早期康复训练对老年冠心病患者治疗效果及心肺功能指标水平的影响  

Practical effect of early rehabilitation training on elderly patients with coronary heart disease and its influence on cardiopulmonary function indexes

作　　者：许传芬[1] 宋霞[2] XU Chuan-fen;SONG Xia(Physical Examination Center,Rizhao People’s Hospital,Rizhao 276800,China)

机构地区：[1]日照市人民医院体检中心,276800 [2]日照市人民医院心内科,276800

出　　处：《中国现代药物应用》2021年第9期232-234,共3页Chinese Journal of Modern Drug Application

摘　　要：目的评价早期康复训练对老年冠心病患者治疗效果及心肺功能指标水平的影响。方法90例老年冠心病患者,按照随机单盲法分为对照组和观察组,各45例。对照组给予常规药物治疗,观察组在对照组基础上联合早期康复训练。比较两组患者治疗后心肺功能指标(峰值氧脉搏、左室舒张末期内径、左心室射血分数)、并发症发生情况、治疗后生存质量评分。结果观察组患者治疗后的峰值氧脉搏(23.44±4.43)ml/bpm快于对照组的(17.01±2.82)ml/bpm,左室舒张末期内径(50.44±4.24)mm小于对照组的(59.86±6.72)mm,左心室射血分数(54.27±4.78)%明显高于对照组的(41.34±3.19)%,差异具有统计学意义(P<0.05)。观察组患者的并发症发生率4.44%明显低于对照组的17.78%,差异具有统计学意义(P<0.05)。观察组患者治疗后生理、心理、环境、社会评分均显著高于对照组,差异具有统计学意义(P<0.05)。结论老年冠心病患者采取常规药物治疗联合早期康复训练,对改善其心肺功能具有积极作用,值得临床大力推广采纳。Objective To evaluate the therapeutic effect of early rehabilitation training on elderly patients with coronary heart disease and its influence on cardiopulmonary function indexes.Methods A total of 90 elderly patients with coronary heart disease were divided into control group and observation group according to random single-blind method,with 45 cases in each group.The control group was treated with conventional medicine,and the observation group was treated with early rehabilitation training on the basis of the control group.The cardiopulmonary function indexes(peak oxygen pulse,left ventricular end diastolic diameter,left ventricular ejection fraction)after treatment,occurrence of complications,and quality of life score after treatment were compared between the two groups.Results After treatment,the peak oxygen pulse(23.44±4.43)ml/bpm of the observation group was faster than(17.01±2.82)ml/bpm,left ventricular end diastolic diameter(50.44±4.24)mm was less than(59.86±6.72)mm of the control group,and left ventricular ejection fraction(54.27±4.78)%was obviously higher than(41.34±3.19)%of the control group.All the difference was statistically significant(P<0.05).The incidence of complications 4.44%of the observation group was obviously lower than 17.78%of the control group,and the difference was statistically significant(P<0.05).After treatment,the physiological,psychological,environmental,and social scores of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion For elderly patients with coronary heart disease,application of conventional drug therapy and early rehabilitation training has a positive effect on improving their cardiopulmonary function,which is worthy of clinical promotion and adoption.

关 键 词：早期康复训练 老年冠心病 心肺功能指标 

分 类 号：R541.4[医药卫生—心血管疾病]