中医心脏康复操联合耳穴压豆对冠心病介入术后患者心脏康复及睡眠质量的影响

Effects of Traditional Chinese Cardiac Rehabilitation Exercise Combined with Ear-Point Pressure on Cardiac Rehabilitation and Sleep Quality of Patients after Coronary Intervention

目的探讨中医心脏康复操联合耳穴压豆对冠心病介入术后患者心脏康复及睡眠质量的影响。方法选择该院2020年9月—2023年8月收治的82例冠心病患者为研究对象,按随机数字表法将其分为对照组与观察组,各41例。对照组进行常规训练,观察组采用中医心脏康复操联合耳穴压豆干预,两组均持续干预6个月。比较两组心功能指标、睡眠质量及生活质量。结果干预前,两组心功能指标、睡眠质量及生活质量比较,组间差异无统计学意义(P>0.05);干预6个月后,观察组左室舒张末期内径与左室收缩末期内径分别为(47.29±3.18)mm、(40.27±2.84)mm,均短于对照组的(56.51±3.59)mm、(45.21±3.11)mm,组间差异有统计学意义(P<0.05);观察组左室射血分数、中国心血管病人生活质量评分均高于对照组,匹兹堡睡眠质量指数评分低于对照组,组间差异有统计学意义(P<0.05)。结论中医心脏康复操联合耳穴压豆应用于冠心病介入术后患者中的效果显著,可有效改善心功能,提高其睡眠质量及生活质量。

Objective To explore the effects of traditional Chinese cardiac rehabilitation exercise combined with ear-point pressure on cardiac rehabilitation and sleep quality of patients after coronary intervention.Methods A total of 82 patients with coronary heart disease admitted to the hospital from September 2020 to August 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received routine training,the observation group received traditional Chinese cardiac rehabilitation exercise combined with ear point pressure intervention,both groups continued intervention for 6 months.The indexes of cardiac function,sleep quality and quality of life were compared between the two groups.Results Before intervention,there were no significant differences in cardiac function indexes,sleep quality and quality of life between the two groups(P>0.05);after 6 months of intervention,the left ventricular end-diastolic dimension and left ventricular end-systolic dimension in the observation group were(47.29±3.18)mm and(40.27±2.84)mm,respectively,which were shorter than(56.51±3.59)mm and(45.21±3.11)mm,respectively,and the differences between the groups were statistically significant(P<0.05);and the left ventricular ejection fraction and Chinese questionnaire of quality of life in Chinese patient with cardiovascular diseases score of the observation group were higher than those in the control group,and the Pittsburgh Sleep Quality Index score of the observation group was lower than that in the control group,the differences between the groups were statistically significance(P<0.05).Conclusion Traditional Chinese cardiac rehabilitation exercise combined with ear-point pressure has significant effect on patients with coronary heart disease after interventional surgery,which can effectively improve heart function,sleep quality and quality of life.