中医经络操联合康复训练对心脏搭桥术后患者症状改善、运动耐力和心功能的影响  

Effect of traditional Chinese medicine meridian exercising combined with rehabilitation training on symptoms improvement,exercise endurance and cardiac function of patients after cardiac bypass grafting

作　　者：秦欣欣 Qin Xinxin

机构地区：[1]郑州市第七人民医院心脏外科,450000

出　　处：《中国疗养医学》2021年第9期936-938,共3页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨中医经络操联合康复训练对心脏搭桥术后患者症状改善、运动耐力和心功能的影响。方法选取2018年3月至2020年6月郑州市第七人民医院心脏搭桥术后患者86例,按随机数字表分为研究组43例与对照组43例,对照组采用康复训练,研究组采用中医经络操联合康复训练。对比两组干预前后临床症状评分、心功能[左室射血分数(LVEF)、心输出量(CO)]、运动耐力[6 min步行距离试验(6-MWT)、柏格(Borg)量表评分]。结果干预后,观察组腹胀、乏力、恶心呕吐临床症状(1.21±0.10)分、(1.18±0.09)分、(1.06±0.08)分均低于对照组(1.58±0.12)分、(1.49±0.12)分、(1.52±0.12)分(P<0.001);干预后,观察组LVEF(46.35±4.12)%、CO(7.02±0.45)L/min均高于对照组(40.17±4.03)%、(5.83±0.38)L/min(P<0.001);干预后,观察组6-MWT(485.69±34.18)m长于对照组(410.34±34.15)m,Borg量表评分(6.47±0.56)分低于对照组(8.92±0.59)分(P<0.001)。结论心脏搭桥术后患者采用中医经络操联合康复训练,可改善临床症状和心功能,提高运动耐力。Objective To explore the effect of traditional Chinese medicine meridian exercising combined with rehabilitation training on symptoms improvement,exercise endurance and cardiac function of patients after cardiac bypass grafting.Methods A total of 86 patients after cardiac bypass grafting in Zhengzhou No.7 People's Hospital from March 2018 to June 2020 were selected and divided into study group(n=43)and control group(n=43)according to random number table.The control group received rehabilitation training,while the study group received traditional Chinese medicine meridian exercising combined rehabilitation training.Clinical symptom scores,cardiac function[left ventricular ejection fraction(LVEF),cardiac output(CO)],exercise endurance[6-min walking distance test(6-MWT),Borg scale scores]were compared between the two groups before and after intervention.Results After intervention,the clinical symptoms of abdominal distension,fatigue,nausea and vomiting in the observation group(1.21±0.10),(1.18±0.09)and(1.06±0.08)points were lower than those in the control group(1.58±0.12),(1.49±0.12)and(1.52±0.12)points(P<0.001).After the intervention,the left ventricular ejection fraction(LVEF)(46.35±4.12)%and cardiac output(CO)(7.02±0.45)L/min in the observation group were higher than those in the control group(40.17±4.03)%,(5.83±0.38)L/min(P<0.001);After intervention,the 6-min walking distance test(6-MWT)in the observation group was(485.69±34.18)m longer than that in the control group(410.34±34.15)m,and the Borg scale score(6.47±0.56)points was lower than that in the control group(8.92±0.59)points(P<0.001).Conclusion Combined rehabilitation training of traditional Chinese medicine meridian exercising can improve clinical symptoms and cardiac function and improve exercise endurance after heart bypass grafting.

关 键 词：心脏搭桥术 中医经络操 康复训练 运动耐力 心功能 

分 类 号：R654.2[医药卫生—外科学]