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呼吸肌康复训练对心力衰竭患者经皮冠状动脉介入治疗后心肺功能的影响

Effect of Respiratory Muscle Rehabilitation on Cardiopulmonary Function after Percutaneous Coronary Intervention in Patients with Heart Failure
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摘要 目的:探讨呼吸肌康复训练对心力衰竭(HF)患者经皮冠状动脉介入(PCI)干预治疗后心肺功能的影响。方法:选取2021年1月—2022年12月莆田涵江医院收治的84例HF患者作为研究对象,按随机数字表法分成对照组和研究组,每组各42例。对照组采取常规康复护理干预,研究组在对照组的基础上采取呼吸肌康复训练干预。比较两组心功能射血分数(EF)、左心室缩短率(LVFS)和心排血量(CO)指标、肺功能一秒钟用力呼气量(FEV1)、用力肺活量(FVC)、1秒量比用力肺活量(FEV1/FVC)、C-反应蛋白(CRP)、氨基末端脑钠肽前体(NT-proBNP)、心肌肌钙蛋白Ⅰ(cTnI)及肌酸激酶同工酶(CK-MB)的浓度以及生活质量综合评定问卷(GQOL-74)评分。结果:干预前,两组EF、LVFS及CO比较,差异无统计学意义(P>0.05);干预后,两组EF、LVFS及CO均明显上升,差异有统计学意义(P<0.05);干预前,两组FEV1、FVC、FEV1/FVC指标比较,差异无统计学意义(P>0.05);干预后,研究组肺功能各项指标均高于对照组,差异有统计学意义(P<0.05);干预前,两组血清CRP、NT-proBNP、cTnI及CK-MB浓度比较,差异无统计学意义(P>0.05);干预后,研究组血清指标均低于对照组,差异有统计学意义(P<0.05);干预前,两组GQOL-74各项评分比较,差异无统计学意义(P>0.05);干预后,两组GQOL-74评分均高于干预前,研究组高于对照组,差异有统计学意义(P<0.05)。结论:对HF患者PCI治疗后采取呼吸肌康复训练,有助于改善心肺功能的恢复,降低心肌损伤标志物的浓度,提高患者生活质量水平,具有推广价值。 Objective:To explore the effect of respiratory muscle rehabilitation training on cardiopulmonary function in patients with Heart Failure(HF)after Percutaneous Coronary Intervention(PCI).Method:A total of 84 HF patients admitted to Putian Hanjiang Hospital from January 2021 to December 2022 were selected as research objects and divided into control group and study group according to random number table method,with 42 cases in each group.The control group took routine rehabilitation nursing,and the research group took respiratory muscle rehabilitation training based on the control group.The scores of Ejection Fraction(EF),Left Ventricular Fraction Shortening(LVFS)rate,Cardiac Output(CO)Volume,Forced Expiratory Volume in one second(FEV1),Forced Vital Capacity(FVC).Forced Expiratory Voume in one second(FEV1/FVC),C-reactive protein(CRP)and N-terminal pro brain natriuretic peptide(NT-proBNP),cardiac troponin I(cTnI)and creatine kinase isoenzyme(CK-MB)concentrations,and GQOL-74 scores.were compared between the two groups.Result:Before intervention,there was no significant difference in EF,LVFS and CO between the two groups(P>0.05).After intervention,EF,LVFS and CO increased significantly in both groups,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in FEV1,FVC and FEV1/FVC between the two groups(P>0.05).After intervention,the pulmonary function indexes of the study group were higher than those of the control group,and the difference was statistically significant(P<0.05).Before intervention,serum CRP,NT-proBNP,cTnI and CK-MB between the two groups(P>0.05).After intervention,the serum indexes of the study group were lower than those of the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in GQOL-74 scores between the two groups(P>0.05).After intervention,GQOL-74 scores in both groups were higher than before intervention,and the study group was higher than the control group,the dif
作者 林玉霜 LIN Yushuang(Putian Hanjiang Hospital,Putian 351111,China)
机构地区 莆田涵江医院
出处 《中外医学研究》 2024年第30期113-117,共5页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 心力衰竭 心肺功能 呼吸肌康复训练 经皮冠状动脉介入治疗 Heart failure Cardiopulmonary function Respiratory muscle rehabilitation Percutaneous coronary intervention
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