本文關(guān)鍵詞：運(yùn)動(dòng)訓(xùn)練對(duì)冠心病PCI術(shù)后患者心功能及生活質(zhì)量的影響　出處：《吉林大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:本研究旨在制定既符合科學(xué)依據(jù)又個(gè)體化的基于運(yùn)動(dòng)訓(xùn)練的心臟康復(fù)計(jì)劃,通過合理的運(yùn)動(dòng)訓(xùn)練處方,結(jié)合PCI術(shù)后常規(guī)抗血小板藥物及降脂藥物的使用,改善冠心病患者PCI術(shù)后心功能儲(chǔ)備,提高患者的生活質(zhì)量,促成其早日回歸正常生活。方法:將58例于2014年4月至2015年3月在吉林大學(xué)中日聯(lián)誼醫(yī)院心內(nèi)科住院的冠心病PCI術(shù)后患者隨機(jī)分為A、B兩組。A組為康復(fù)組、B組為對(duì)照組,每組各29例患者。對(duì)照組僅給予術(shù)后常規(guī)口服抗血小板藥物及降脂藥物治療;康復(fù)組除給予常規(guī)抗血小板藥物及降脂藥物治療外,在康復(fù)醫(yī)師指導(dǎo)下,按照運(yùn)動(dòng)處方進(jìn)行循序漸進(jìn)的運(yùn)動(dòng)訓(xùn)練。分別于治療前及治療6周后,測(cè)定左室射血分?jǐn)?shù)(LVEF)、SF-36簡(jiǎn)明健康狀況量表評(píng)分、生活滿意度量表評(píng)分。結(jié)果:治療前對(duì)照組與康復(fù)組的性別、年齡等一般資料比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。1.康復(fù)組與對(duì)照組治療前后心功能的比較。治療6周后,康復(fù)組與對(duì)照組比較,左室射血分?jǐn)?shù)明顯提高(P0.01);2.康復(fù)組與對(duì)照組治療前后生活質(zhì)量的比較。治療6周后,康復(fù)組與對(duì)照組比較,SF-36簡(jiǎn)明健康狀況量表評(píng)分、生活滿意度量表評(píng)分均有提高(P0.01)。結(jié)論:冠心病患者PCI術(shù)后在常規(guī)口服抗血小板藥物及降脂藥物的基礎(chǔ)上,結(jié)合運(yùn)動(dòng)訓(xùn)練可有效改善患者的心功能,提高患者生活質(zhì)量,使其能夠早日回歸正常生活。
[Abstract]:Objective: the purpose of this study was to establish a heart rehabilitation plan based on exercise training, which was both scientific and individualized, and to adopt a reasonable exercise training prescription. Combined with the use of routine antiplatelet drugs and lipid-lowering drugs after PCI, the cardiac function reserve and quality of life of patients with coronary heart disease were improved after PCI. Methods: from April 2014 to March 2015, 58 patients with coronary heart disease (CHD) who were hospitalized in cardiology department of Sino-Japanese Friendship Hospital of Jilin University were randomly divided into two groups: A. Group B, group A, rehabilitation group, group B as control group, each group with 29 patients. The control group was only treated with routine oral antiplatelet drugs and lipid-lowering drugs. The rehabilitation group was treated with routine antiplatelet drugs and lipid-lowering drugs. Under the guidance of rehabilitation doctors, the rehabilitation group was trained gradually according to the exercise prescription before treatment and 6 weeks after treatment. Left ventricular ejection fraction (LVEF) and SF-36 score were measured. Results: sex and age of control group and rehabilitation group were compared before treatment. After 6 weeks of treatment, the left ventricular ejection fraction (LVEF) in rehabilitation group was significantly higher than that in control group (P 0.01). 2.Comparison of quality of life before and after treatment between rehabilitation group and control group. After 6 weeks of treatment, the score of SF-36 brief health status scale was compared between rehabilitation group and control group. Conclusion: patients with coronary heart disease after PCI are based on routine oral antiplatelet drugs and lipid-lowering drugs. The combination of exercise training can effectively improve the heart function of patients, improve the quality of life of patients, so that they can return to normal life as soon as possible.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R541.4

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本文編號(hào)：1393072