心肺康复训练对脑卒中合并冠心病患者运动功能及心肺适应性的影响  

The effect of cardiopulmonary rehabilitation training on motor function and cardiopulmonary adaptability in stroke patients with coronary heart disease

作　　者：寇璐璐[1] 刘敏[1] 王晓青[1] 倪广晓[1] 牛彦平[1] 康少伟[2] 刘素云[2] Kou Lulu;Liu Min;Wang Xiaoqing;Ni Guangxiao;Niu Yanping;Kang Shaowei;Liu Suyun(Department of Rehabilitation Medicine,The Second Hospital of Hebei Medical University,Hebei Province,Shijiazhuang 050000,China;不详)

机构地区：[1]河北医科大学第二医院康复医学一科,石家庄050000 [2]河北医科大学第二医院心内科,石家庄050000

出　　处：《疑难病杂志》2023年第11期1126-1131,共6页Chinese Journal of Difficult and Complicated Cases

基　　金：2022年度河北省医学科学研究课题(20221008)。

摘　　要：目的观察心肺康复训练对脑卒中合并冠心病患者运动功能及心肺适应性的影响。方法选取2021年6月—2022年12月河北医科大学第二医院康复医学科收治的脑卒中合并冠心病患者156例为研究对象。随机数字表法分为联合组(n=78)和单一组(n=78)。单一组采用常规康复治疗,联合组在常规康复治疗基础上加入心肺康复训练,2组均持续8周。比较2组治疗前后运动功能(FMA、MBI评分)、心理健康评分(SAS、SDS评分)、心功能(LVEF、LVESD、VO_(2) max、AT、VE/VO_(2))、肺功能(FVC、FEV_(1)、FEV_(1)/FVC)及血脂的变化。结果与治疗前比较,治疗8周后2组FMA评分和MBI评分均升高,且联合组高于单一组(t/P=4.147/<0.001、2.718/0.007);治疗8周后2组SAS评分、SDS评分均较治疗前降低,且联合组低于单一组(t=13.773、29.086,P均<0.001);治疗8周后2组LVEF、VO_(2) max、AT水平较治疗前升高,LVESD、VE/VO_(2)水平均降低,且联合组升高/降低幅度均大于单一组(t=6.472、10.453、7.746、28.078、2.276,P均<0.05);治疗8周后2组FVC、FEV_(1)、FEV_(1)/FVC均升高,且联合组高于单一组(t=13.245、8.530、5.169,P均<0.001);治疗8周后2组TC、TG、LDL-C水平均降低,HDL-C水平升高,且联合组降低/升高幅度大于单一组(t=4.960、11.665、13.366、10.360,P均<0.001)。结论心肺康复训练能够显著提高脑卒中合并冠心病患者的心肺功能,增强机体的运动功能,改善生活状态,加快患者康复。Objective To explore the effect of cardiopulmonary rehabilitation training on motor function and cardiopulmonary adaptability in stroke patients with coronary heart disease.Methods One hundred and fifty-six stroke patients with coronary heart disease admitted to the Rehabilitation Medicine Department of the Second Hospital of Hebei Medical University from June 2021 to December 2022 were selected as the research subjects.The random number table method is divided into a combined group(n=78)and a single group(n=78).The single group received routine rehabilitation treatment,while the combined group received cardiopulmonary rehabilitation training on the basis of routine rehabilitation treatment.Both groups continued for 8 weeks.Compare the changes in motor function(FMA,MBI scores),mental health scores(SAS,SDS scores),heart function(LVEF,LVESD,VO_(2) max,AT,VE/VO_(2)),lung function(FVC,FEV_(1),FEV_(1)/FVC),and blood lipids between the two groups before and after treatment.Results Compared with before treatment,after 8 weeks of treatment,the FMA score and MBI score of both groups increased,and the combined group was higher than the single group(t/P=4.147/<0.001,2.718/0.007);After 8 weeks of treatment,the SAS and SDS scores of both groups decreased compared to before treatment,and the combined group was lower than the single group(t=13.773,29.086,P<0.001);After 8 weeks of treatment,the levels of LVEF,VO_(2) max,and AT in both groups increased compared to before treatment,while the levels of LVESD and VE/VO_(2) decreased.The increase/decrease amplitude in the combination group was greater than that in the single group(t=6.472,10.453,7.746,28.078,2.276,P<0.05);After 8 weeks of treatment,FVC,FEV_(1),and FEV_(1)/FVC in both groups increased,and the combined group was higher than the single group(t=13.245,8.530,5.169,P<0.001);After 8 weeks of treatment,the levels of TC,TG,and LDL-C in both groups decreased,while the levels of HDL-C increased,and the decrease/increase amplitude in the combination group was greater than that i

关 键 词：脑卒中 冠心病 心肺康复训练 运动功能 心肺适应性 

分 类 号：R541.4[医药卫生—心血管疾病] R743.3[医药卫生—内科学]