背景:非心源性胸痛(NCCP)是指没有心脏起源的持续性心绞痛样胸痛,影响患者的健康相关生活质量(HrQoL),虽然它不影响死亡率。NCCP全面培训计划的效果侧重于生活质量,心理状态,外周肌肉力量,身体活动,和生活质量尚未确定或公布。因此,这项研究旨在展示我们专注于功能能力的联合培训计划的有效性,身体活动,肺功能,呼吸和外周肌肉力量,呼吸困难,疲劳,焦虑,NCCP伴呼吸困难患者的抑郁感知。
方法:一名38岁的患有呼吸急促和NCCP的男子被转诊到我们那里进行心肺康复。呼吸肌力(口压装置),功能能力(6分钟步行测试,6-MWT),外周肌力(测力计),肺功能(肺活量测定),疲劳(疲劳严重程度量表),呼吸短促(MMRC,修改后的医学理事会研究,改良的Borg量表-MBS),身体活动(国际身体活动问卷,IPAQ),健康相关生活质量(SF-36,简表36),和抑郁和焦虑(医院抑郁和焦虑量表,HADs)进行了评估。有氧训练结合吸气肌肉训练(负荷30%最大吸气压力(MIP))至少每周5天,持续6周。功能能力,身体活动,肺功能,呼吸和周围肌肉力量得到改善,呼吸困难,疲劳,焦虑,管理后抑郁感知下降。
结论:这种联合训练计划对NCCP和呼吸急促患者有效。未来的研究应该为NCCP患者找到最有效的生物心理社会训练方案。
BACKGROUND: Noncardiac chest pain (NCCP) is persistent angina-like chest pain without cardiac origin that affects the patient\'s health related quality of life (HrQoL), although it does not affect mortality. The effect of a comprehensive training program for NCCP focused on quality of life, psychological state, peripheral muscle strength, physical activity, and quality of life has not been previously established or published. Therefore, this study aimed to show the effectiveness of our combined training program that focuses on functional capacity, physical activity, pulmonary function, respiratory and peripheral muscle strength, dyspnea, fatigue, anxiety, and depression perception in NCCP patients with dyspnea.
METHODS: A 38-year-old man with shortness of breath and NCCP was referred to to us for cardiopulmonary rehabilitation. Respiratory muscle strength (mouth pressure device), functional capacity (6 min walking test, 6-MWT), peripheral muscle strength (dynamometer), pulmonary function (spirometry), fatigue (fatigue severity scale), shortness of breath (MMRC, Modified Medical Council Research, Modified Borg Scale-MBS), physical activity (International Physical Activity Questionnaire, IPAQ), health related quality of life (SF-36, Short Form-36), and depression and anxiety (Hospital Depression and Anxiety scale, HADs) were assessed. Aerobic training combined with inspiratory muscle training (loading 30% maximal inspiratory pressure (MIP)) was administered at least 5 days/week for 6 weeks. Functional capacity, physical activity, pulmonary function, and respiratory and peripheral muscle strength improved, and dyspnea, fatigue, anxiety, and depression perception were decreased after the management.
CONCLUSIONS: This combined training program was effective for patients with NCCP and shortness of breath. Future studies should be conducted to find the most effective biopsychosocial training protocol for NCCP patients.