心肺联合康复对冠心病介入治疗后患者血脂、心肺功能的影响

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摘要目的探讨心肺联合康复对冠心病介入治疗后患者血脂、心肺功能的影响。方法选择2022-11至2023-11秦皇岛市第一医院收治的接受介入治疗后的冠心病患者180例为研究对象,随机分为对照组(n=89)和试验组(n=91),对照组进行常规药物治疗,试验组进行心肺联合康复治疗,干预时间均为3个月。对两组患者干预前后的血脂水平、心肺功能、运动功能、生活质量和自我管理能力进行比较。结果与干预前对比,两组干预后,三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、用力呼气量与用力肺活量比值(FEV/FVC％)、1 s用力呼气量(FEV₁)、左心室射血分数(LVEF)、生理功能、躯体疼痛等均有明显改善,差异有统计学意义(P＜0.05),试验组比对照组各项指标(LDL-C、FEV/FVC％、PEAKVO2等)改善更明显,差异有统计学意义(P<0.05)。结论心肺联合康复可降低冠脉介入术后患者的血脂水平,增强心肺功能及运动功能,提高生活质量。

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	马卉
	牛静
	侯萍
	辛薇
	王苏
	马利祥

关键词 ：心肺联合康复, 心脏康复, 冠心病, 生活质量, 血脂

Abstract：Objective To investigate the effects of combined cardiopulmonary rehabilitation on blood lipid and cardiopulmonary function in patients with coronary heart disease after interventional treatment. Methods A total of 180 patients with coronary artery disease admitted to the First Hospital of Qinhuangdao for interventional therapy from November 2022 to November 2023 were selected as the study subjects, and were randomly divided into control group (n=89) and experimental group (n=91). The control group received conventional drug treatment and the experimental group received combined cardiopulmonary rehabilitation. The intervention time was 3 months. The blood lipid level, cardiopulmonary function, motor function, quality of life and self-management ability were compared between the two groups before and after the intervention. Results Post-versus pre-intervention contrast in the two groups, TG, TC,HDL-C,LDL-C, FEV/FVC%, FEV₁, LVEF, physiological function and pain were significantly improved, and the differences were statistically significant (P<0.05). Post- versus pre-intervention in the experimental group, HDL-C self-management ability were improved (P<0.05). And the improvement of various indexes(LDL-C, FEV/FVC％ and PEAKVO2) was more obvious in experimental group than in control group (P<0.05). Conclusions Combined cardiopulmonary rehabilitation can reduce blood lipid level, enhance cardiopulmonary function and exercise function, and improve the quality of life of patients after coronary intervention.

Key words： combined cardiopulmonary rehabilitation cardiac rehabilitation coronary heart disease quality of life blood lipid

收稿日期: 2024-03-07

ZTFLH:

R493

基金资助:秦皇岛市科学技术研究与发展计划任务(202301A203)

作者简介: 马卉,本科学历,副主任护师。

引用本文:

马卉, 牛静, 侯萍, 辛薇, 王苏, 马利祥. 心肺联合康复对冠心病介入治疗后患者血脂、心肺功能的影响[J]. 武警医学, 2024, 35(7): 558-561. MA Hui, NIU Jing, HOU Ping, XIN Wei, WANG Su, MA Lixiang. Effects of combined cardiopulmonary rehabilitation on blood lipids and cardiopulmonary function in patients with coronary heart disease after interventional therapy. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(7): 558-561.

链接本文:

https://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 https://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2024/V35/I7/558

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