心肺运动指导冠心病患者运动康复治疗的效果及对生活质量的影响分析  

Analysis of the Effect of Cardiopulmonary Exercise Guidance on Cardiac Rehabilitation and Quality of Life in Patients with 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5期92-96,共5页Clinical Research

摘　　要：目的探讨以心肺运动为指导的运动康复治疗对冠心病(CHD)患者的影响,为临床提供参考。方法回顾性分析2022年1月至2023年12月郑州大学附属郑州中心医院收治的120例CHD患者的临床资料,根据治疗方案的不同分为对照组(常规治疗)和研究组(常规治疗+心肺运动指导的运动康复治疗),各60例。比较两组患者心肌标志物水平、心肺功能指标、6 min步行试验(6MWT)结果及生活质量评分。结果治疗后,两组患者肌酸激酶同工酶(CKMB)、氨基末端脑钠肽前体(NT-proBNP)水平降低,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的峰值摄氧量(VO_(2)peak)、VO_(2)peak占预计值的百分比、无氧域、峰值代谢当量(METs)升高,且研究组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的6MWT距离增加,且研究组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者简明健康状况调查问卷(SF-36)评分升高,且研究组高于对照组,差异有统计学意义(P<0.05)。结论对CHD患者予以心肺运动指导的运动康复治疗干预,可减轻其心肌损伤程度,改善心肺功能,提升运动能力,改善生活质量。Objective To explore the impact of cardiopulmonary exercise-guided rehabilitation therapy on patients with coronary heart disease(CHD),providing a reference for clinical practice.Methods A retrospective analysis was conducted on the clinical data of 120 CHD patients admitted to Zhengzhou Central Hospital affiliated to Zhengzhou University from January 2022 to December 2023.Patients were divided into a control group(n=60,routine treatment)and an study group(n=60,routine treatment plus cardiopulmonary exercise-guided rehabilitation therapy)based on treatment plans.Comparisons were made between the two groups in levels of myocardial markers,cardiopulmonary function indices,6-minute walk test(6MWT)results,and quality of life scores.Results Post-treatment,levels of creatine kinase-MB(CK-MB)and N-terminal pro-brain natriuretic peptide(NT-proBNP)decreased in both groups,with the study group showing greater reductions(P<0.05).The peak oxygen uptake(VO_(2)peak),percentage of predicted VO_(2)peak,anaerobic threshold,and peak metabolic equivalents(METs)increased in both groups post-treatment,with the study group exhibiting more significant improvements(P<0.05).The 6MWT distance increased after treatment in both groups,with the study group achieving higher distances(P<0.05).Additionally,scores on the Short Form-36(SF-36)health survey increased in both groups,with the study group showing higher scores(P<0.05).Conclusion Cardiopulmonary exercise-guided rehabilitation intervention for CHD patients can reduce myocardial injury,improve cardiopulmonary function,enhance exercise capacity,and elevate quality of life.

关 键 词：冠心病 心肺运动 运动康复治疗 心肌标志物 

分 类 号：R541.4[医药卫生—心血管疾病]