心肺康复运动对心房颤动患者射频消融术后生活质量的影响分析  

Analysis of the Impact of Cardiopulmonary Rehabilitation Exercise on the Quality of Life of Patients with Atrial Fibrillation After Radiofrequency Ablation

作　　者：余正雷 YU Zhenglei(Department of Cardiology,The First Hospital of Sanming City,Sanming,Fujian 365000,China)

机构地区：[1]三明市第一医院心内科,福建三明365000

出　　处：《中国医药指南》2025年第12期92-94,共3页Guide of China Medicine

摘　　要：目的 研究心房颤动合并心功能不全行射频消融术患者采取心肺康复运动干预对其生活质量的影响。方法 选取2023年5月至2024年6月三明市第一医院心内科心房颤动合并心功能不全射频消融术后患者72例,经随机数字表法分为对照组(36例,常规健康指导与标准治疗)和观察组(36例,增加心肺康复运动),对比两组治疗前后的第一秒用力呼气量(FEV1)、最大自主通气量(MVV)、左室射血分数(LVEF)、6 min步行试验(6MWT)距离、运动时间,评价生活质量,观察相关不良事件发生情况。结果 观察组FEV1、MVV、LVEF、6MWT、运动时间、生活质量均高于对照组(P<0.05)。观察组不良事件发生率低于对照组(P<0.05)。结论 心房颤动合并心功能不全患者射频消融术后采取心脏康复运动干预能够促进心肺功能的康复,同时提高患者运动耐力及生活质量,对于预防心脏相关不良事件具有一定效果。Objective To investigate the effect of cardiopulmonary rehabilitation exercise intervention on the quality of life of patients with atrial fibrillation and cardiac dysfunction undergoing radiofrequency ablation.Methods A total of 72 patients with atrial fibrillation complicated with cardiac insufficiency after radiofofency ablation in the Department of Cardiology of Sanming First Hospital from May 2023 to June 2024 were selected and divided into control group(36 cases with routine health guidance and standard treatment)and observation group(36 cases with cardiopulmonary rehabilitation exercise added)by random number table method.The first second forced expiratory volume(FEV1),maximum spontaneous ventilation(MVV),left ventricular ejection fraction(LVEF),6-min walking test(6MWT)distance and exercise time of the two groups were compared before and after treatment to evaluate the quality of life and observe the occurrence of related adverse events.Results FEV1,MVV,LVEF,6MWT,exercise time and quality of life in observation group were higher than those in control group(P<0.05).The incidence of adverse events in observation group was lower than that in control group(P<0.05).Conclusions Cardiac rehabilitation exercise intervention for patients with atrial fibrillation and cardiac dysfunction after radiofrequency ablation can promote the recovery of cardiopulmonary function,improve their exercise endurance and quality of life,and have a certain effect on preventing adverse cardiac events.

关 键 词：心房颤动 射频消融术 心肺康复运动 生活质量 心肺功能 运动耐力 

分 类 号：R541.75[医药卫生—心血管疾病]