以时机理论为基础的康复训练对行PCI的不稳定性心绞痛患者心功能与生活质量的影响

Effects of time theory based rehabilitation training on cardiac function and quality of life in patients with unstable angina pectoris

目的探讨以时机理论为基础的康复训练对行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)的不稳定性心绞痛患者心功能、生活质量的影响。方法选取2015年3月—2017年2月在浙江省衢州市人民医院心血管内科病房行PCI的不稳定性心绞痛患者100例作为研究对象,按随机数字表法将患者分成训练组和对照组,各50例,对照组给予常规护理方法,训练组给予以时间理论为基础的康复训练,比较2组患者左室射血分数(left ventricular ejection fraction,LVEF)、6 min步行距离(6 min walking distance,6MWD)、纽约心脏协会功能分级(New York heart association functional classificatio,NYHA)、西雅图心绞痛调查量表(Seattle angina questionnaire SAQ)得分及出院6个月运动不良事件发生率。结果 2组患者出院6个月LVEF、6MWD均显著高于干预前(均P<0.05),NYHA分级均显著低于干预前(均P<0.05),训练组出院6个月LVEF、6MWD均显著高于对照组(均P<0.05),NYHA分级均显著低于对照组(P<0.05);对照组出院6个月后,心绞痛发作频率得分显著高于干预前(P<0.05),训练组出院6个月后所有生活质量指标得分均高于干预前(均P<0.05),训练组出院6个月后生活质量指标得分均高于对照组(均P<0.05);训练组各运动不良事件发生率均显著低于对照组(均P<0.05)。结论以时机理论为基础的康复训练能有效改善行PCI术的不稳定心绞痛患者心功能及生活质量,值得临床推广应用。

Objective To investigate the effects of time theory based rehabilitation training on cardiac function and quali- ty of life in patients with unstable angina pectoris. Methods A total of 100 patients with unstable angina pectoristreated in our cardiology department were selected as subjects from March, 2015 to February, 2017. They were divided into training group （50 cases） and control group （50 cases） according to the random number table method. The control group was given routine nursing method, the training group gave the time theory based rehabilitation training, left ventricular e- jection fraction （LVEF）, 6 rain walking distance （6 MWD ）, New York Heart Association Functional Classification （NYHA） , Seattle angina questionnaire （SAQ） score and 6 months of dysmenorrhea were compared between the two groups. Results The levels of LVEF and 6MWD in the two groups after 6 months discharge were significantly higher than those before the intervention （ all P 〈 0.05 ）. The NYHA classification in two groups 6 months after discharge was significantly lower than that before intervention （ P 〈 0.05 ）, The levels of LVEF and 6MWD in the training group 6 months after discharge were significantly higher than those in the control group （all P 〈 0.05 ）. The NYHA classification in the training group 6 months after discharge was significantly lower than the control group （ all P 〈 0.05 ）. The score of frequency of angina pectoris in the control group 6 months after discharge was significantly higher than that before the in- tervention （ P 〈 0.05 ）. All quality of life scores in the training group 6 months after discharge were significantly higher than those before the intervention （ all P 〈 0.05 ）. The quality of life scores in the training group were significantly higher than those in the control group 6 months after discharge （ all P 〈 0.05 ）. The incidence of adverse events in the training group was significantly lower than that in the control group （ all P 〈 0.05 ）. Conclusion The time theory based rehabili- tation training can effectively improve the cardiac function and quality of life of patients with unstable angina pectoris, which is worthy of clinical application.