运动干预对老年冠心病PCI术后患者健康体适能评估和生活质量的影响

Influence of exercise intervention on assessment of health-related physical fitness and quality of life in elderly patients with coronary heart disease after PCI

目的探讨运动干预对老年冠状动脉粥样硬化性心脏病(冠心病)患者经皮冠状动脉介入治疗(PCI)术后健康体适能评估和生活质量的影响。方法选取2021年7月至2021年12月于解放军总医院第七医学中心心内科接受PCI的老年冠心病患者110例,最终完成研究98例,随机分为对照组和观察组,每组各49例。对照组给予常规护理,观察组在常规护理基础上增加运动干预,观察两组患者PCI术前及术后12周健康体适能指标及生活质量指标的变化。结果两组患者基线资料比较无明显差异(P>0.05)。PCI术后12周,与对照组相比,观察组患者健康体适能指标(上肢肌力、下肢肌力以及上肢柔韧性)明显改善(P<0.05),生活质量指标(躯体活动受限程度、治疗满意度、疾病认知度)均明显改善(P<0.05)。结论运动干预能在一定程度上改善老年冠心病PCI术后患者的健康体适能及生活质量,对PCI术后的康复具有重要意义。

Objective To investigate the influence of exercise intervention on assessment of health-related physical fitness(HRPF)and quality of life(QOL)in elderly patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods The elderly CHD patients undergone PCI(n=110)were chosen from Department of Cardiology in the Seventh Medical Center of Chinese PLA General Hospital from July 2021 to Dec.2021.There were finally 98 patients completed the study and they were randomly divided into control group and observation group(each n=49).The control group was given routine nursing,and observation group was additionally given exercise intervention.The changes of indexes of HRPF and QOL were observed in 2 groups before and 12 weeks after PCI.Results The comparison in baseline materials showed no significant difference between 2 groups(P>0.05).After PCI for 12 weeks,HRPF indexes(upper limb muscle strength,lower limb muscle strength and upper limb flexibility)were significantly improved(P<0.05),and the indexes of QOL(degree of physical activity limitation,degree of satisfaction to treatment,disease cognition degree)were significantly improved(P<0.05)in observation group compared with control group.Conclusion Exercise intervention can improve HRPF and QOL to some extent in elderly CHD patients after PCI,which is of great significance to rehabilitation after PCI.