CPET量化下的吸气肌康复处方对冠心病PCI术后患者呼吸肌力量、心肺运动耐力及生活质量的影响OA
The Impact of Inspiratory Muscle Rehabilitation Prescriptions Quantified by CPET on Respiratory Muscle Strength,Cardiopulmonary Exercise Endurance and Quality of Life in Patients after PCI for Coronary Heart Disease
目的:探讨心肺运动试验量化下的吸气肌康复处方对冠心病经皮冠状动脉介入术后患者呼吸肌力量、心肺运动耐力及生活质量的影响.方法:选择2023年7月～2025年3月在昆山市康复医院就诊的冠心病PCI术后患者60例,按照随机数字表法分为观察组和对照组各30例.两组同时接受PCI术后规范药物治疗、健康宣教、危险因素控制和50 min的无氧阈强度的有氧训练(功率计踏车),观察组除接受上述干预外,还要接受在心肺运动试验(CPET)量化下的吸气肌康复训练,观察时间8周.比较两组患者最大吸气压(MIP)、用力吸气容积(FIV)、吸气峰流速(PIF)、第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV1%pred)、峰值公斤摄氧量(Peak VO2/kg)、无氧阈时公斤摄氧量(VO2/kg@AT)、峰值功率(Peak W)、生活质量综合评定问卷评分(GQOLI-74).结果:治疗8周后,两组患者MIP、FIV、PIF、FEV1、FVC、FEV1%pred、Peak VO2/kg、VO2/kg@AT、Peak W及GQOLI-74中的社会功能、躯体功能、心理功能、物质生活评分均升高(P<0.05),且观察组各项指标均优于对照组(P<0.05).结论:CPET量化指导下的吸气肌康复处方能够提高PCI术后患者的心肺功能、运动耐量及生活质量,具有较好的康复应用价值.
Objective:To explore the effects of inspiratory muscle rehabilitation prescription quantified by cardiopulmonary exercise test on respiratory muscle strength,cardiopulmonary exercise endurance,and quality of life in patients with coronary heart disease after percutaneous coronary intervention.Methods:Sixty patients who underwent coronary heart disease PCI at Kunshan Rehabilitation Hospital from July 2023 to March 2025 were randomly divided into an observation group and a control group,with 30 patients in each group.Two groups simultaneously received standardized medication treatment,health education,risk factor control,and 50 minute anaerobic threshold intensity aerobic training(power meter treadmill)after PCI.In addition to the above interventions,the observation group also received inspiratory muscle rehabilitation training quantified by cardiopulmonary exercise test(CPET)for 8 weeks.Compared the maximum inspiratory pressure(MIP),forced inspiratory volume(FIV),peak inspiratory flow rate(PIF),forced expiratory volume in one second(FEV1),forced vital capacity(FVC),percentage of forced expiratory volume in one second to the expected value(FEV1%pred),peak oxygen uptake per kilogram(VO2/kg),oxygen uptake per kilogram at anaerobic threshold(VO2/kg@AT),peak power(Peak W),and comprehensive quality of life assessment questionnaire score(GQOLI-74)between two groups.Results:After 8 weeks of treatment,both groups of patients showed an increase in MIP,FIV,PIF,FEV1,FVC,FEV1%pred,Peak VO2/kg,VO2/kg@AT,Peak W,and social function,physical function,psychological function,and material life scores in the GQOLI-74(P<0.05),and all indicators in the observation group were better than those in the control group(P<0.05).Conclusion:The inspiratory muscle rehabilitation protocol guided by CPET can improve the cardiopulmonary function,exercise tolerance,and quality of life in patients following PCI,and thus has significant potential for rehabilitation application.
丰金香;谢丽娜;荣歆璇;李琪
昆山市康复医院,江苏昆山 215300昆山市康复医院,江苏昆山 215300昆山市康复医院,江苏昆山 215300昆山市康复医院,江苏昆山 215300
医药卫生
冠状动脉粥样硬化性心脏病经皮冠状动脉介入术心肺运动试验心肺康复
coronary heart diseasepercutaneous coronary interventioncardiopulmonary exercise testingcardiopulmonary rehabilitation
《中医康复》 2026 (9)
26-32,7
昆山市预防医学会科研课题(KSYF2024017)昆山市市级科技专项(社会发展)项目(KSZ2568)
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