心脏康复训练对慢性冠心病稳定型心绞痛患者PCI术后心功能和生活质量的影响  

Effect of Cardiac Rehabilitation Training on Cardiac Function and Quality of Life of Patients with Stable Angina Pectoris after PCI

作　　者：尹晓东 YIN Xiaodong(Department of Cardiology,Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院心内科,辽宁辽阳111000

出　　处：《中国医药指南》2021年第24期39-40,共2页Guide of China Medicine

摘　　要：目的探究心脏康复训练对慢性冠心病稳定型心绞痛患者PCI术后心功能和生活质量的影响。方法盲选本院收治的需实施PCI术的慢性冠心病稳定型心绞痛患者112例,按数字表法随机分为两组,每组56例。对照组在PCI术后实施心内科常规干预,在此基础上,试验组在PCI术后实施心脏康复训练,对干预前后两组患者心功能指标及生活质量指标的变化进行比较分析。结果两组患者干预前的MET、LVEF以及NYHA分级相比,无差异(P>0.05)。和干预前比较,两组患者干预后的MET、LVEF以及NYHA分级均明显改善,且试验组的改善程度优于对照组(P<0.05)。两组患者干预前的心绞痛稳定程度、治疗满意程度、躯体活动受限程度、疾病主观感受以及心绞痛发作频率相比,无差异(P>0.05)。和干预前比较,两组患者干预后的心绞痛稳定程度、治疗满意程度、疾病主观感受有所改善,躯体活动受限程度以及心绞痛发作频率均有所减弱,且试验组均优于对照组(P<0.05)。结论在PCI术后,对慢性冠心病稳定型心绞痛患者实施心脏康复训练,能有效改善患者的心功能及生活质量,值得临床推广。Objective To explore the effect of cardiac rehabilitation training on cardiac function and quality of life of patients with stable angina pectoris after PCI.Methods One hundred and twelve patients with chronic coronary heart disease and stable angina pectoris who need PCI were randomly divided into two groups according to digital table method,56 cases in each group.The control group received routine intervention in cardiology department after PCI.On this basis,the experimental group received cardiac rehabilitation training after PCI.The changes of cardiac function index and quality of life index before and after intervention were compared and analyzed between the two groups.Results There was no difference in MET,LVEF and NYHA grades between the two groups before intervention(P>0.05).Compared with before the intervention,the MET,LVEF and NYHA grades of the two groups of patients after the intervention were significantly improved,and the improvement degree of the experimental group was better than that of the control group(P<0.05).There was no difference between the two groups in the degree of angina pectoris stability,treatment satisfaction,physical activity limitation,subjective feeling of disease and frequency of angina pectoris attack before intervention(P>0.05).After the intervention,the stability of angina pectoris,treatment satisfaction,subjective feeling of disease,limitation of physical activity and frequency of angina pectoris in the two groups were improved,and the experimental group was better than the control group(P<0.05).Conclusion After PCI,cardiac rehabilitation training for patients with stable angina pectoris of chronic coronary heart disease can effectively improve patients'cardiac function and quality of life,and is worthy of clinical promotion.

关 键 词：慢性冠心病稳定型心绞痛 心脏康复训练 心功能 PCI术 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]