渐进式康复训练在冠心病合并心力衰竭经皮冠状动脉介入治疗术后患者中的应用效果  

Application effects of progressive rehabilitation training in patients with coronary heart disease complicated with heart failure after percutaneous coronary intervention

作　　者：田瑞玲 TIAN Ruiling(Department of Cardiology of Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学附属郑州中心医院心血管内科,河南郑州450000

出　　处：《中国民康医学》2025年第9期99-101,106,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察渐进式康复训练在冠心病合并心力衰竭经皮冠状动脉介入治疗(PCI)术后患者中的应用效果。方法:回顾性分析2022年8月至2024年1月该院收治的104例冠心病合并心力衰竭患者的临床资料,按照训练方法不同将其分为观察组与对照组各52例。对照组采用常规心脏康复训练,观察组在对照组基础上采用渐进式康复训练。比较两组训练前后无氧阈水平、最大摄氧量水平、峰值功率水平、运动耐力[6 min步行试验(6MWT)距离]、心功能指标[左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)]水平和运动自我效能感[运动锻炼自我效能感量表(ESES)]评分。结果:训练后,两组无氧阈、最大摄氧量、峰值功率水平均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);训练后,两组6MWT距离均长于训练前,且观察组长于对照组,差异有统计学意义(P<0.05);训练后,两组LVEF水平均高于训练前,且观察组高于对照组,两组LVEDD、LVESD水平均低于训练前,且观察组低于对照组,差异有统计学意义(P<0.05);训练后,两组ESES评分均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规心脏康复训练基础上采用渐进式康复训练可提高冠心病合并心力衰竭PCI术后患者无氧阈水平、最大摄氧量水平、峰值功率水平、运动耐力和运动自我效能感评分,改善心功能指标水平,效果优于单纯常规心脏康复训练。Objective:To observe application effects of progressive rehabilitation training in patients with coronary heart disease complicated with heart failure after percutaneous coronary intervention(PCI).Methods:The clinical data of 104 patients with coronary heart disease complicated with heart failure admitted to this hospital from August 2022 to January 2024 were retrospectively analyzed.According to different training methods,they were divided into observation group and control group,52 cases in each group.The control group was treated with routine cardiac rehabilitation training,while the observation group was treated with progressive rehabilitation training on the basis of that of the control group.The anaerobic threshold levels,the maximum oxygen uptake levels,the peak power levels,the exercise endurance[6 min walking test(6MWT)distance],the cardiac function index[left ventricular end-diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD)]levels,and the exercise self-efficacy[exercise self-efficacy scale(ESES)]scores were compared between the two groups before and after the training.Results:After the training,the anaerobic threshold,maximum oxygen uptake and peak power levels of the two groups were higher than those before the training,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the training,the 6MWT distance of the two groups was longer than that before the training,that of the observation group was longer than that of that of the control group,and the differences were statistically significant(P<0.05).After the training,the LVEF levels of the two groups were higher than those before the training,and that of the observation group was higher than that of the control group;the levels of LVEDD and LVESD in the two groups were lower than those before the training,and those of the observation group were lower than those of the control group;and the differences were

关 键 词：渐进式康复训练 冠心病 心力衰竭 运动耐力 运动自我效能感 心功能 

分 类 号：R541.4[医药卫生—心血管疾病]