七步法运动康复联合弹力带抗阻训练对冠心病患者功能性体适能、心功能及心血管不良事件的影响

Intervention effect of seven-step exercise rehabilitation combined with elastic band resistance training on functional fitness and cardiovascular adverse events in patients with coronary heart disease

目的探讨七步法运动康复联合弹力带抗阻训练对冠心病(CHD)患者功能性体适能及心血管不良事件的影响。方法选取2017年3月至2019年3月本院CHD患者116例进行前瞻性研究,按入院时间顺序分为观察组(n=58)、对照组(n=58)。对照组采取常规干预,观察组于对照组基础上采取七步法运动康复联合弹力带抗阻训练。对比两组干预满意度、心血管不良事件发生率、干预前后功能性体适能指标、心功能[射血分数(LVEF)、心脏每搏输出量(SV)、心脏指数(CI)]水平、日常生活能力(BI评分)。结果干预后观察组有氧耐力、肢体柔韧性、下肢肌力、上肢肌力优于对照组(P<0.05);干预后观察组LVEF、CI、SV、日常行为、生理、日常活动得分高于对照组(P<0.05);观察组干预满意度94.83%(55/58)较对照组79.31%(46/58)高(P<0.05);观察组心血管不良事件发生率5.17%(3/58)低于对照组10.34%(6/58),但差异无统计学意义(P>0.05)。结论七步法运动康复联合弹力带抗阻训练能有效改善CHD患者功能性体适能、心功能,提高日常生活能力及干预满意度,预防心血管不良事件的发生。

Objective To investigate the effects of seven-step exercise rehabilitation combined with elastic resistance training on functional fitness and cardiovascular adverse events in patients with coronary heart disease(CHD).Methods 116 patients with CHD in our hospital from March 2017 to March 2019 were selected for prospective study,and they were divided into observation group(n=58)and control group(n=58)according to the order of admission time.The control group was given routine intervention,and the observation group was given seven step exercise rehabilitation combined with elastic band resistance training on the basis of the control group.The intervention satisfaction,incidence of cardiovascular adverse events,functional physical fitness indexes,cardiac function[left ventricular ejection fraction(LVEF),cardiac stroke volume(SV),cardiac index(CI)]and activities of daily living(BI)were compared between the two groups.Results After intervention,the aerobic endurance,limb flexibility,lower extremity muscle strength and upper limb muscle strength were better than those in the control group(P<0.05).After intervention,the LVEF,CI,SV,daily behavior,physiology and daily activities scores in the observation group were higher were higher than those of the control group(P<0.05).The intervention satisfaction of the observation group was 94.83%(55/58),higher than that of the control group 79.31%(46/58)(P<0.05);the incidence of cardiovascular adverse events in the observation group was 5.17%(3/58)and 10.34%(6/58)of the control group,with no statistically significant difference(P>0.05).Conclusions Seven-step exercise rehabilitation combined with elastic band resistance training can effectively improve the functional fitness and heart function of CHD patients,improve daily living ability and intervention satisfaction,and prevent cardiovascular adverse events.