李盈 陈艳

[摘要] 目的 探讨弹力带抗阻运动训练在冠心病稳定型心绞痛患者中的应用。 方法 选取2018年1月至2019年6月我院内科门诊就诊的冠心病稳定型心绞痛患者72例，随机分为干预组与对照组，每组各36例。对照组患者予常规干预方案，干预组患者在对照组基础上予弹力带抗阻运动训练，两组均干预12周。观察两组患者干预前后心肺储备功能及运动耐力的变化，并比较临床疗效。 结果 干预12周后，两组患者LVEF、FVC和FEV1/FVC比值均较干预前明显上升，LVEDD较干预前明显下降（P<0.05或P<0.01），且干预组患者变化幅度较对照组更明显（P<0.05）;两组患者6MWD较干预前明显上升（P<0.05或P<0.01），且干预组患者上升幅度高于对照组（P<0.05）;同时干预组患者总有效率（94.44%）明显高于对照组（77.78%）（χ2=4.180，P<0.05）。 结论 弹力带抗阻运动训练用于冠心病稳定型心绞痛患者的疗效确切，能明显提高心肺储备功能和运动耐力，可使更多的冠心病稳定型心绞痛患者从抗阻运动训练中获益。

[关键词] 冠心病稳定型心绞痛;弹力带抗阻运动训练;心肺储备功能;运动耐力

[中图分类号] R541.6          [文獻标识码] A          [文章编号] 1673-9701（2021）08-0012-04

Application of elastic band resistance training in patients with stable angina pectoris of coronary heart disease

LI Ying   CHEN Yan

Department of Internal Medicine， Wenling Hospital of Traditional Chinese Medicine， Wenling   317500， China

[Abstract] Objective To explore the application of elastic band resistance training in patients with stable angina pectoris of coronary heart disease. Methods A total of 72 patients with stable angina pectoris of coronary heart disease in our hospital from January 2018 to June 2019 were selected and randomly divided into intervention group and control group， with 36 cases in each group. Patients in the control group received conventional intervention programs， and patients in the intervention group received elastic band resistance training on the basis of the treatment in the control group. Both groups were intervened for 12 weeks. The changes in cardiorespiratory reserve function and exercise endurance of the two groups before and after intervention were observed， and the clinical effects were compared. Results After 12 weeks of intervention， the ratios of LVEF， FVC， and FEV1/FVC between the two groups were significantly higher than those before the intervention， and LVEDD was significantly lower than that before the intervention（P<0.05 or P<0.01）. The changes in the intervention group were greater than those in the control group （P<0.05）. The 6MWD of the two groups increased significantly than that before the intervention（P<0.05 or P<0.01）， and the increase in the intervention group was more significant than that of the control group（P<0.05）. The effective rate of total clinical treatment of the intervention group（94.44%） was significantly better than that（77.78%） of the control group（χ2=4.180， P<0.05）. Conclusion Elastic band resistance training is effective for patients with stable angina pectoris of coronary heart disease. It can significantly improve cardiorespiratory reserve function and exercise endurance， and more patients with stable angina pectoris can benefit from resistance exercise training.

[Key words] Stable angina pectoris of coronary heart disease; Elastic band resistance training; Cardiorespiratory reserve function; Exercise endurance

冠心病稳定型心绞痛是临床常见的心血管疾病，多见于男性，多数患者在40岁以上，可出现典型胸骨后阵发性绞痛，冠心病稳定型心绞痛病程长达数十年，可引起自主神经调节受损，影响心肺功能，运动耐力下降，导致患者日常生活能力下降，因此，改善患者心肺功能和提高其运动耐力有助于冠心病稳定型心绞痛病情的康复[1-2]。抗阻运动指身体克服阻力以达到肌肉增长和力量增加的过程，用于心血管疾病取得较好的效果，但用于冠心病稳定型心绞痛目前国内报道较少[3-4]。本研究探讨弹力带抗阻运动训练在冠心病稳定型心绞痛患者中的效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2018年1月至2019年6月我院内科门诊就诊的冠心病稳定型心绞痛患者72例。纳入标准[5]：①符合《慢性稳定性心绞痛诊断与治疗指南》中冠心病稳定性心绞痛的标准[6]，②心功能分級Ⅰ～Ⅱ级;年龄45～75岁。……