专科康复操对老年患者心肺功能的影响

Influence of specialist rehabilitation exercises on cardiopulmonary function in aged patients

目的:研究专科康复操对老年患者心肺功能的影响。方法:于我院治疗的65周岁以上的患者150例被随机均分为常规治疗组与康复训练组(在常规治疗组基础上接受专科康复操训练),两组均干预一年。观察比较两组干预前后心率、心输出量(CO)、每搏输出量(SV)、舒张压(DBP)、收缩压(SBP)、肺活量、第一秒用力呼气量(FEV1)及患者满意度。结果:与常规治疗组比较,康复训练组干预后心率[(83.75±7.55)次/min比(72.63±7.52)次/min]、DBP[(85.56±4.52)mmHg比(79.70±3.43)mmHg]、SBP[(135.68±6.75)mmHg比(120.53±4.89)mmHg]降低更显著,CO[(4.81±0.58)L/min比(5.44±0.75)L/min]、SV[(60.66±11.36)ml比(72.83±11.36)ml]、肺活量[(3.22±0.64)L比(3.97±0.68)L]、FEV1[(70.90±6.73)%比(81.56±8.74)%]升高更显著(P均=0.001)。康复训练组患者满意度(97.33%比86.67%)显著高于常规治疗组(P=0.016)。结论:专科康复操能够显著改善老年患者心肺功能,提高患者满意度。

Objective:To study influence of specialist rehabilitation exercises on cardiopulmonary function in aged patients.Methods:A total of 150 patients over 65 years treated in our hospital were randomly and equally divided into routine treatment group and rehabilitation training group(received specialist rehabilitation exercises based on routine treatment group),both groups were intervened for one year.Heart rate(HR),cardiac output(CO),stroke volume(SV),diastolic blood pressure(DBP),systolic blood pressure(SBP),vital capacity,forced expiratory volume in one second(FEV1)before and after intervention and patient satisfaction were observed and compared between two groups.Results:Compared with routine treatment group,after intervention,there were significant reductions in HR[(83.75±7.55)beats/min vs.(72.63±7.52)beats/min],DBP[(85.56±4.52)mmHg vs.(79.70±3.43)mmHg]and SBP[(135.68±6.75)mmHg vs.(120.53±4.89)mmHg],and significant rise in CO[(4.81±0.58)L/min vs.(5.44±0.75)L/min],SV[(60.66±11.36)ml vs.(72.83±11.36)ml],vital capacity[(3.22±0.64)L vs.(3.97±0.68)L]and FEV1[(70.90±6.73)%vs.(81.56±8.74)%]in rehabilitation training group(P=0.001 all).Patient satisfaction of rehabilitation training group was significantly higher than that of routine treatment group(97.33%vs.86.67%,P=0.016).Conclusion:Specialist rehabilitation exercises can significantly improve cardiopulmonary function in aged patients,and improve patient satisfaction.