心脏康复治疗在冠心病不稳定性心绞痛患者中的应用效果分析  

Analysis of the Application Effect of Cardiac Rehabilitation Therapy in Patients with Unstable Angina Pectoris Due to Coronary Heart Disease

作　　者：张友峰 王东伟 ZHANG Youfeng;WANG Dongwei(Department of General Medicine,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou Henan 450007,China)

机构地区：[1]郑州大学附属郑州中心医院全科医学科,河南郑州450007

出　　处：《临床研究》2025年第4期98-101,共4页Clinical Research

摘　　要：目的探究冠心病不稳定性心绞痛(UA)患者中,应用心脏康复治疗的价值。方法选取郑州大学附属郑州中心医院2022年1月至2023年12月期间收入的冠心病不稳定性心绞痛病例,共计120例,依据干预方案的差异,将其分为研究组(n=60,心脏康复治疗干预)、对照组(n=60,常规干预),分析其在生活质量、心功能指标、炎症指标、心理状态以及再入院情况方面的差异性。结果生活质量评分方面,干预前两组对比,差异无统计学意义(P>0.05),干预后,研究组评分高于对照组,差异有统计学意义(P<0.05);心功能指标情况方面,干预前两组对比,差异无统计学意义(P>0.05),但干预后,研究组指标水平的改善幅度均高于对照组,差异有统计学意义(P<0.05);炎症指标水平方面,干预前两组对比,差异无统计学意义(P>0.05),但干预后,研究组指标水平均低于对照组,差异有统计学意义(P<0.05);心理情绪评分方面,干预前两组比较,差异无统计学意义(P>0.05),但干预后,研究组均低于对照组,差异有统计学意义(P<0.05);再入院率方面,随访30 d期间,研究组显著低于对照组,差异有统计学意义(P<0.05)。结论冠心病不稳定性心绞痛患者中,应用心脏康复治疗的价值较为理想,能够显著改善患者的生活质量,促进其心功能指标、炎症指标好转,减少负面心理状态,降低再入院率,具有临床应用意义。Objective To explore the value of cardiac rehabilitation therapy in patients with unstable angina pectoris due to coronary heart disease.Methods A total of 120 cases of unstable angina(UA)pectoris due to coronary heart disease admitted to our hospital from January 2022 to December 2023 were selected.Based on the differences in intervention protocols,the patients were divided into a study group(n=60,cardiac rehabilitation therapy intervention)and a control group(n=60,routine intervention).Differences in quality of life,cardiac function indicators,inflammatory markers,psychological status,and readmission rates were analyzed.Results In terms of quality of life scores,there was no statistically significant difference between the two groups before the intervention(P>0.05).However,after the intervention,the study group's scores were higher than those of the control group,with a statistically significant difference(P<0.05).Regarding cardiac function indicators,there was no statistically significant difference between the two groups before the intervention(P>0.05);however,after the intervention,the improvement in the study group's indicators was greater than that in the control group,with statistically significant differences(P<0.05).For inflammatory markers,there was no statistically significant difference between the two groups before the intervention(P>0.05);after the intervention,the levels of markers in the study group were lower than those in the control group,with statistically significant differences(P<0.05).In terms of psychological and emotional scores,there was no statistically significant difference between the two groups before the intervention(P>0.05),but after the intervention,the scores in the study group were lower than those in the control group,with statistically significant differences(P<0.05).The readmission rate during the 30-day follow-up period was significantly lower in the study group than in the control group,with statistically significant differences(P<0.05).Conclusion The application of cardi

关 键 词：心脏康复治疗 冠心病 不稳定性心绞痛 心功能 运动耐量 

分 类 号：R541.4[医药卫生—心血管疾病]