远程心脏康复对应用蒽环类药物化疗的乳腺 癌患者的影响

The Impact of Remote Cardiac Rehabilitation on Breast Cancer Patients Undergoing Anthracycline-Based Chemotherapy

摘要: 目的：探讨远程心脏康复对蒽环类药物化疗的乳腺癌患者心肺功能及生活质量的影响。方法：将30例接受蒽环类药物化疗的乳腺癌患者随机分为实验组(n = 15)和对照组(n = 15)。实验组接受为期6个月的远程心脏康复，对照组接受常规护理与健康教育。干预前后分别测量两组患者的静息心率、最大摄氧量(VO₂ peak)，并采用生活质量评估量表(36-Item Short Form Health Survey, SF-36)评估生活质量。采用SPSS 27.0进行分析，采用重复测量方差分析分析结果。结果：干预后，实验组静息心率显著减慢(P < 0.001)，最大摄氧量显著提升(P < 0.001)；生命质量核心量表30评分显著提升。对照组上述指标无明显变化。结论：远程心脏康复可有效改善蒽环类药物化疗乳腺癌患者的心肺功能及生活质量，为临床开展肿瘤患者远程心脏康复提供了有效参考。

Abstract: Objective: To explore the impact of remote cardiac rehabilitation on the cardiopulmonary function and quality of life of breast cancer patients undergoing anthracycline chemotherapy. Methods: Thirty breast cancer patients receiving anthracycline chemotherapy were randomly divided into an experimental group (n = 15) and a control group (n = 15). The experimental group received a 6-month remote cardiac rehabilitation program, while the control group received routine care and health education. Resting heart rate and peak oxygen uptake (VO₂ peak) were measured in both groups before and after the intervention, and quality of life was assessed using the 36-Item Short Form Health Survey (SF-36). Data were analyzed using SPSS 27.0, and repeated measures ANOVA were used to analyze the results. Results: After the intervention, the experimental group showed a significant decrease in resting heart rate (P < 0.001) and a significant increase in peak oxygen uptake (P < 0.001), with a significant improvement in the SF-36 score. There were no significant changes in the control group. Conclusion: Remote cardiac rehabilitation can effectively improve the cardiopulmonary function and quality of life of breast cancer patients undergoing anthracycline chemotherapy, providing an effective reference for the clinical implementation of remote cardiac rehabilitation for cancer patients.