基于多学科联合门诊的综合性心肺康复治疗在老年冠心病中的应用效果观察

Observation on the application effect of comprehensive cardiopulmonary rehabilitation based on multidisciplinary treatment on elderly patients with coronary heart disease

目的探讨基于多学科联合门诊的综合性心肺康复治疗在老年冠心病患者中的临床效果。方法选取2020年9月—2023年9月南京医科大学第一附属医院就诊的老年冠心病患者200例,随机分为对照组和试验组各100例。对照组采用常规药物治疗,试验组在常规药物治疗基础上联合基于多学科联合门诊的综合性心肺康复治疗。入组前与干预3个月后评估两组心肺耐力[峰值公斤摄氧量(Peak VO_(2)/kg)、无氧阈时公斤摄氧量(AT VO_(2)/kg)和氧脉搏(O_(2)pulse)]、肺功能[用力肺活量(FVC)、第一秒用力呼气量(FEV_(1))、第一秒用力呼气率(FEV_(1)/FVC)]及生活质量,比较两组治疗结果。结果治疗3个月后,试验组Peak VO_(2)/kg、AT VO_(2)/kg、O_(2)pulse、FVC、FEV_(1)均高于对照组(P均<0.05),且在疾病认知程度、躯体受限程度、治疗满意度、心绞痛稳定状态、心绞痛发作状况的生活质量各维度分数均高于对照组(P均<0.05)。结论基于多学科联合门诊的综合性心肺康复治疗可有效提高老年冠心病患者的心肺耐力和肺功能,提高其生活质量。

Objective To observe the effect of comprehensive cardiopulmonary rehabilitation based on multidisci-plinary treatment on elderly patients with coronary heart disease.Methods A total of 200 elderly patients with coronary heart disease treated in the First Affiliated Hospital of Nanjing Medical University from September 2020 to September 2023 were selected and randomly divided into the control group and the experimental group with 100 patients each.The control group was treated with conventional drug treatment.The experimental group was treated with conventional drug treatment combined with comprehensive cardiopulmonary rehabilitation based on multidisciplinary treatment.In order to compare the clinical efficacy of the two groups,the cardiopulmonary endurance[Peak oxygen uptake in kilograms(Peak VO_(2)/kg),anaerobic threshold oxygen uptake in kilograms(AT VO_(2)/kg)and oxygen pulse(O_(2) pulse)],pulmonary function[forced volume capacity(FVC),forced expiratory volume in the first second(FEV_(1)),forced expiratory rate in the first second(FEV_(1)/FVC)]and the quality of life were evaluated before enrollment and 3 months after intervention.Results After 3 months of treatment,Peak VO_(2)/kg,AT VO_(2)/kg,O_(2) pulse,FVC,FEV_(1) of the patients in experimental group were higher than those in control group(all P<0.05).And the scores of disease perception,treatment satisfaction,physical limita-tion,angina stability,angina frequency,and all dimentions of quality of life in experimental group were higher than those in control group(all P<0.05).Conclusion Comprehensive cardiopulmonary rehabilitation treatment based on multidis-ciplinary treatment can significantly improve the cardiopulmonary endurance and lung function of elderly patients with coro-nary heart disease and significantly improve their quality of life.