摘要
目的探讨增强型体外反搏治疗(enhanced external counterpulsation,EECP)联合有氧运动对冠心病患者运动耐量和焦虑抑郁状态的影响。方法150例冠心病患采用随机数字表法分为联合治疗组(EECP+有氧运动+药物治疗)、有氧运动组(有氧运动+药物治疗)及对照组(单纯药物治疗)各50例,对比治疗前后患者峰值摄氧量(peak oxygen uptake,peak VO2)、峰值氧脉搏(peak oxygen pulse,peak O2pulse)、无氧阈(anaerobic threshold,AT)、峰值代谢当量(peak metabolic equivalent,peak MET)及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果治疗前各组运动耐量差异无统计学意义(P>0.05);治疗1个月后,联合治疗组和有氧运动组运动耐量高于治疗前(P<0.05),联合治疗组高于有氧运动组、对照组(P<0.001);各组患者SAS、SDS评分低于治疗前(P<0.05),联合治疗组评分低于有氧运动组、对照组(P<0.001)。结论EECP联合有氧运动对冠心病患者运动耐量及焦虑、抑郁状态改善具有积极意义。
Objective To study the effects of enhanced external counterpulsation(EECP)combined with aerobic exercise on exercise tolerance and anxiety-depression status in patients with coronary artery disease.Methods A total of 150 hospitalized patients with coronary heart disease were divided into combined treatment group(EECP+aerobic exercise+drug therapy),aerobic exercise group(aerobic exercise+drug therapy),and control group(drug therapy alone)according to the random number table method.The peak oxygen uptake(peak VO2),peak oxygen pulse(peak O2pulse),anaerobic threshold(AT),peak metabolic equivalent(peak MET),and self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients before and after treatment were compared.Results There was no significant difference in exercise tolerance among groups before treatment(P>0.05).After one month’s treatment,in combined treatment group and aerobic exercise group,patients’exercise tolerance index was higher than that before treatment(P<0.05);the magnitude of change in exercise tolerance in the combined treatment group was significantly higher than that in both the aerobic exercise group and the control group(P<0.001);SAS and SDS scores in the three groups were lower than those before treatment(P<0.05),and the scores in the combined treatment group were significantly higher than those in the aerobic exercise group and the control group(P<0.001).Conclusion Enhanced external counterpulsation combined with aerobic exercise can improve exercise tolerance and anxiety-depression in patients with coronary artery disease.
作者
师玥
李方江
SHI Yue;LI Fang-jiang(Graduate School,Hebei North University,Zhangjiakou,Hebei 075000,China;Department of Cardiovascular Medicine,The First Hospital Affiliated to Hebei North University,Zhangjiakou,Hebei 075000,China)
出处
《河北北方学院学报（自然科学版）》
2022年第12期13-16,20,共5页
Journal of Hebei North University:Natural Science Edition
基金
2021年河北省研究生创新资助项目(No.CXZZSS2021127)。
关键词
增强型体外反搏
有氧运动
冠心病
心脏康复
焦虑
抑郁
enhanced external counterpulsation
aerobic exercise
coronary artery disease
cardiac rehabilitation
anxiety
depression
