心脏康复锻炼对伴有左室功能不全冠心病患者的影响  

The impacts of cardiac rehabilitation program on coronary artery disease patients with left ventricular dysfunction

作　　者：张文芳 

机构地区：[1]日照市莒县人民医院,山东日照276500

出　　处：《泰山医学院学报》2015年第9期1023-1025,共3页Journal of Taishan Medical College

摘　　要：目的探讨心脏康复锻炼对冠心病患者运动能力、生活质量及功能状态的影响。方法对70例伴有轻度至中度左心功能不全的冠心病患者进行连续8周以运动为主的康复锻炼。对所有患者康复锻炼前及康复锻炼后8周进行评价。采用SF-36问卷调查评估患者生活质量。功能状态评估项目包括:睡眠时间、步行、骑自行车、运动及工作时间。结果康复锻炼后,患者最大运动负荷量代谢当量单位由康复前(7.00±2.36)增至康复后(9.08±2.95)(P<0.001),运动持续时间从康复前(13.17±5.25)分钟增加到康复后(18.11±4.85)分钟(P<0.001)。SF-36评估患者生活质量,患者在身体和心理方面康复前后有显著差异(P<0.05)。患者骑自行车、步行及运动时间康复前后有显著差异(P<0.05)。结论心脏康复锻炼能够改善轻至中度左心功能不全的冠心病患者的运动能力、生活质量及功能状态。医护人员应鼓励患者参加并遵循标准的康复锻炼计划。Objective：To determine the impacts of cardiac rehabilitation on exercise capacity,quality of life（ QOL）, and functional status in patients with coronary artery disease（ CAD）. Methods：Seventy CAD patients with mild to moder-ate left ventricular dysfunction participated in an exercise-based rehabilitation program for eight consecutive weeks. Subjects underwent an exercise test before and 8 weeks after rehabilitation. QOL was assessed with the SF-36 questionnaire. Func-tional status was assessed in terms of sleep time,walking,cycling,exercise,and working duration. Results：After rehabil-itation,peak exercise capacity increased from（7. 00 ± 2. 36）to（9. 08 ± 2. 95）METs（P﹤0. 001）and exercise duration in-creased from（13. 17 ± 5. 25min）to（18. 11 ± 4. 85min）（P﹤0. 001）. Patients′QOL improved in physical and psychologi-cal dimensions（P﹤0. 05）. Cycling,walking,and exercising status significantly increased after the study（P﹤0. 05）. Conclusion：Cardiac rehabilitation improves exercise capacity,QOL,and functional status of CAD patients with mild to moderate left ventricular dysfunction. Cardiac medical staffs should encourage patients to attend to and be compliant in the rehabilitation programs.

关 键 词：冠心病 康复 锻炼 生活质量 

分 类 号：R473.5[医药卫生—护理学]