八段锦联合有氧踏车对PCI术后患者焦虑、抑郁及心肺功能的影响

目的:探讨八段锦训练联合有氧踏车训练对经皮冠状动脉治疗(percutaneous oronary interventio,PCI)术后患者的焦虑、抑郁情绪及心肺功能的影响。方法:选取首都医科大学附属北京康复医院心脏康复中心2018年2月-2020年1月收治的冠心病PCI后80例患者,随机分为实验组和对照组,对照组给予常规药物治疗及健康宣教,实验组在常规药物治疗及健康宣教基础上给予八段锦训练联合有氧踏车训练,一次训练包括30 min有氧踏车、28 min八段锦训练,3次/周(周一、三、五),持续12周。结果:术后第13周,实验组广泛性焦虑障碍(GAD-7)评分(3.23±1.72)及病例健康问卷(PHQ-9)评分(3.75±1.15)明显低于术后第1周GAD-7评分(4.68±2.86)及PHQ-9评分(4.93±2.76),具有显著性差异(P<0.001);与对照组比较,术后第13周实验组GAD-7评分与PHQ-9评分具有显著性差异(P<0.05);峰值摄氧量(19.84±1.12)ml·min^-1·kg^-1、峰值氧脉搏(12.91±0.72)ml.次^-1、无氧阈摄氧量(12.75±1.21)ml·min^-1·kg^-1、无氧阈代谢当量(4.68±0.56)METs,均明显高于术后第1周,具有显著性差异(P<0.001);实验组差值与对照组差值比较,具有显著性差异(P<0.001)。结论:八段锦训练联合有氧踏车训练能够明显改善患者的焦虑、抑郁情绪以及患者的心肺功能。

The Effect of Baduanjin Combined Aerobic Bicycle Exercise on Cardiopulmonary Function,Anxiety and Depression in Patients with Coronary Heart Disease after Percutaneous Coronary Intervention(PCI)

Objective:To explore the effect of Baduanjin combined aerobic bicycle exercise on cardiopulmonary function,anxiety and depression in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods:A total of 80 patients with coronary heart disease after PCI,who were treated in Cardiac Rehabilitation Center,Beijing Rehabilitation Hospital of Capital Medical University from February 2018 to January 2020,were selected and randomly divided into control group(n=40)and exercise group(n=40).The control group was given conventional drugs treatment and health education.The exercise group was adopted with Baduanjin combined aerobic bicycle exercise training on the basis of conventional drugs treat‐ment and health education.One training includes 30 min of aerobic cycling,28 min of Baduan‐jin training,3 times a week(Monday,Wednesday,Friday),and lasting for 12 weeks.The chang‐es in the assessment of anxiety(GAD-7)and depression(PHQ-9),cardiopulmonary function in‐dex such as peak oxygen uptake,peak oxygen pulse,anaerobic threshold oxygen uptake and an‐aerobic threshold metabolic equivalent were observed before and after exercise.Results:13weeks after PCI,the scores of GAD-7(3.23±1.72)and PHQ-9(3.75±1.15)in the experimen‐tal group were significantly lower than those of 1 week after PCI(P<0.001).The scores of GAD-7 were significantly lower compared with the control group(P<0.05).Peak oxygen up‐take(19.84±1.12)ml·min^-1·kg^-1,peak oxygen pulse(12.91±0.72),anaerobic threshold oxy‐gen uptake(12.75±1.21)ml·min^-1·kg^-1,anaerobic threshold metabolic equivalent(4.68±0.56)METs were significantly higher than experimental group of 1 week after PCI(P<0.001);and significantly higher compared with the control group(P<0.001).Conclusion:Baduanjin combined aerobic bicycle exercise significantly improves the anxiety,depression and cardio pul‐monary function of patients with coronary heart disease after PCI.