| 顾海燕,赵春艳.择期冠脉介入术前老年人运动耐力的现况分析[J].上海护理,2019,19(8): |
| 择期冠脉介入术前老年人运动耐力的现况分析 |
| Status of physical endurance in the elderly before percutaneous coronary intervention in the selected period(1. Tongji university affiliated tongji hospital,Shanghai 200065,China 2. Tongji university affiliated eastern hospital,Shanghai 220120,China) |
| DOI： |
| 中文关键词: 心脏康复 老人 经皮冠状动脉介入(PCI) 运动耐力 |
| 英文关键词:Cardiac rehabilitation the elderly percutaneous coronary intervention(PCI) Physical endurance |
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| 中文摘要: |
| 目的 对老年冠心病患者择期进行经皮冠状动脉介入术(PCI,percutaneous coronary intervention) 也称为心脏支架植入术术前的运动耐力进行调查及现况分析,为术后进行心脏康复提供依据。方法 选取自2016 年1 月到2016 年6 月期间择期接受PCI 术年龄60-75岁的老年患者102例为研究对象,入院后进行一般资料收集及PCI术前运动耐力数据收集。结果 ①患者介入术前活动平板运动试验水平随着运动活动耐力增加而增加,患者的心率和Borg指数也增加,男女心率变化存在统计学差异,但只有33.33%的患者能够轻松完成活动平板运动试验。②6分钟步行试验数据显示患者步行距离为361.69±45.74米,男女性别无差异；6分钟步行试验前后血压比较有显著差异,收缩压平均增加18.50±9.78mmHg,舒张压平均增加7.16±8.65mmHg,男女性别血压变化无差异。结论 择期冠脉介入术前老年人运动耐力有超过一半患者的运动耐力低于正常,通过活动平板运动试验和6分钟步行试验,患者的血压和心率均有不同程度的增加,提示运动能增加患者的运动耐力,因此了解患者术前的运动耐力以便因人适宜的制定术后康复运动处方,加快患者的疾病康复过程,改善患者的生活质量及远期预后。 |
| 英文摘要: |
| Objective To conduct the investigation and present analysis of the physical endurance of the elderly patients with a coronary heart disease. It provides a basis for cardiac rehabilitation after surgery. Methods From January 2016 to June 2016, 102 elderly patients aged 60-75 years who received PCI were selected as the study subjects. General data collection and PCI preoperative physical endurance data collection were conducted after admission. Results ①The level of preoperative planar exercise test increased with the increase of physical tolerance. The patient"s heart rate and Borg index also increased. There were statistically significant differences in heart rate between men and women. But only 33.33 percent of the patients were able to complete the treadmill exercise test easily. ②The 6-minute walking test data showed that the walking distance of the patients was 361.69±45.74 meters, and there was no gender difference between men and women. There was a significant difference in blood pressure before and after the 6-minute walking test, with an average increase in systolic blood pressure of 18.50±9.78mmHg and an average increase in diastolic blood pressure of 7.16±8.65mmHg. There was no difference in blood pressure between men and women. Conclusion More than half of the elderly patients had lower exercise endurance than normal before elective coronary intervention. The patients" blood pressure and heart rate increased in varying degrees through the treadmill exercise test and the 6-minute walking test. It is suggested that exercise can increase patient"s physical endurance. Therefore, it is necessary to understand the patient"s preoperative physical endurance so as to formulate the postoperative rehabilitation exercise prescription appropriately. It can speed up the process of disease rehabilitation and improve the quality of life and long-term prognosis of patients. |
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