冠心病介入治疗后应用康复训练对患者运动耐量提升影响  

Effect of rehabilitation training on exercise tolerance after coronary heart disease intervention treatment

作　　者：齐万争[1] 李小峰 周艳艳 李毅飞 孙英慧 QI Wan-zheng;LI Xiao-feng;ZHOU Yan-yan;LI Yi-fei;SUN Ying-hui(Department of the Third Geriatrics Ward,Shijiazhuang First Hospital,Shijiazhuang 050000,China)

机构地区：[1]石家庄市第一医院老年病科三病区,河北石家庄050000 [2]石家庄市第一医院急诊科,河北石家庄050000 [3]石家庄市第一医院产科一病区,河北石家庄050000 [4]北部战区总医院医学实验科,辽宁沈阳110016

出　　处：《临床军医杂志》2019年第10期1047-1049,共3页Clinical Journal of Medical Officers

基　　金：河北省科技攻关计划(171462343)

摘　　要：目的探讨冠心病(CHD)介入治疗后应用康复训练对患者运动耐量提升的影响。方法选取石家庄市第一医院自2016年2月至2018年12月收治的180例CHD患者为研究对象。接受介入治疗后,将患者分为A组与B组,每组各90例。A组患者不采用康复训练,B组患者采用康复训练。观察并比较两组患者静息、运动状态下的心率、血压的变化情况及经平板运动试验的主要参数。结果A、B两组患者静息时的心率、收缩压、舒张压与心率血压乘积比较,差异无统计学意义(P>0.05);A组患者运动所测量的心率、收缩压、舒张压与心率血压乘积均高于B组,差异有统计学意义(P<0.05)。两组患者总运动时间、ST段压低1 mm时间、最大ST段压低幅度、运动至心绞痛出现时间、最大运动耐量比较,差异均有统计学意义(P<0.05)。结论CHD介入治疗后应用康复训练能够提高患者的运动耐量,促进CHD患者的身心恢复。Objective To investigate the effect of rehabilitation training on exercise tolerance of patients with coronary heart disease(CHD)after interventional therapy.Methods A retrospective study was performed on 180 cases of CHD patients who were admitted from February 2016 to December 2018.After receiving interventional therapy,the patients were divided into the Group A and Group B,with 90 cases in each group.Patients in Group A did not use rehabilitation training,while patients in Group B used rehabilitation training.To observe and compare the changes of heart rate and blood pressure in resting state and exercise state and the main parameters of the treadmill exercise test.Results The product comparison of resting heart rate,systolic blood pressure,diastolic blood pressure and heart rate and blood pressure between Groups A and B showed no statistically significant difference(P>0.05).The product of heart rate,systolic blood pressure,diastolic blood pressure and heart rate and blood pressure measured by exercise in Group A was higher than that in Group B,and the difference was statistically significant(P<0.05).There were statistically significant differences between the two groups in total exercise time,ST segment depression by 1 mm,maximum ST segment depression,exercise to the onset of angina,and maximum exercise tolerance(P<0.05).Conclusion Rehabilitation training after interventional treatment can improve the exercise tolerance of patients and promote the physical and mental recovery of CHD patients.

关 键 词：冠心病 介入治疗 康复训练 运动耐量 

分 类 号：R47[医药卫生—护理学]