摘 要
冠心病是心血管系统常见疾病，经皮冠状动脉介入治疗（PCI）虽能有效改善冠脉狭窄状况，但术后患者仍面临诸多问题，如运动耐力下降、心理压力增大等。为探究运动疗法在冠心病患者PCI术后心脏康复中的应用效果，本研究选取某时间段内于某医院行PCI术后的冠心病患者若干例作为研究对象。采用随机数字表法将其分为观察组与对照组，两组均接受常规护理，观察组在此基础上实施运动疗法，包括有氧运动、抗阻训练等，并根据患者个体情况调整运动方案。结果表明，观察组患者的心肺功能指标如6分钟步行距离、峰值摄氧量等较对照组有明显提高，生活质量评分也显著优于对照组，在焦虑抑郁情绪改善方面同样表现良好。这说明运动疗法可提升冠心病患者PCI术后心脏康复效果，其创新之处在于结合患者具体情况制定个性化运动方案，主要贡献为提供了一种有效的辅助康复手段，有助于改善患者预后，减轻家庭及社会负担，对冠心病患者PCI术后心脏康复具有重要指导意义。
关键词：冠心病；经皮冠状动脉介入治疗；运动疗法；心脏康复；个性化运动方案
Abstract
Coronary heart disease (CHD) is a common cardiovascular disorder, and although percutaneous coronary intervention (PCI) effectively alleviates coronary artery stenosis, postoperative patients still encounter various issues such as reduced exercise endurance and increased psychological stress. To investigate the application effects of exercise therapy in cardiac rehabilitation for CHD patients after PCI, this study selected several cases of CHD patients who underwent PCI at a specific hospital during a certain period as research subjects. The patients were divided into an observation group and a control group using a random number table method. Both groups received routine care, while the observation group additionally implemented exercise therapy, including aerobic exercise and resistance training, with adjustments made to the exercise regimen based on individual patient conditions. The results demonstrated that cardiopulmonary function indicators, such as 6-minute walk distance and peak oxygen uptake, were significantly improved in the observation group compared to the control group. The quality of life scores were also markedly better in the observation group, and improvements in anxiety and depression were evident. This indicates that exercise therapy can enhance the cardiac rehabilitation outcomes for CHD patients after PCI. The innovation lies in formulating personalized exercise plans according to patient-specific conditions, and its main contribution is providing an effective auxiliary rehabilitation approach. This not only helps improve patient prognosis but also alleviates the burden on families and society, offering significant guidance for cardiac rehabilitation in CHD patients following PCI.
Keywords：Coronary Heart Disease；Percutaneous Coronary Intervention；Exercise Therapy；Cardiac Rehabilitation；Individualized Exercise Program
目 录
摘 要 I
Abstract II
引 言 1
第一章 冠心病PCI术后康复现状分析 2
1.1 运动疗法在心脏康复中的地位 2
1.2 国内外研究进展综述 2
第二章 运动疗法对生理指标的影响 4
2.1 心肺功能改善效果评估 4
2.2 血脂血压变化分析 4
2.3 体力耐力提升情况 5
第三章 运动疗法对心理状态的作用 6
3.1 焦虑抑郁情绪改善 6
3.2 生活质量评分变化 6
3.3 康复依从性影响因素 7
第四章 运动疗法实施的关键要素 9
4.1 个性化运动方案制定 9
4.2 安全风险防控措施 9
4.3 康复效果长期跟踪 10
结 论 11
参考文献 12
致 谢 13
