系统心肺康复训练对冠心病病人运动耐力和生活质量的影响  

Influence of systematic cardiopulmonary rehabilitation training on exercise endurance and quality of life in patients with coronary heart disease

作　　者：刘春霞[1] 范晓青[1] 

机构地区：[1]河南省人民医院

出　　处：《全科护理》2017年第9期1025-1028,共4页Chinese General Practice Nursing

摘　　要：[目的]探讨系统心肺康复训练对冠心病(CHD)病人运动耐力和生活质量的影响。[方法]按随机数字法将100例康复期CHD病人分为对照组和实验组各50例。对照组按照CHD治疗指南进行常规药物治疗及常规干预,而实验组在对照组基础上进行系统心肺康复训练。于干预前及干预后检测两组病人心功能各项指标,采用6min步行距离测试(6MWD)评价运动耐力,并采用健康调查量表(SF-36)评价病人生活质量。[结果]实验组病人干预后心功能各项指标及6MWD结果较干预前均有明显改善,且优于对照组,差异有统计学意义(P<0.05);实验组干预后SF-36量表中各维度评分均高于对照组(P<0.05)。[结论]系统心脏康复训练能明显改善康复期CHD病人心功能,提高病人的运动耐力,改善病人的生活质量。Objective：To probe into the influence of systematic cardiopulmonary rehabilitation training on exercise endurance and quality of life in patients with coronary heart disease.Methods：A total of 100 cases of rehabilitation CHD patients who treated in our hospital from June 2015 to June 2016 were divided into control group and experimental group,according to the random number table method,50 cases in each group.The control group was treated with routine medical therapy and conventional intervention according to CHD treatment guidelines,while the experimental group was given the systematic cardiopulmonary rehabilitation training on the basis of the control group.The heart function was evaluated before and after intervention.Six-minute walking distance test（6MWD）was performed to evaluate exercise endurance.The health survey scales（SF-36）was used to evaluate the quality of life of patients.Results：In the experimental group,the indexes of heart function and the results of 6 MWD in the rehabilitation period of CHD patients were significantly improved after intervention,and better than that of the control group,the difference was statistically significant（P〈0.05）.The scores of each dimension in the SF-36 scale in the experimental group were higher than those in the control group after intervention（P〈0.05）.Conclusion：Systematic cardiopulmonary rehabilitation training could significantly improve the cardiac function of rehabilitation CHD patients,improve the exercise endurance and the quality of life of patients.

关 键 词：冠心病 系统心肺康复训练 运动耐力 生存质量 

分 类 号：R541.4[医药卫生—心血管疾病]