运动康复训练联合揿针对冠心病PCI术后患者心功能及运动能力的影响

Effect of Exercise Rehabilitation Training Combined with Pressing Needles on Cardiac Function and Exercise Ability in Patients with Coronary Heart Disease after PCI Surgery

目的 探讨运动康复训练联合揿针对冠心病PCI术后患者心功能及运动能力的影响。方法 选择2021年10月-2022年5月在医院接受PCI术的冠心病患者60例,按随机数字表法分为观察组和对照组,每组30例。对照组采用运动康复训练,观察组在对照组基础上给予揿针干预。比较两组患者干预前后心功能指标、运动能力[6 min步行试验距离、最大摄氧量(VO2max)、最大运动负荷(MWL)和无氧阈(AT)]及生活质量评分。结果 干预后,观察组左室射血分数高于对照组,左室舒张内径及BNP低于对照组;6 min步行试验距离、VO2max、MWL及AT均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组明尼苏达心力衰竭生活质量评分量表各维度评分均低于对照组,差异有统计学意义(P<0.05)。结论 运动康复训练联合揿针能够提高冠心病PCI术后患者心功能、运动能力及生活质量。

Objective To explore the effect of exercise rehabilitation training combined with pressing needles on cardiac func-tion and exercise ability in patients with coronary heart disease after percutaneous coronary intervention(PCI).Method Sixty pa-tients with coronary heart disease who underwent PCI in the hospital from October 2021 to May 2022 were selected and randomly divided into an observation group and a control group,with 30 patients in each group.The control group received exercise rehabil-itation training,while the observation group received pressing needles intervention on the basis of the control group.The cardiac function indexes,exercise ability[6-min walking test distance,maximal oxygen uptake(VO2 max),maximum exercise load(MWL),anaerobic threshold(AT)] and quality of life scores of the two groups were compared before and after the intervention.Results After intervention,the left ventricular ejection fraction in the observation group was higher than that in the control group,and the left ventricular diastolic diameter and brain natriuretic peptide(BNP)were lower than those in the control group.The distance,VO,max,MWL and AT of the 6-minute walking test were higher than those of the control group,with statistically sig-nificant differences(P<0.05).After intervention,the Minnesota Heart Failure Quality of Life Scale scores in all dimensions in the observation group were lower than those in the control group,with statistically significant differences(P<O.05).Conclusion The combination of exercise rehabilitation training and pressing needles can improve cardiac function,exercise ability and the quality of life in patients with coronary heart disease after PCI.