心脏康复综合训练对经皮冠状动脉介入术后冠心病患者心功能及运动耐力的影响

Effects of comprehensive cardiac rehabilitation training on cardiac function and exercise tolerance in patients with coronary heart disease after PCI

目的探讨心脏康复综合训练对经皮冠状动脉介入(PCI)术后冠心病患者心功能及运动耐力的影响。方法纳入我院2018年6月至8月200例行PCI术治疗的冠心病患者为研究对象,其中一疗区给予常规药物疗法,不进行康复治疗(列为对照组,100例),二疗区在对照组基础上进行心脏康复综合训练(列为观察组,100例)。于干预后随访3个月,对比2组患者血脂水平、心功能指标及运动耐力的变化情况。结果观察组患者干预后1个月、3个月总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平均低于对照组,高密度脂蛋白胆固醇水平高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后1个月、3个月左室射血分数高于对照组,左室舒张末期容积、B型利钠肽水平均低于对照组,差异有统计学意义(P<0.05)。2组患者干预后运动耐力情况均有一定改善,其中观察组患者干预后1个月、3个月6 min步行距离高于对照组,Borg评分低于对照组,差异有统计学意义(P<0.05)。结论心脏康复综合训练可调节PCI术后冠心病患者血脂水平,改善心功能及运动耐力。

Objective To investigate the effect of comprehensive cardiac rehabilitation training on cardiac function and exercise tolerance in patients with coronary heart disease after PCI.Methods A total of 200 patients with coronary heart disease treated by PCI in our hospital between June 2018 and August 2018 were included as the subjects in the study.The first ward was given conventional drug therapy without rehabilitation treatment(control group,n=100).In addition,the second ward was given comprehensive cardiac rehabilitation training(study group,n=100).At 3 months after follow-up for intervention,the changes of blood lipid level,cardiac function index and exercise tolerance were compared between the two groups.Results The levels of total cholesterol,triglyceride and low-density lipoprotein in the study group were lower than those in the control group at 1 month and 3 months after the intervention,whereas the level of high-density lipoprotein in the study group was higher than that in the control group,with statistically significant differences(all P<0.05).The left ventricular ejection fraction in the study group was higher than that in the control group at 1 month and 3 months after the intervention,whereas the left ventricular end-diastolic volume and B-type natriuretic peptide level in the study group was lower than that in the control group,with statistically significant differences(all P<0.05).The exercise tolerance after the intervention in both groups was somehow improved.The 6-min walking distance in the study group was higher than that in the control group at 1 month and 3 months after the intervention,whereas the Borg score in the study group was lower than that in the control group,with statistically significant differences(all P<0.05).Conclusion Comprehensive cardiac rehabilitation training may regulate the blood lipid level,and improve cardiac function and exercise tolerance in patients with coronary heart disease after PCI.