心脏康复运动对冠心病合并糖尿病患者PCI术后心肺功能、运动功能和生活质量的影响

Influence of cardiac rehabilitation exercise on cardiopulmonary function,motor function and quality of life in patients with coronary heart disease complicated diabetes mellitus after PCI

目的:探讨心脏康复运动对冠心病(CHD)合并糖尿病(DM)患者冠脉介入治疗(PCI)术后心肺功能、运动功能和生活质量的影响。方法:选择安庆市立医院收治的110例行PCI术的CHD合并DM的患者作为研究对象,按照随机数表法分为常规康复组(50例)和心脏康复组(60例),在常规康复组基础上给予心脏康复运动;均给予12周的术后康复干预,比较干预前后两组第一秒用力呼气容积(FEV1)、最大自主通气量(MVV)、每搏量(SV)、左室射血分数(LVEF)、6min步行距离(6MWD)、SF-36评分的差异。结果:干预12周后,两组的FEV1、MVV、SV、LVEF、6MWD、SF-36评分均显著提高,且与常规康复组比较,心脏康复组FEV1[(1.98±0.13%)比(2.17±0.14)%]、MVV[(72.14±1.70)L比(75.51±1.62)L]、SV[(60.38±6.33)ml比(67.32±6.30)ml]、LVEF[(57.36±4.86)%比(63.70±5.08)%]、6MWD[(368.71±25.99)m比(430.29±24.91)m]、SF-36总分[(84.24±8.40)分比(94.90±10.39)分]提高更显著(P均=0.001)。结论:心脏康复运动可以有效提高冠心病合并糖尿病患者PCI术后的心肺功能、运动功能和生活质量。

Objective:To explore influence of cardiac rehabilitation(CR)exercise on cardiopulmonary function,motor function and quality of life in patients with coronary heart disease(CHD)complicated diabetes mellitus(DM)after PCI.Methods:According to random number table method,a total of 110 CHD+DM patients after PCI treated in our hospital were divided into routine rehabilitation group(n=50)and CR group(n=60,received CR exercise based on routine rehabilitation group).Both groups received 12-week postoperative rehabilitation intervention.Forced expiratory volume in first second(FEV1),maximal ventilatory volume(MVV),stroke volume(SV),LVEF,6min walking distance(6MWD)and SF-36 score were compared between two groups before and after intervention.Results:Compared with before intervention,after 12-week intervention,there were significant rise in FEV1,MVV,SV,LVEF,6MWD and SF-36 score in two groups;compared with routine rehabilitation group,there were significant rise in FEV1[(1.98±0.13%)vs.(2.17±0.14)%],MVV[(72.14±1.70)L vs.(75.51±1.62)L],SV[(60.38±6.33)ml vs.(67.32±6.30)ml],LVEF[(57.36±4.86)%vs.(63.70±5.08)%],6MWD[(368.71±25.99)m vs.(430.29±24.91)m]and SF-36 total score[(84.24±8.40)scores vs.(94.90±10.39)scores]in CR group,P=0.001 all.Conclusion:Cardiac rehabilitation exercise can effectively improve cardiopulmonary function,motor function and quality of life in CHD+DM patients after PCI.