心肺康复治疗对冠心病心肺功能及生活质量的影响分析

Effect of Cardiopulmonary Rehabilitation Therapy on Cardiopulmonary Function and Quality of Life in Patients with Coronary Heart Disease

目的研究心肺康复治疗对冠心病心肺功能及生活质量的影响观察。方法方便选取在2016年1月—2017年1月间收治于该院的76例冠心病患者,随机分为观察组和对照组,各38例。所有患者给予药物治疗,观察组在此基础上进行心肺康复治疗。记录并检测所有患者治疗前后心肺功能指标,另采用SF-36量表对患者的生活质量进行评分,比较组间差异。结果经治疗,观察组患者的无氧域、峰值氧脉搏、峰值氧摄取量均明显高于对照组患者,二氧化碳通气当量斜率为(26.95±6.84)%,显著低于对照组(33.02±7.69)%,差异有统计学意义(P<0.05)。观察组患者治疗后疼痛、生理功能、生理职能等8个维度的评分均有显著改善(P<0.05);与对照组相比,观察组患者的各维度平均分均明显高于对照组(P<0.05)。尤其治疗后,观察组生理职能评分为(58.66±16.68)分,显著高于对照组(32.82±14.47)分;情感职能评分(56.36±12.04)分,显著高于对照组(31.45±10.74)分;活力评分为(65.85±12.27)分,显著高于对照组(40.18±11.25)分,(P<0.05)。结论心肺康复治疗可有效改善冠心病患者的心肺功能,并可明显提高患者的生活质量,值得临床推广应用。

Objective This paper tries to study the effect of cardiopulmonary rehabilitation therapy on cardiopulmonary function and quality of life in coronary heart disease patients.Methods Convenient selection 76 patients with coronary heart disease admitted in the hospital from January 2016 to January 2017 were randomly divided into the observation group and the control group,with 38 cases in each group.All patients were treated with drugs,and the observation group was treated with cardiopulmonary rehabilitation.All the patients were recorded of cardiopulmonary function index before and after the treatment,and the SF-36 scale was used to estimate the quality of life,and the difference between the two groups was compared.Results After the treatment,the anaerobic domain,peak oxygen pulse and peak oxygen uptake of patients in the observation group were significantly higher than that in control group and the carbon dioxide equivalent slope was(26.95±6.84)%,which was significantly lower than that in the control group of(33.02±7.69)%,the difference was statistically significant(P<0.05).After the treatment,the scores of pain,physiological function,physiological function dimension in the observation group has significantly improved(P<0.05);compared with the control group,scores of patients in the observation group were significantly higher than those in the control group(P<0.05).Especially after the treatment,the physiological function score in the observation group was(58.66±16.68)points,significantly higher than the control group of(32.82±14.47)points;the emotional function score was(56.36±12.04)points,which was significantly higher than the control group of(31.45±10.74)points;the activity score was(65.85±12.27)points,significantly higher than the control group of(40.18±11.25)points(P<0.05).Conclusion Cardiopulmonary rehabilitation therapy can effectively improve the cardio-pulmonary function of patients with coronary heart disease,and can also significantly improve the quality of life,which is worthy of clinical application.