目的 研究房颤合并心功能不全行射频消融术患者采取心肺康复运动干预对其生活质量的影响。方法 选取2023年5月至2024年6月三明市第一医院心内科房颤合并心功能不全射频消融术后患者72例,经随机数字表法分为对照组（36例,常规健康指导与标准治疗）和观察组（36例,增加心肺康复运动）,对比两组治疗前后的第一秒用力呼气量（FEV₁）、最大自主通气量（MVV）、左室射血分数（LVEF）、6 min步行试验（6MWT）距离、运动时间,评价生活质量,观察相关不良事件发生情况。结果 观察组FEV₁、MVV、LVEF、6MWT、运动时间、生活质量均高于对照组（P<0.05）。观察组不良事件发生率低于对照组（P<0.05）。结论 房颤合并心功能不全射频消融术后患者采取心脏康复运动干预能够促进心肺功能的康复,同时提高患者运动耐力以及生活质量,对于预防心脏相关不良事件具有一定效果。

Objective To investigate the effect of cardiopulmonary rehabilitation exercise intervention on the quality of life of patients with atrial fibrillation and cardiac dysfunction undergoing radiofrequency ablation. Methods A total of 72 patients with atrial fibrillation complicated with cardiac insufficiency after radiofofency ablation in the Department of Cardiology of Sanming First Hospital from May 2023 to June 2024 were selected and divided into control group (36 cases with routine health guidance and standard treatment) and observation group (36 cases with cardiopulmonary rehabilitation exercise added) by random number table method. The first second forced expiratory volume (FEV₁), maximum spontaneous ventilation (MVV), left ventricular ejection fraction (LVEF), 6-min walking test (6MWT) distance and exercise time of the two groups were compared before and after treatment to evaluate the quality of life and observe the occurrence of related adverse events. Results FEV₁, MVV, LVEF, 6MWT, exercise time and quality of life in observation group were higher than those in control group (P<0.05). The incidence of adverse events in observation group was lower than that in control group (P<0.05). Conclusions Cardiac rehabilitation exercise intervention for patients with atrial fibrillation and cardiac dysfunction after radiofrequency ablation can promote the recovery of cardiopulmonary function, improve their exercise endurance and quality of life, and have a certain effect on preventing adverse cardiac events.