康复训练对经皮冠状动脉介入治疗术后患者运动能力及生活质量的影响

Effects of rehabilitation training on motor ability and quality of life in patients after percutaneous coronary interventional therapy

目的探讨康复训练对经皮冠状动脉介入治疗(PCI)术后患者运动能力及生活质量的影响。方法 49例PCI术后患者随机分为康复训练组(n=24)及对照组(n=25)。在药物治疗和护理的基础上,对照组实施常规健康宣教,康复训练组进行8周有氧运动训练,3次/周,60 min/次。2组患者治疗前后均行心电运动试验、6分钟步行试验(6MWT)及西雅图心绞痛量表(SAQ)评估。结果 8周治疗后,对照组的最大运动强度、最大运动时间、6MWT距离较治疗前改善不明显(P>0.05),SAQ评分中仅心绞痛发作情况(AF)及疾病认知程度(DS)较治疗前改善(P<0.05);康复训练组上述各项评估均较治疗前改善(P<0.05),且除AF外,其余各项均优于对照组(P<0.05)。结论心脏康复训练能够明显改善PCI术后患者的运动能力并提高患者的生活质量。

Objective To investigate the effects o f rehabilitation training on motor a b ility and quality of l ife in patients after percutaneous coronary interventional（ PCI） therapy. Methods To-tally 49 patients after PCI were randomly divided into rehabilitation training group （n =24） andthe control group （n = 25）. Both two groups received comprehensive treatment and routine health education,and the rehabilitation training group received aerobic exercise training fo r 8 weeks （3 times a week,60 minutes each t ime）. Both two groups o f patients received ECG exercise test,6 - minute walking test （6 MWD） and Seattle Angina Questionnaire （SAQ） assessment before and after treatment. Results A fte r 8 weeks’ intervention,the maximum exercise in te n s ity,maximal exercise time and 6MWD o f control group were not si^ gnificantl^ improved than those be - fore intervention（P 〉0.05 ）,In terms o f SAQ e v a lu a t io n,only angina frequency （A F） and cog-nition degree of sickness （DS） o f patients in the control group were improved than those before（P 〈0. 05）. The outcome o f assessment above in rehabilitation training group wethan those before （P 〈0.05）,and better than those o f the control group except AF（P 〈0. 05）.Conclusion Cardiac rehabilitation training can improve motor a b ility o f patients after PCI thera-py and improve their quality of life.