[摘要] 目的 研究心肺康復治療對冠心病心肺功能及生活質(zhì)量的影響觀察。方法 方便選取 在2016年1月—2017年1月間收治于該院的76例冠心病患者，隨機分為觀察組和對照組，各38例。所有患者給予藥物治療，觀察組在此基礎(chǔ)上進行心肺康復治療。記錄并檢測所有患者治療前后心肺功能指標，另采用SF-36量表對患者的生活質(zhì)量進行評分，比較組間差異。結(jié)果 經(jīng)治療，觀察組患者的無氧域、峰值氧脈搏、峰值氧攝取量均明顯高于對照組患者，二氧化碳通氣當量斜率為（26.95±6.84）%，顯著低于對照組（33.02±7.69）%，差異有統(tǒng)計學意義（P<0.05）。觀察組患者治療后疼痛、生理功能、生理職能等8個維度的評分均有顯著改善（P<0.05）；與對照組相比，觀察組患者的各維度平均分均明顯高于對照組（P<0.05）。尤其治療后，觀察組生理職能評分為（58.66±16.68）分，顯著高于對照組（32.82±14.47）分；情感職能評分（56.36±12.04）分，顯著高于對照組（31.45±10.74）分；活力評分為（65.85±12.27）分，顯著高于對照組（40.18±11.25）分，（P<0.05）。結(jié)論 心肺康復治療可有效改善冠心病患者的心肺功能，并可明顯提高患者的生活質(zhì)量，值得臨床推廣應(yīng)用。
　　[關(guān)鍵詞] 心肺康復治療；冠心病；心肺功能；生活質(zhì)量
　　[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2018）01（c）-0041-03
　　[Abstract] Objective This paper tries to study the effect of cardiopulmonary rehabilitation therapy on cardiopulmonary function and quality of life in coronary heart disease patients. Methods Convenient selection 76 patients with coronary heart disease admitted in the hospital from January 2016 to January 2017 were randomly divided into the observation group and the control group， with 38 cases in each group. All patients were treated with drugs， and the observation group was treated with cardiopulmonary rehabilitation. All the patients were recorded of cardiopulmonary function index before and after the treatment， and the SF-36 scale was used to estimate the quality of life， and the difference between the two groups was compared. Results After the treatment， the anaerobic domain， peak oxygen pulse and peak oxygen uptake of patients in the observation group were significantly higher than that in control group and the carbon dioxide equivalent slope was （26.95±6.84）%， which was significantly lower than that in the control group of （33.02±7.69）%， the difference was statistically significant（P<0.05）.After the treatment， the scores of pain， physiological function， physiological function dimension in the observation group has significantly improved（P<0.05）； compared with the control group， scores of patients in the observation group were significantly higher than those in the control group（P<0.05）. Especially after the treatment， the physiological function score in the observation group was（58.66±16.68）points， significantly higher than the control group of（32.82±14.47）points； the emotional function score was （56.36±12.04）points， which was significantly higher than the control group of（31.45±10.74）points； the activity score was（65.85±12.27）points， significantly higher than the control group of（40.18±11.25）points（P<0.05）. Conclusion Cardiopulmonary rehabilitation therapy can effectively improve the cardio-pulmonary function of patients with coronary heart disease， and can also significantly improve the quality of life， which is worthy of clinical application.

相關(guān)熱詞搜索：心肺 冠心病 生活質(zhì)量 康復 治療