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

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。

Objective ：To investigate the effects of cardiopulmonary rehabilitation training on cardiopulmonary func-tion and quality of life in patients with coronary artery disease .Methods ：116 patients with coronary heart disease were randomly divided into observation group and control group ,58 cases in each group .Both groups were given con-ventional medical treatment .Besides ,observation group was given systematic cardiopulmonary rehabilitation train-ing .Results ：After 1-month treatment ,the anaerobic threshold （AT） ,peak oxygen pulse and peak VO2 in observation group were higher ,while the VE/VCO2 slope 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 cardiopul-monary rehabilitation training can significantly improve the lung function ,exercise tolerance ,quality of life and psy-chological condition in patients with coronary heart disease .