正念冥想训练联合间歇有氧运动在老年冠心病患者PCI术后的应用效果

Application of mindfulness meditation training combined with intermittent aerobic exercise in elderly patients with coronary heart disease after PCI

目的观察正念冥想训练联合间歇有氧运动在老年冠心病(CHD)患者经皮冠状动脉介入治疗(PCI)术后的应用效果。方法选取2016年12月～2018年5月我院收治的84例老年CHD患者,按照入院先后顺序分为常规组和联合组,每组各42例。常规组接受常规康复训练,联合组在常规组基础上接受正念冥想训练联合间歇有氧运动。观察比较两组干预前后心肺功能[左心室射血分数(LVEF)、峰值功率(PP)、峰值摄氧量(VO_(2peak))、运动持续时间(ED)、无氧阈(AT)]、生存质量(SAQ评分)。结果干预后联合组AT、ED、VO_(2peak)、PP及LVEF水平高于常规组(P<0.05);干预后联合组SAQ评分高于常规组,差异有统计学意义(P<0.05)。结论正念冥想训练联合间歇有氧运动用于老年CHD患者PCI术后,可有效改善患者的心肺功能,提高其生存质量。

Objective To observe the application of mindfulness meditation training combined with intermittent aerobic exercise in patients with coronary heart disease(CHD)undergoing percutaneous coronary intervention(PCI).Methods From December 2016 to May 2018,84 elderly patients with CHD were enrolled in our hospital,according to the order of admission,the patients were divided into routine group and combined group,42 cases in each group.The regular group was received routine rehabilitation training.The combined group was received the mindfulness meditation training combined with intermittent aerobic exercise on the basis of the regular group.Cardiopulmonary function before and after intervention in two groups(Left ventricular ejection fraction [LVEF],peak power [PP],peak oxygen uptake [VO2peak],exercise duration [ED],anaerobic threshold [AT]),quality of life(SAQ score)were compared.Results The levels of AT,ED,VO2peak,PP and LVEF in the combined group were higher than those in the conventional group(P<0.05).The SAQ score of the combined group was higher than that of the conventional group,the difference was statistically significant(P<0.05).Conclusion Mindfulness meditation training combined with intermittent aerobic exercise can improve cardiopulmonary function and improve quality of life after PCI in elderly patients with CHD.