CAJ | 학술논문

目的：观察心肺康复训练对冠心病患者心肺功能和生活质量的影响。方法：冠心病患者116例随机分为观察组和对照组各58例。2组均给予常规内科药物治疗，观察组在此基础上给予系统的心肺康复训练。结果：治疗1个月后，观察组的无氧阈（AT）、峰值氧脉搏及峰值氧摄取量均明显高于对照组（P＜0．05），二氧化碳通气当量（VE/VCO2）斜率明显低于对照组（P＜0．05）；观察组SF-36各项评分均较治疗前及对照组明显提高（P＜0．05），对照组治疗前后比较差异无统计学意义；2组SAS和SDS评分均较治疗前明显降低（P＜0．05），且观察组更低于对照组（P＜0．05）。结论：对冠心病患者实施系统心肺康复治疗，可明显改善患者的肺功能，提高患者的运动耐力和生活质量，改善患者的心理状况。
목적：관찰심폐강복훈련대관심병환자심폐공능화생활질량적영향。방법：관심병환자116례수궤분위관찰조화대조조각58례。2조균급여상규내과약물치료，관찰조재차기출상급여계통적심폐강복훈련。결과：치료1개월후，관찰조적무양역（AT）、봉치양맥박급봉치양섭취량균명현고우대조조（P＜0．05），이양화탄통기당량（VE/VCO2）사솔명현저우대조조（P＜0．05）；관찰조SF-36각항평분균교치료전급대조조명현제고（P＜0．05），대조조치료전후비교차이무통계학의의；2조SAS화SDS평분균교치료전명현강저（P＜0．05），차관찰조경저우대조조（P＜0．05）。결론：대관심병환자실시계통심폐강복치료，가명현개선환자적폐공능，제고환자적운동내력화생활질량，개선환자적심리상황。
Objective :To investigate the effects of cardiopulmonary rehabilitation training on cardiopulmonary func-tion and quality of life in patients with coronary artery disease .Methods :116 patients with coronary heart disease were randomly divided into observation group and control group ,58 cases in each group .Both groups were given con-ventional medical treatment .Besides ,observation group was given systematic cardiopulmonary rehabilitation train-ing .Results :After 1-month treatment ,the anaerobic threshold (AT) ,peak oxygen pulse and peak VO2 in observation group were higher ,while the VE/VCO2 slope was lower than the control group significantly (P<0 .05) .The SF-36 scores in observation group were higher than those before the treatment and control group significantly (P<0 .05) . The SAS and SDS scores in two groups were significantly lower than those before the treatment (P< 0 .05) ,and those in the observation group were lower than those in control group (P<0 .05) .Conclusion:Systematic cardiopul-monary rehabilitation training can significantly improve the lung function ,exercise tolerance ,quality of life and psy-chological condition in patients with coronary heart disease .