Effects of exercise training on rehabilitation in patients after percutaneous coronary intervention
10.3969/j.issn.1008-0074.2018.06.06
- VernacularTitle:运动训练对经皮冠状动脉介入治疗术后患者的康复效果
- Author:
Hong-Mei YU
1
Author Information
1. 重庆市巴南区人民医院康复医学科
- Keywords:
Exercise therapy;
Angioplasty,balloon,coronary;
Ventricular function
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2018;27(6):637-641
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of exercise training on cardiac function,exercise function and quality of life in pa-tients after percutaneous coronary intervention (PCI).Methods:A total of 150 patients after PCI,who were hospitalized in our hospital from Jan 2014 to Dec 2015,were selected.Patients were randomly and equally divided into routine treat-ment group (received routine treatment and health guidance ) and exercise training group (received moderate intensity exer-cise training based on routine treatment group ),both groups were intervened for 12 weeks.Cardiac function indexes,6min walking distance (6MWD),score of Seattle angina questionnaire (SAQ) and incidence rate of major adverse cardiovascular events (MACE) were observed and compared between two groups before and after intervention.Results:Compared with before intervention,there were significant rise in left ventricular ejection fraction (LVEF) and 6MWD,and significant re-ductions in left ventricular end-diastolic dimension (LVEDd) and NYHA class in exercise training group after 12-week in-tervention,P＜0.01 all;there were significant rise in all dimension scores of SAQ in two groups after intervention,P＜ 0.05 or ＜0.01.Compared with routine treatment group after intervention,there were significant rise in LVEF [ (54.19 ± 7.75)% vs.(60.63 ± 9.28)%],6MWD [ (437.49 ± 21.37) m vs.(453.26 ± 31.76) m] and all dimension scores of SAQ,and significant reductions in LVEDd [ (5.24 ± 0.83) cm vs.(4.72 ± 0.78) cm] and NYHA class [ (1.78 ± 0.72) classes vs.(1.43 ± 0.67) classes] in exercise training group,P＜0.05 or ＜0.01.Incidence rate of MACE of exercise training group was significantly lower than that of routine treatment group (6.67% vs.18.67%),P＝0.027.Conclusion:Exercise training can improve cardiac function,exercise function and quality of life,reduce incidence rate of MACE in pa-tients after PCI,which is worth extending.
