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中国人民解放军总医院
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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
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创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
张瀛月,马晶,袁林,胡鑫,田淬,邢龙芳,徐勇.居家心脏康复和中心心脏康复对冠心病患者心肺适能的影响[J].中华老年多器官疾病杂志,2021,20(4):285~289
居家心脏康复和中心心脏康复对冠心病患者心肺适能的影响
Effects of home-based cardiac rehabilitation and center-based cardiac rehabilitation on cardiopulmonary fitness in patients with coronary heart disease
投稿时间:2021-01-06  
DOI:10.11915/j.issn.1671-5403.2021.04.059
中文关键词:  心脏康复;居家心脏康复;冠心病;心肺适能
英文关键词:cardiac rehabilitation; home-based cardiac rehabilitation; coronary heart disease; cardiopulmonary fitness Corresponding author:XU Yong,E-mail:13701141929@163.com〖FL
基金项目:
作者单位E-mail
张瀛月 解放军医学院,北京100853;解放军总医院第一医学中心心血管内科,北京100853 13701141929@163.comeffects 
马晶 解放军总医院第一医学中心心血管内科,北京100853 13701141929@163.comeffects 
袁林 解放军总医院第一医学中心心血管内科,北京100853 13701141929@163.comeffects 
胡鑫 解放军总医院第一医学中心心血管内科,北京100853 13701141929@163.comeffects 
田淬 解放军总医院第一医学中心心血管内科,北京100853 13701141929@163.comeffects 
邢龙芳 解放军总医院第一医学中心心血管内科,北京100853 13701141929@163.comeffects 
徐勇 解放军医学院,北京100853;解放军总医院第一医学中心心血管内科,北京100853 13701141929@163.comeffects 
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中文摘要:
      目的 探索居家心脏康复(HBCR)和中心心脏康复(CBCR)对冠心病(CHD)患者心肺适能的影响。方法 选取2018年11月至2019年10月在解放军总医院心脏康复中心门诊就诊的18~80岁的CHD患者,采用随机数表和信封法将患者分为HBCR组和CBCR组,分别以HBCR或CBCR干预3个月。对比2组患者干预前后的峰值摄氧量(peak VO2)。采用SPSS 25.0软件进行统计分析。组间比较分别采用卡方检验、t检验或Mann-Whitney U检验。结果 纳入191例患者,HBCR组92例,CBCR组99例。2组患者基线水平均衡可比。HBCR组患者干预后peak VO2水平高于干预前peak VO2水平,差异有统计学意义[(20.5±4.7)和(19.2±3.9)ml/(kg·min); P =0.002]; CBCR组患者在干预后peak VO2水平高于干预前peak VO2水平,差异有统计学意义[(21.2±4.8) 和 (19.9±4.4)ml/(kg·min);P=0.001]。但2组患者干预后peak VO2差异无统计学意义(P=0.331); HBCR和CBCR组患者干预后peak VO2的改善程度差异无统计学意义[1.2(-1.2,3.5)和 1.1(-0.5,3.5)ml/(kg·min); P=0.630]; HBCR和CBCR组患者干预后peak VO2改善程度占干预前peak VO2比率差异无统计学意义[0.1(-0.1,0.2)和0.1(0.0,0.2);P=0.610]。结论 HBCR和CBCR均可提高CHD患者心肺适能,且HBCR对心肺适能的改善效力与CBCR无差异。
英文摘要:
      Objective To determine the effects of home-based cardiac rehabilitation (HBCR) and center-based cardiac rehabilitation (CBCR) on cardiopulmonary fitness in patients with coronary heart disease (CHD). Methods The CHD patients (18-80 years old) who visited the Clinic of Cardiac Rehabilitation Center of Chinese PLA General Hospital from November 2018 to October 2019 were subjected in this study, and were randomly divided into HBCR and CBCR groups. They were given the HBCR program or CBCR program respectively for 3 months. Then peak oxygen uptake (peak VO2) were compared before and after the intervention and between the 2 groups. Statistical analyses were conducted by SPSS statistics 25.0. Intergroup differences were analyzed by Chi-square test, student′s t test, or Mann-Whitney U test for different data types. Results For the 191 enrolled patients, 92 were assigned into HBCR group and 99 into CBCR group. There were no statistical differences in the baseline data between the 2 groups. After intervention, peak VO2 level was significantly increased in the HBCR group [(20.5±4.7) vs(19.2±3.9) ml/(kg·min); P=0.002] and the CBCR group [(21.2±4.8) vs (19.9±4.4) ml/(kg·min); P=0.001]. But no statistical difference was seen in the level between HBCR and CBCR groups after the intervention (P=0.331), in the improvement of the level after the intervention [1.2 (-1.2,3.5) vs 1.1 (-0.5,3.5) ml/(kg·min); P=0.630], or in the ratio of the improvement after the intervention to the level before [0.1 (- 0.1,0.2) vs 0.1 (0.0,0.2); P=0.610]. Conclusion Both HBCR and CBCR can improve the cardiopulmonary fitness in the CHD patients. And the improvement of the cardiopulmonary fitness by HBCR is equal to that of CBCR.
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