抗阻训练联合8000步快步走对青年冠心病患者经皮冠状动脉介入治疗后心功能、运动耐力及生活质量的影响  

Impact of Resistance Training Combined with 8000-step Brisk Walking on Cardiac Function,Exercise Tolerance and Quality of Life in Young Coronary Heart Disease Patients Treated with Percutaneous Coronary Intervention

作　　者：栾春红[1] 杨新利[2] 栾丽萍 王蓉[1] 高登峰[1] LUAN Chunhong;YANG Xinli;LUAN Liping;WANG Rong;GAO Dengfeng(Department of Cardiovascular Medicine,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China;Department of Neurology,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China;Department of Otolaryngology,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China)

机构地区：[1]西安交通大学第二附属医院心血管内科,陕西省西安市710004 [2]西安交通大学第二附属医院神经内科,陕西省西安市710004 [3]西安交通大学第二附属医院耳鼻喉科,陕西省西安市710004

出　　处：《实用心脑肺血管病杂志》2019年第3期95-98,103,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨抗阻训练联合8 000步快步走对青年冠心病患者经皮冠状动脉介入治疗(PCI)后心功能、运动耐力及生活质量的影响。方法选取2014年3月—2016年7月在西安交通大学第二附属医院心血管内科行PCI的青年冠心病患者150例,采用随机数字表法分为对照组、快步走组、联合训练组,每组50例。3组患者均于PCI后接受常规药物治疗,出院时开具运动处方,其中对照组患者为常规运动训练指导,快步走组患者为8 000步快步走,联合训练组患者为抗阻训练联合8 000步快步走。比较3组患者干预前、干预1年后心功能指标〔包括左心室射血分数(LVEF)、纽约心脏病协会(NYHA)分级〕、运动耐力指标〔包括峰值功率(PP)、运动持续时间(ED)、峰值摄氧量(VO2peak)及无氧阈(AT)〕及生活质量调查简表(SF-36)评分,记录3组患者干预1年期间主要不良心血管事件(MACE)发生情况。结果 (1)3组患者无一例中途脱落或剔除。干预前3组患者LVEF、NYHA分级比较,差异无统计学意义(P>0.05)。干预1年后,快步走组和联合训练组患者LVEF高于对照组,联合训练组患者LVEF高于快步走组(P<0.05);联合训练组患者NYHA分级优于对照组和快步走组(P<0.05)。(2)干预前3组患者PP、ED、VO2peak、AT比较,差异无统计学意义(P>0.05)。干预1年后,快步走组和联合训练组患者PP、VO2peak、AT大于对照组,ED长于对照组(P<0.05);联合训练组患者PP、VO2peak、AT大于快步走组,ED长于快步走组(P<0.05)。(3)3组患者干预前SF-36评分比较,差异无统计学意义(P>0.05);干预1年后,快步走组和联合训练组患者SF-36评分高于对照组,联合训练组患者SF-36评分高于快步走组(P<0.05)。(4)联合训练组患者干预1年期间MACE发生率低于对照组(P<0.05)。结论抗阻训练联合8 000步快步走能有效改善青年冠心病患者PCI后心功能,提高患者运动耐力及生活质量,减少MACE发生风险。Objective To investigate the impact of resistance training combined with 8 000-step brisk walking on cardiac function,exercise tolerance and quality of life in young coronary heart disease patients treated with percutaneous coronary intervention(PCI).Methods From March 2014 to July 2016,a total of 150 young coronary heart disease patients underwent PCI were selected in the Department of Cardiovascular Medicine,the Second Affiliated Hospital of Xi'an Jiaotong University,and they divided into control group,brisk walking group and joint training group,with 50 cases in each group.Based on conventional medical treatment after PCI,patients in control group received regular exercise training instruction,patients in brisk walking group received 8 000-step brisk walking training instruction,while patients in joint training group received resistance training combined with 8 000-step brisk walking training instruction.Index of cardiac function(including LVEF and NYHA classification),exercise tolerance indicators〔including peak power(PP),exercise duration(ED),peak oxygen uptake(VO2 peak)and anaerobic threshold(AT)〕and SF-36 score were compared in the three groups before intervention and 1 year after intervention,and incidence of MACE was recorded during intervention for one year.Results(1)No one in the three groups dropped or was removed.There was no statistically significant difference in LVEF or NYHA classification in the three groups before intervention(P>0.05).After 1 year of intervention,LVEF in brisk walking group and joint training group wasstatistically higher than than in control group,meanwhile LVEF in joint training group was statistically significantly higher than that in brisk walking group(P<0.05);NYHA classification in joint training group was statistically significantly better than that in control group and brisk walking group(P<0.05).(2)There was no statistically significant difference in PP,ED,VO2peak or AT in the three groups before intervention(P>0.05).After 1 year of intervention,PP,VO2peak and AT in

关 键 词：冠心病 抗阻训练 快步走 青年人 经皮冠状动脉介入治疗 心功能 运动耐力 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]