冠心病合并2型糖尿病患者PCI术后运动康复的疗效分析

Analysis of the Curative Effect of Sports Rehabilitation after PCI in Patients with Coronary Heart Disease and Type 2 Diabetes

目的分析冠心病合并2型糖尿病患者PCI术后运动康复的疗效。方法选取2020年2月—2021年7月来该院行PCI手术治疗的90例冠心病合并2型糖尿病患者为研究对象,按照入院时间先后顺序进行分组,每组45例。对照组予以常规护理,观察组术后予以运动康复锻炼,评价对比两组患者的血糖水平、生活质量以及运动耐力情况。结果干预前两组患者的血糖水平、运动耐力情况等对比,差异无统计学意义(P>0.05),干预后观察组患者的血糖水平[(6.05±0.61)mmol/L、(6.02±0.51)%]明显比对照组的血糖[(6.79±1.25)mmol/L、(6.77±1.02)%]低,差异有统计学意义(t=3.569、4.412,P<0.05);观察组的运动耐力的改善效果显著优于对照组,差异有统计意义(P<0.05);观察组患者干预后的各方面生活质量评分[(85.95±4.51)分、(80.02±4.44)分、(86.52±4.98)分、(89.89±4.37)分、(85.22±4.76)分]均显著比对照组[(76.05±3.88)分、(70.72±3.17)分、(71.81±3.25)分、(78.72±3.76)分、(74.74±3.66)分]高,差异有统计学意义(t=11.163、11.435、12.081、12.998、11.708,P<0.05)。结论针对性PCI术后的冠心病合并2型糖尿病患者实施运动康复锻炼不仅能帮助患者重拾生活信心,增强运动耐力,还能大大改善其生活质量,维持稳定的血糖水平,值得临床积极推广。

Objective To analyze the effect of sports rehabilitation after PCI in patients with coronary heart disease and type2 diabetes. Methods Selected 90 patients with coronary heart disease and type 2 diabetes who came to the hospital for PCI surgery from February 2020 to July 2021 as the research subjects. The control group received routine care and observation group received sports rehabilitation exercises according to the order of admission time. 45 cases in each group, to evaluate and compare the blood glucose level, quality of life and exercise endurance of the two groups of patients. Results Before the intervention, there was not statistically significant difference in blood glucose levels and exercise en durance between the two groups of patients(P>0.05). After the intervention, the blood glucose of the observation group[(6.05±0.61)mmol/L,(6.02±0.51)%] were significantly lower than that of the control group [(6.79±1.25)mmol/L,(6.77±1.02)%] low, the difference was statistically significant(t =3.569,4.412,P <0.05);the improvement effect of exercise en durance in the observation group was significantly better than that of the control group, and the difference was statistically significant(P<0.05);the quality of life scores in all aspects [(85.95±4.51)points,(80.02±4.44)points,(86.52±4.98)points,(89.89±4.37)points,(85.22±4.76)points ] were significantly higher than those of the control group[(76.05±3.88)points,(70.72±3.17)points,(71.81±3.25)points,(78.72±3.76)points,(74.74±3.66)points], the difference was statistically significant(t=11.163, 11.435, 12.081,12.998, 11.708, P<0.05). Conclusion Targeted PCI patients with coronary heart disease combined with type 2 diabetes who perform exercise re habilitation exercise can not only help patients regain their confidence in life, enhance exercise endurance, but also greatly improve their quality of life and maintain a stable blood glucose level. It is worthy of active clinical promotion.