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心肺康复治疗对冠心病患者心肺功能及生活质量的影响

Effects of cardiopulmonary rehabilitation training on cardiopulmonary function and quality of life in patients with coronary artery disease

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【作者】 刘西花毕鸿雁林远

【Author】 LIU Xi-hua;BI Hong-yan;LIN Yuan;Department of Rehabilitation Medicine,Affiliated Hospital of Shandong University of Traditional Chinese Medicine;

【机构】 山东中医药大学附属医院康复科

【摘要】 目的:观察心肺康复训练对冠心病患者心肺功能和生活质量的影响。方法:冠心病患者116例随机分为观察组和对照组各58例。2组均给予常规内科药物治疗,观察组在此基础上给予系统的心肺康复训练。结果:治疗1个月后,观察组的无氧阈(AT)、峰值氧脉搏及峰值氧摄取量均明显高于对照组(P<0.05),二氧化碳通气当量(VE/VCO2)斜率明显低于对照组(P<0.05);观察组SF-36各项评分均较治疗前及对照组明显提高(P<0.05),对照组治疗前后比较差异无统计学意义;2组SAS和SDS评分均较治疗前明显降低(P<0.05),且观察组更低于对照组(P<0.05)。结论:对冠心病患者实施系统心肺康复治疗,可明显改善患者的肺功能,提高患者的运动耐力和生活质量,改善患者的心理状况。

【Abstract】 Objective:To investigate the effects of cardiopulmonary rehabilitation training on cardiopulmonary function and quality of life in patients with coronary artery disease.Methods:116patients with coronary heart disease were randomly divided into observation group and control group,58cases in each group.Both groups were given conventional medical treatment.Besides,observation group was given systematic cardiopulmonary rehabilitation training.Results:After 1-month treatment,the anaerobic threshold(AT),peak oxygen pulse and peak VO2in observation group were higher,while the VE/VCO2slope was lower than the control group significantly(P<0.05).The SF-36 scores in observation group were higher than those before the treatment and control group significantly(P<0.05). The SAS and SDS scores in two groups were significantly lower than those before the treatment(P<0.05),and those in the observation group were lower than those in control group(P<0.05).Conclusion:Systematic cardiopulmonary rehabilitation training can significantly improve the lung function,exercise tolerance,quality of life and psychological condition in patients with coronary heart disease.

  • 【文献出处】 中国康复 ,Chinese Journal of Rehabilitation , 编辑部邮箱 ,2014年02期
  • 【分类号】R49;R541.4
  • 【被引频次】28
  • 【下载频次】688
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