Effects Of Combined Exercise Training And Press-needle On Middle Aged And Elderly PCI Postoperative CHD Patients In Exercise Performance,Cardiopulmonary Function And Living Quality

Objective:To observe the effects of exercise training combined with press-needle on middle aged and elderly PCI postoperative CHD patients in exercise performance,cardiopulmonary function and living quality,and explore its mechanism.Method:Forty-five middle aged and elderly PCI postoperative CHD patients were randomly assigned to exercise training group A,(n=15),exercise training and press-needle group B(n=15)and control group C(n=15)by random number table.All the patients adopted the routine medication management and health education.Group A adopted the exercise training including aerobic training and resistant training 3 times a week for 12 weeks.Group B firstly adopted the press-needle treatment which chooses double Nei Guan(PC6),Xi Men(PC4),Zu Sanli(ST36),Xin Shu(BL15),Fei Shu(BL13),San Yinjiao(SP6)and then had the same exercise training with group A.All patients were evaluated with cardiopulmonary function including FEV1,FEV1/FVC%,MVV,LVEF,HRR1 and exercise performance including VO2max,AT,MWL.The living quality is assessed by SF-36 questionnaire from 8 aspects before and after 12 weeks.Result:1.Varying degrees of decline in exercise performance,cardiopulmonary function and living quality in group C after 12 weeks.2.Group A had significant improvements in FEV1?FEV1/FVC%?MVV?LVEF?HRR1?V02max?AT?MWL(P<0.01).Group A also had improvement in Physical Functioning(PF),Role-Physical(RP),Social Functioning(SF),General Health(GH)among SF-36(P<0.01)and the last 4 aspects had no significant change(P>0.05).3.Group B had significant improvements in FEV1?FEV1/FVC%?MVV?LVEF?HRR1?V02max?AT?MWL(P<0.01)and better than group A in HRRI?LVEF?V02max?AT(P<0.05).All the 8 aspects of SF-36 had remarkable improvements in group B(P<0.01)which were better than group A in Body Pain(BP)?Vitality(VT)?Role-Emotional(RE)?Mental Health(MH)(P<0.01).Conclusion:1.Middle aged and elderly PCI postoperative CHD patients' exercise performance,cardiopulmonary function and living quality have varying degrees of decline if they accept conventional drug treatment only which is bad for prognosis.2.Cardiac rehabilitation with the core of exercise training can improve middle aged and elderly PCI postoperative CHD patients' exercise performance,cardiopulmonary function and living quality.3.Exercise training combined with press-needle treatment have better improvements than single exercise training in exercise performance,cardiopulmonary function and living quality.