基于多学科联合门诊的综合性心肺康复治疗在老年冠心病中的应用效果观察  

Observation on the application effect of comprehensive cardiopulmonary rehabilitation based on multidisciplinary treatment on elderly patients with coronary heart disease

作　　者：陈颖 朱叶 高梦婷 戚新雪 戎荣 CHEN Ying;ZHU Ye;GAO Mengting;QI Xinxue;RONG Rong(Department of Rehabilitation Medicine,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;School of Rehabilitation Medicine,Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]南京医科大学第一附属医院康复医学中心,江苏南京210029 [2]南京医科大学康复医学院,江苏南京211166

出　　处：《老年医学研究》2024年第4期48-52,共5页Geriatrics Research

基　　金：国家重点研发计划项目(2020YFC2008500,“主动健康和老龄化科技应对”重点专项)。

摘　　要：目的探讨基于多学科联合门诊的综合性心肺康复治疗在老年冠心病患者中的临床效果。方法选取2020年9月—2023年9月南京医科大学第一附属医院就诊的老年冠心病患者200例,随机分为对照组和试验组各100例。对照组采用常规药物治疗,试验组在常规药物治疗基础上联合基于多学科联合门诊的综合性心肺康复治疗。入组前与干预3个月后评估两组心肺耐力[峰值公斤摄氧量(Peak VO_(2)/kg)、无氧阈时公斤摄氧量(AT VO_(2)/kg)和氧脉搏(O_(2)pulse)]、肺功能[用力肺活量(FVC)、第一秒用力呼气量(FEV_(1))、第一秒用力呼气率(FEV_(1)/FVC)]及生活质量,比较两组治疗结果。结果治疗3个月后,试验组Peak VO_(2)/kg、AT VO_(2)/kg、O_(2)pulse、FVC、FEV_(1)均高于对照组(P均<0.05),且在疾病认知程度、躯体受限程度、治疗满意度、心绞痛稳定状态、心绞痛发作状况的生活质量各维度分数均高于对照组(P均<0.05)。结论基于多学科联合门诊的综合性心肺康复治疗可有效提高老年冠心病患者的心肺耐力和肺功能,提高其生活质量。Objective To observe the effect of comprehensive cardiopulmonary rehabilitation based on multidisci-plinary treatment on elderly patients with coronary heart disease.Methods A total of 200 elderly patients with coronary heart disease treated in the First Affiliated Hospital of Nanjing Medical University from September 2020 to September 2023 were selected and randomly divided into the control group and the experimental group with 100 patients each.The control group was treated with conventional drug treatment.The experimental group was treated with conventional drug treatment combined with comprehensive cardiopulmonary rehabilitation based on multidisciplinary treatment.In order to compare the clinical efficacy of the two groups,the cardiopulmonary endurance[Peak oxygen uptake in kilograms(Peak VO_(2)/kg),anaerobic threshold oxygen uptake in kilograms(AT VO_(2)/kg)and oxygen pulse(O_(2) pulse)],pulmonary function[forced volume capacity(FVC),forced expiratory volume in the first second(FEV_(1)),forced expiratory rate in the first second(FEV_(1)/FVC)]and the quality of life were evaluated before enrollment and 3 months after intervention.Results After 3 months of treatment,Peak VO_(2)/kg,AT VO_(2)/kg,O_(2) pulse,FVC,FEV_(1) of the patients in experimental group were higher than those in control group(all P<0.05).And the scores of disease perception,treatment satisfaction,physical limita-tion,angina stability,angina frequency,and all dimentions of quality of life in experimental group were higher than those in control group(all P<0.05).Conclusion Comprehensive cardiopulmonary rehabilitation treatment based on multidis-ciplinary treatment can significantly improve the cardiopulmonary endurance and lung function of elderly patients with coro-nary heart disease and significantly improve their quality of life.

关 键 词：冠状动脉粥样硬化性心脏病 心肺康复治疗 心肺耐力 生活质量 老年人 

分 类 号：R541.4[医药卫生—心血管疾病]