Effects of Traditional Chinese Medicine Cardiac Rehabilitation Exercise Combined with Respiratory Function Training on Oxygenation, Cardiopulmonary Function, Exercise Capacity and Quality of Life in Coronary Heart Disease Patients after PCI
SHEN Yanan, ZHAO Feiran, FENG Ling
Department of Rehabilitation Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437
Abstract:【Objective】 To explore the effects of traditional Chinese medicine (TCM) cardiac rehabilitation exercise combined with respiratory function training on oxygenation function, cardiopulmonary function, exercise capacity and quality of life in patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI). 【Methods】 A total of 120 CHD patients after PCI admitted to our hospital from April 2023 to April 2025 were enrolled and randomly divided into the observation group (receiving TCM cardiac rehabilitation exercise combined with respiratory function training) and the control group (receiving respiratory function training alone), with 60 cases in each group. The oxygenation function [maximal oxygen uptake (VO2max), peak rate of perceived exertion (PREspk), peak metabolic equivalent (METspk)], cardiopulmonary function [right ventricular end-diastolic diameter (RVEDD), right ventricular anterior wall thickness (RVAWT), pulmonary artery systolic pressure (PASP), forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), FEV1/FVC], exercise capacity [6-minute walking distance (6MWD), maximal exercise load], and quality of life [Chinese Cardiovascular Quality of Life Questionnaire (CQQC) score] were compared between the two groups. 【Results】 After treatment, VO2max and METspk increased while PREspk decreased in both groups; the observation group had higher VO2max and METspk, and lower PREspk than the control group (all P<0.05). In terms of cardiopulmonary function, RVEDD, RVAWT and PASP decreased, while FEV1, FVC and FEV1/FVC increased in both groups after treatment; the observation group presented lower RVEDD, RVAWT, PASP and higher FEV1, FVC, FEV1/FVC (all P<0.05). Additionally, 6MWD and maximal exercise load of both groups were significantly improved after treatment, with better outcomes in the observation group (P<0.05). All dimension scores of CQQC in the observation group were higher than those in the control group after intervention (P<0.05). 【Conclusion】 TCM cardiac rehabilitation exercise combined with respiratory function training can effectively improve oxygenation function, cardiopulmonary function and exercise capacity, and enhance the quality of life of CHD patients after PCI, which plays a positive role in promoting postoperative rehabilitation.
沈亚南, 赵斐然, 冯玲. 中医心脏康复操联合呼吸功能训练对冠心病PCI术后氧合功能、心肺功能、运动能力及生活质量的影响[J]. 医学临床研究, 2026, 43(6): 926-929.
SHEN Yanan, ZHAO Feiran, FENG Ling. Effects of Traditional Chinese Medicine Cardiac Rehabilitation Exercise Combined with Respiratory Function Training on Oxygenation, Cardiopulmonary Function, Exercise Capacity and Quality of Life in Coronary Heart Disease Patients after PCI. JOURNAL OF CLINICAL RESEARCH, 2026, 43(6): 926-929.