摘要
目的分析冠心病患者心肺运动试验(cardiopulmonary exercise testing,CPET)相关指标,探讨其CPET临床特点。方法本研究为回顾性研究,选择2021年5月至2023年8月于中日友好医院中西医结合心内科门诊进行随访的冠心病患者103例。按年龄分为60岁以下组(n=37)与60岁及以上组(n=66);60岁及以上按性别分为男性组(n=37)与女性组(n=29);患者均接受CPET检测,比较不同年龄男性组、同一年龄不同性别组CPET指标特点,采用Spearman或Pearson相关性分析法分析性别、年龄与CPET试验指标相关性。结果60岁及以上男性组最大心率(Maximum Heart Rate,MHR)、峰值摄氧量(VO_(2)peak)、峰值氧脉搏(peak O_(2)pulse)、二氧化碳通气当量(EQCO_(2))、代谢当量(METs)均低于60岁以下男性组,差异均有统计学意义(P<0.05);60岁及以上女性组无氧阈下摄氧量(VO_(2)AT)、VO_(2)peak、peak O_(2)pulse、METs均低于60岁及以上男性组,差异均有统计学意义(P<0.05)。Spearman或Pearson相关性结果显示性别、年龄与心肺运动试验指标MHR、VO_(2)AT、VO_(2)peak、peak O_(2)pulse、METs具有相关性。结论不同年龄、性别的冠心病患者的CPET结果均有差异。年龄与冠心病患者心肺功能相关结果呈负相关;女性患者的运动耐量明显低于同年龄段男性,临床需引起重视,应及时进行康复干预,提高心肺耐量,进而提高生活质量。
Objective To analyze the relevant data of cardiopulmonary exercise testing(CPET)in patients with coronary heart disease,and explore the clinical features of CPET.Methods The present study was a retrospective study of 103 patients with coronary artery disease who were followed up from May 2021 to August 2023 in the outpatient clinic of the Department of Integrative Cardiology of China-Japan Friendship Hospital.The patients were divided into the under 60 years old group(n=37)and the aged 60 and above group(n=66)according to age;the aged 60 and above was divided into male group(n=37)and female group(n=29)according to gender;patients were all subjected to CPET test,and the characteristics of CPET indexes were compared among male group of different ages and different gender groups of the same age,and the correlation between gender,age,and CPET indexes was analysed by using the correlation analysis method of Spearman or Pearson.Correlation analysis was used to analyse the correlation between gender,age and CPET test indexes.Results Maximum heart rate(MHR),peak oxygen uptake(VO_(2)peak),peak oxygen pulse(peak O_(2)pulse),carbon dioxide equivalents(EQCO_(2)),and metabolic equivalents(METs)were lower in the aged 60 and above male group than in the under 60 years old male group,and the differences were statistically significant(P<0.05);The anaerobic subthreshold oxygen uptake(VO_(2)AT),VO_(2)peak,peak O_(2)pulse,and METs were lower in the aged 60 and above female group than in the aged 60 and above male group,and the differences were all statistically significant(P<0.05).Spearman or Pearson correlation results showed a correlation between sex and gender and the cardiopulmonary exercise test indices MHR,VO_(2)AT,VO_(2)peak,peak O_(2)pulse,and METs.Conclusion The results of CPET in patients with coronary heart disease of different ages and genders are different.Age is negatively correlated with the results of cardiopulmonary function in patients with coronary heart disease;the exercise tolerance of female patients is significantly lower than that of males of the same age,Clinical attention should be paid to rehabilitation intervention in time to improve cardiopulmonary tolerance.
作者
杨天祎
司徒炫明
洪伟栋
鹿小燕
江山
陈刚
YANG Tianyi;SITU Xuanming;HONG Weidong;LU Xiaoyan;JIANG Shan;CHEN Gang(Department of Rehabilitation medicine,China-Japanese Friendship Hospital,Beijing 100029,China.;Cardiology department of integrated Traditional Chinese and Westeru medicine,China-Japanese Friendship Hospital,Beijing 100029,China.)
出处
《中国老年保健医学》
2024年第1期44-47,共4页
Chinese Journal of Geriatric Care
基金
首都卫生发展科研专项项目(芪参益气滴丸对冠心病介入术后患者运动耐力和生活质量影响的随机双盲对照临床研究,编号:首发2020-2-4064)。
关键词
冠心病
心肺运动试验
年龄
心肺耐力
摄氧量
coronary heart disease
cardiopulmonary exercise test
age
cardiopulmonaryendurance
oxygen uptake
