干预后观察组患者预后恢复好于对照组,差异有统计学意义(P<0.05)。结论运动处方可改善冠心病慢血流患者血流微循环,恢复心肺功能、增强运动耐力,从而减轻消极情绪,增强自我效能。
Objectives To investigate the effect of exercise prescription in patients with coronary heart disease with slow flow.Methods A total of 104 patients with coronary heart disease and slow blood flow in Wuwei People′s Hospital from January 2021 to January 2023 were selected and randomly divided into two groups,with 52 patients in each group.Control group received routine intervention measures,while observation group received exercise prescription intervention.Both groups were intervened for 3 months.The prognosis and heart rate(HR),oxygen pulse(O_(2)pulse),peak oxygen intake(VO_(2)peak),left ventricular ejection fraction(LVEF),peak pulse oxygen saturation(SpO_(2)peak),exercise tolerance,peak minute ventilation(VEpeak),maximum exercise load,perfusion volume,6-minute walking distance(6MWD),time to peak(T),self-rating anxiety scale(SAS),self-rating depression scale(SDS),and general self-efficacy scale(GSES)scores before and after treatment were compared between the two groups.Results After intervention,LVEF,O_(2)pulse,SpO_(2)peak,VO_(2)peak,and VEpeak in observation group were significantly higher than those in control group,while HR was significantly lower than that in control group(P<0.05);maximum exercise load,exercise tolerance,6MWD,and perfusion were significantly higher in observation group than in control group,and T was significantly lower in observation group than in control group(P<0.05);SAS and SDS scores in observation group were significantly lower than those in control group,while the GSES score was significantly higher than that in control group(P<0.05);the prognosis of patients in observation group recovered better than that in control group(P<0.05).Conclusions Exercise prescription can improve the microcirculation of blood flow in patients with coronary heart disease with slow blood flow,restore cardiopulmonary function,enhance exercise endurance,thereby reduce negative emotions and enhance self-efficacy.
作者
岳建刚
魏康
YUE Jiangang;WEI Kang(Department of Cardiovascular Medicine,Wuwei People′s Hospital,Wuwei,Gansu 733000,China)
出处
《岭南心血管病杂志》
CAS
2024年第4期419-425,共7页
South China Journal of Cardiovascular Diseases
基金
武威市科学技术局(武威市2021年市级科技计划项目)(项目编号:WW2101164)。
关键词
冠状动脉疾病
慢血流
运动处方
运动耐量
微循环
心理状态
coronary heart disease
slow blood flow
exercise prescription
exercise tolerance
microcirculation
psychological state
