康复训练对出院后不同阶段老年冠心病患者心功能改善的效果观察

Effect of rehabilitation training on cardiac function improvement in elderly patients with coronary heart disease at different stages after discharging

目的 探讨老年冠心病患者出院后不同阶段实施康复训练对其心功能的影响.方法 选取84例老年冠心病患者,其中36例为早期组、48例为稳定组.同时接受康复训练,每周3次,每次40～60 min,持续3个月.观测两组患者心功能指标及6 min步行试验距离.结果 康复前早期组和稳定组患者的LVEF分别为（40.09±6.11）％和（40.21±6.31）％,康复后分别为（45.71±7.81）％和（45.11±8.58）％;康复前早期组和稳定组患者的LVEDD分别为（62.11±4.81）mm和（61.51±4.62）mm,康复后分别为（59.41±3.91）mm和（58.92±3.56）mm;康复前早期组和稳定组患者的LAD分别为（43.91±4.81）mm和（44.62±4.15）mm,康复后分别为（42.81±3.31）mm和（43.71±3.51）mm;康复前早期组和稳定组患者的E/A分别为（0.91±0.42）和（0.93±0.46）,康复后分别为（1.49±0.44）和（1.48±0.75）;康复前早期组和稳定组患者的心胸比分别为0.57±0.04和0.58±0.05,康复后分别为0.52±.0.02和0.51±0.02.两组患者康复后与康复前比较,LVEF、E/A显著升高,LVEDD、LAD、心胸比显著下降（P＜0.05）,但两组间各项指标比较未见统计学差异（P＞0.05）.康复前早期组和稳定组患者的6 min步行距离分别为（193.41±46.91）m和（194.28±44.69）m,康复后早期组和稳定组患者的6 min步行距离分别为（358.61±59.11）m和（377.67±61.87）m.康复后与康复期比较,患者6 Min步行试验距离显著提升,且稳定组高于早期组（P＜0.05）.结论 康复训练是一种安全可靠、方便易行、经济适用的方法,可有效改善出院后不同阶段老年冠心病患者的心功能指标,具有较高的临床应用价值.

Objective To investigate the effect of rehabilitation training on heart function in elderly patients with coronary heart disease at different stages after discharge.Methods 84 elderly patients with coronary heart disease were selected.Among them,36 cases were early group and 48 cases were stable group.The rehabilitation training was arranged three times a week for 40-60 min for 3 months.Indicators and 6min walk test.Results The LVEF of the patients in the early and stable groups was （40.09±6.11）%,（40.21±6.31）%;after rehabilitation were （45.71±7.81）%,（45.11±8.58）%.The LVEDD of the patients in the early and stable groups was （62.11± 4.81）mm,（61.51±4.62）mm;after rehabilitation were （59.41±3.91）mm,（58.92±3.56）mm.The LAD of the patients in the early and stable groups was （43.91±4.81）mm,（44.62±4.15）mm;after rehabilitation were （42.81 ±3.31）mm,（43.71±3.51）mm.The E/A of the patients in the early and stable groups was （0.91±0.42）,（0.93±0.46）;after rehabilitation were（1.49±0.44）,（1.48±0.75）.The Mind ratio of the patients in the early and stable groups was（0.57± 0.04）,（0.58±0.05）;after rehabilitation were （0.52±0.02）,（0.51±0.02）.Compared with before rehabilitation,LVEF and E/A were significantly increased,LVEDD,LAD and cardiac ratio were significantly decreased （P〈 0.05）,but there was no significant difference between the two groups （P〉0.05）.The 6-minute walking distance of the patients in the early and stable groups was（193.41±46.91）m,（194.28±44.69）m;the 6-minute walking distance of the patients in the early and stable groups was （358.61±59.11）m,（377.67±61.87）m.Compared with the rehabilitation period,the 6-minute walking test was significantly improved in the two groups,and the stable group was higher than the early group （P〈0.05）.Conclusion Rehabilitation training is a safe,reliable and economical method.It can effectively improve the cardiac function indexes of elderly patients with coronary heart disease at different stages after discharge,and has high clinical application value.