早期康复训练对老年冠心病患者心肺功能的影响  

Effect of early rehabilitation training on cardiopulmonary function in elderly patients with coronary heart disease

作　　者：孙胜奎 尹国幸 刘情操[1] 左丽娜[1] 廖建红 SUN Shengkui;YIN Guoxing;LIU Qingcao;ZUO Li'na;LIAO Jianhong(Department of Geriatrics,Second Hospital of Huangshi City,E'dong Medical Support Group,Huangshi,Hubei,435000,China)

机构地区：[1]鄂东医养集团黄石市第二医院老年医学科,湖北黄石435000

出　　处：《当代医学》2023年第35期23-27,共5页Contemporary Medicine

摘　　要：目的探讨早期康复训练对老年冠心病(CHD)患者心肺功能的影响。方法选取2019年1月至2021年6月鄂东医养集团黄石市第二医院接诊的110例老年CHD患者作为研究对象,随机分为对照组与观察组,每组55例。对照组给予常规治疗,观察组在对照组基础上加用早期康复训练,比较两组心脏功能指标、肺功能指标、健康调查简表(SF-36)、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、6min步行试验(6MWT)距离、心血管不良事件发生率、再入院率。结果干预3个月后,两组每搏量(SV)均大于干预前,心脏射血分数(EF)均高于干预前,左心室收缩末期容积(ESV)均小于干预前,且观察组SV大于对照组,EF高于对照组,ESV小于对照组,差异有统计学意义(P<0.05)。干预3个月后,两组最大呼气流量(PEF)均快于干预前,第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)均大于干预前,且观察组PEF快于对照组,FEV_(1)、FVC均大于对照组,差异有统计学意义(P<0.05)。干预3个月后,两组躯体疼痛(BP)、一般健康状况(GH)、精神健康(MH)评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预3个月后,两组SAS、SDS评分均低于干预前,6MWT均长于干预前,且观察组SAS、SDS低于对照组,6MWT长于对照组,差异有统计学意义(P<0.05)。观察组心血管不良事件发生率、再入院率均低于对照组,,差异有统计学意义(P<0.05)。结论对老年CHD患者实施早期康复训练,能改善心肺功能、心理状况,提升运动耐力及生命质量,减少心血管不良事件的发生,降低再入院率,值得临床推广应用。Objective To explore the effect of early rehabilitation training on cardiopulmonary function in elderly patients with coronary heart disease(CHD).Methods 110 elderly CHD patients admitted to the Second Hospital of Huangshi City,Edong Medical Care Group from January 2019 to June 2021 were selected as the research subjects,and they were randomly divided into the control group and the observation group,with 55 cases in each group.The control group was given routine treatment,while the observation group was given early rehabilitation training on the basis of the control group.The cardiac function index,pulmonary function index,the MOS item short form of health survey(SF-36),self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,6-minute walking test(6MWT)distance,incidence of cardiovascular adverse events and readmission rate were compared between the two groups.Results After 3 months of intervention,stroke volume(SV)of the two groups was greater than that before intervention,cardiac ejection fraction(EF)of the two groups was higher than that before intervention,left ventricular end-systolic volume(ESV)of the two groups were smaller than that before intervention,and SV in the observation group was greater than that in the control group,EF was higher than that that in the control group,and ESV was smaller than that in the control group,and the differences were statistically significant(P<0.05).After 3 months of intervention,the peak expiratory flow(PEF)of the two groups was faster than that before intervention,forced expiratory volume for one second(FEV_(1))and forced vital capacity(FVC)were higher than those before intervention,and the PEF in the observation group was faster than that in the control group,and FEV_(1) and FVC were higher than those in the control group,and the differences were statistically significant(P<0.05).After 3 months of intervention,the scores of somatic pain(BP),general state of health(GH)and mental health(MH)of the two groups were higher than those before intervention,and

关 键 词：老年 冠心病 早期康复训练 心肺功能 心理状况 

分 类 号：R473.5[医药卫生—护理学]