多组分运动干预对老年稳定性冠心病患者合并衰弱状态的影响

The effect of multi-component exercise intervention on elderly patients with stable coronary heart disease complicated with frailty

目的探讨多组分运动干预对老年稳定性冠心病患者合并衰弱状态的影响。方法选取2019年9月至2020年9月我院收治的75例稳定性冠心病合并衰弱患者,根据入住病区不同分为试验组38例和对照组37例。试验组给予多组分运动干预(中等强度抗阻运动、平衡协调运动、步行有氧运动),对照组给予常规治疗护理和日常锻炼,干预时长12周。评价两组患者在心脑血管不良事件发生率、衰弱程度、握力、步速、营养等指标方面的差异。结果两组患者心脑血管不良事件发生率比较差异无统计学意义(P>0.05),试验组FRAIL衰弱评分低于对照组,步速高于对照组(P<0.05)。结论多组分运动能改善老年稳定性冠心病患者合并衰弱状态,提高身体机能,并未显著增加心脑血管不良事件发生率,值得在该类患者中推广应用,促进健康老龄化。

Objective To explore the effect of multi-component exercise intervention on elderly patients with stable coronary heart disease complicated with frailty.Methods A total of 75 patients with stable coronary heart disease complicated with frailty who were admitted to our hospital from September 2019 to September 2020 were selected.The patients were divided into an experimental group(n=38)and a control group(n=37)according to different wards.The experimental group was given multi-component exercise intervention including moderate-intensity resistance exercise,balance,and walking aerobic exercise.The control group was given routine treatment,nursing and daily exercise.The duration of intervention was 12 weeks.The differences in the incidence of cardiovascular and cerebrovascular adverse events,degree of weakness,grip strength,walking speed,nutrition and other indicators were evaluated in the two groups of patients.Results There was no significant difference in the incidence of cardiovascular and cerebrovascular adverse events between the two groups(P>0.05).The scores of FRAILfrailty in the experimental group were lower than those in the control group(P<0.05),and the walking speed of the experimental group was higher than that of the control group(P<0.05).Conclusion Multi-component exercise can improve the frailty status and physical function of elderly patients with stable coronary heart disease.Meanwhile,it does not significantly increase the incidence of cardiovascular and cerebrovascular adverse events.It is worthy of promotion and application in the patients to promote healthy aging.