八段锦联合康复训练对冠心病PCI术后患者心功能及心血管不良事件的影响

Effect of Baduanjin combined with rehabilitation training on cardiac function and adverse cardiovascular events in patients with coronary heart disease after PCI

目的探讨八段锦联合康复训练在冠心病经皮冠状动脉介入术(PCI)术后患者中的应用价值.方法选择2019年1月-2022年6月于盐城市中医院行PCI的冠心病患者106例,按随机数字表法分为两组,每组53例.对照组采用康复训练,观察组实施八段锦联合康复训练,两组均干预3个月.对比两组心功能、运动耐力、心境状态、睡眠质量、心血管不良事件发生情况.结果干预3个月后,观察组左心室射血分数(LVEF)[(70.93±5.01)%]高于对照组[(61.87±4.42)%],6min步行距离[(412.13±18.02)m]长于对照组[(391.57±16.67)m],简式简明心境问卷(POMS)中积极心境评分[(35.52±4.18)分]高于对照组[(31.78±3.09)分],POMS中消极心境评分[(51.37±5.48)分]、匹兹堡睡眠质量指数量表(PSQI)评分[(6.01±1.24)分]及心血管不良事件发生率(3.77%)低于对照组[(62.83±6.12)分、(8.39±1.35)分、15.09%],差异有统计学意义(P<0.05).结论八段锦联合康复训练用于冠心病PCI术后患者中,可改善心境状态及心功能,提高运动耐力及睡眠质量,减少心血管不良事件的发生,值得临床推广应用.

Objective To explore the application value of Baduanjin combined with rehabilitation training in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods 106 patients with coronary heart disease who underwent PCI in our hospital from January 2019 to June 2022 were selected and divided into two groups according to the random number table,with 53 patients in each group.The control group received rehabilitation training,and the observation group received Baduanjin combined rehabilitation training.Both groups were intervened for 3 months.The cardiac function,exercise endurance,mood,sleep quality and cardiovascular adverse events were compared between the two groups.Results Three months after the intervention,the left ventricular ejection fraction(LVEF)[(70.93±5.01)%]in the observation group was higher than that in the control group[(61.87±4.42)%],the 6-minute walking distance[(412.13±18.02)m]was longer than that in the control group[(391.57±16.67)m],the positive mood score[(35.52±4.18)]in the simple mood questionnaire(POMS)was higher than that in the control group[(31.78±3.09)],the negative mood score[(51.37±5.48)in POMS],the Pittsburgh sleep quality index(PSQI)score[(6.01±1.24)points]and the incidence of cardiovascular adverse events(3.77%)were lower than those of the control group[(62.83±6.12),(8.39±1.35)points,15.09%],and the difference was statistically significant(P<0.05).Conclusion The combination of Baduanjin and rehabilitation training for patients with coronary heart disease after PCI can improve their mood and heart function,improve their exercise tolerance and sleep quality,and reduce the incidence of adverse cardiovascular events,which is worthy of clinical application.