分阶段康复训练联合抗阻-耐力运动用于老年冠心病患者的临床价值

The clinical value of staged rehabilitation training combined with resistance and endurance exercise in elderly patients with coronary heart disease

目的研究分阶段康复训练联合抗阻-耐力运动用于老年冠心病患者的临床价值。方法选择2019年1月~2021年5月江苏省人民医院、海安市人民医院收治的110例冠心病患者作为研究对象,将其随机数表法分为观察组(55例)和对照组(55例),其中对照组按常规康复训练进行干预,观察组在对照组基础上使用分段康复训练联合抗阻-耐力运动进行干预。记录两组干预前1天和干预后3个月氧脉搏(O_(2)/HR)、最大公斤摄氧量(VO_(2)max/kg)、无氧阈(AT)水平、摄氧量增量/功率增量(△VO_(2)/△WR)、生活质量测定量表(WHOQOL-BREF)评分,检测患者屈膝、屈肘、伸膝时的肌肉力量。结果干预后,两组O_(2)/HR、VO_(2)max/kg、AT水平有所提高,△VO_(2)/△WR水平有所降低,差异有统计学意义(P<0.05);且与对照组相比,观察组O_(2)/HR、VO_(2)max/kg、AT水平较高,△VO_(2)/△WR水平较低,差异有统计学意义(P<0.05);干预后,两组干预前屈膝、屈肘、伸膝的肌肉力量均有所增加,差异有统计学意义(P<0.05);且与对照组相比,观察组屈膝、屈肘、伸膝的肌肉力量较强,差异有统计学意义(P<0.05);干预后,两组生活质量各项评分均有所提高,差异有统计学意义(P<0.05);且与对照组相比,观察组生理领域、心理领域、社会关系领域、总体评价得分均较高,差异有统计学意义(P<0.05)。结论分阶段康复训练联合抗阻-耐力运动用于老年冠心病患者,可有效改善患者的心肺耐力、肌肉力量和生活质量,具有推广价值。

Objective To study the clinical value of staged rehabilitation training combined with resistance-endurance exercise in elderly patients with coronary heart disease.Methods Choose from January 2019 to May 2021 in Jiangsu province hospital and Hai'an people's hospital treated 110 cases of coronary heart disease patients as the research object,its were randomly divided into observation group(55 cases)and control group(55 cases),intervention of the control group according to the conventional rehabilitation training,observation group in the control group using segmented on the basis of rehabilitation training combined resistance-endurance exercise intervention.O_(2)/HR,VO_(2)max/kg,AT level,△VO_(2)/△WR and quality of life measurement scale(WHOQOL-BREF)scores were recorded in both groups 1d before intervention and 3 months after intervention.The muscle strength of the patients when knee flexing,elbow flexing and knee extending was detected.Results After intervention,the levels of O_(2)/HR,VO_(2)max/kg and AT were increased and the levels of△VO_(2)/△WR were decreased in both groups(P<0.05).After intervention,compared with the control group,the levels of O_(2)/HR,VO_(2)max/kg and AT were higher and the levels of△VO_(2)/△WR were lower in the observation group(P<0.05);After intervention,the muscle strength of knee flexion,elbow flexion and knee extension in both groups increased before intervention(P<0.05);After intervention,compared with the control group,the muscle strength of knee flexion,elbow flexion and knee extension in the observation group was stronger(P<0.05);After intervention,the scores of quality of life in both groups were improved(P<0.05).After intervention,compared with the control group,the scores of physiological field,psychological field,social relationship field and overall evaluation in the observation group were higher(P<0.05).Conclusion Staged rehabilitation training combined with resistance and endurance exercise can effectively improve the cardiopulmonary endurance,muscle strength and quality of life of elderly patients with coronary heart disease,and has promotion value.