首页|心脏康复训练配合增强型体外反搏治疗对急性心肌梗死患者PCI术后心功能、运动耐力的影响

心脏康复训练配合增强型体外反搏治疗对急性心肌梗死患者PCI术后心功能、运动耐力的影响

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目的 探究心脏康复训练配合增强型体外反搏治疗对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后心功能、运动耐力的影响.方法 选择 2022年 3 月—2023 年3 月成武县人民医院收治的 280 例行PCI术治疗的AMI患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 140 例.对照组给予患者常规干预和心脏康复训练,观察组给予患者常规干预、心脏康复训练和增强型体外反搏治疗.对比两组患者的生活质量、心功能、运动耐力.结果 治疗后,观察组左室射血分数为(56.87±9.44)%,高于对照组的(51.35±9.24)%,左室舒张末期内径为(42.88±0.57)mm,短于对照组的(48.01±0.86)mm,左室舒张末期容积为(105.37±12.25)mL,小于对照组的(124.68±16.46)mL,,组间差异有统计学意义(P<0.05);干预后,观察组Borg劳累度评估量表评分为(5.77±0.94)分,低于对照组的(9.48±1.02)分,中国心血管疾病患者生活质量评定问卷评分为(78.68±6.05)分,高于对照组的(64.17±5.24)分,组间差异有统计学意义(P<0.05).结论 心脏康复训练联合增强型体外反搏治疗有助于改善AMI患者PCI术后的心功能,可增强运动耐力,提高生活质量.
Effect of Cardiac Rehabilitation Training Combined with Enhanced Extracorporeal Counterpulsation Therapy on Post PCI Cardiac Function and Exercise Endurance in Patients with Acute Myocardial Infarction
Objective Exploring the effects of cardiac rehabilitation training combined with enhanced extracorporeal counterpulsation therapy on postoperative cardiac function and exercise endurance in patients with acute myocardial infarction(AMI)undergoing percutaneous coronary intervention(PCI).Methods A total of 280 AMI patients treated with PCI at Chengwu County People's Hospital from March 2022 to March 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 140 cases in each group.The control group received routine intervention and cardiac rehabilitation training,and the observation group received routine intervention,cardiac rehabilitation training,and enhanced extracorporeal counterpulsation treatment for patients.Compare the quality of life,cardiac function,and exercise endurance between two groups of patients.Results After treatment,the left ventricular ejection fraction of the observation group was(56.87±9.44)%,higher than the control group's(51.35±9.24)%,the left ventricular end diastolic diameter was(42.88±0.57)mm,shorter than the control group's(48.01±0.86)mm,the left ventricular end-diastolic volume was(105.37±12.25)mL in the observation group,which was less than(124.68±16.46)mL in the control group,the differences between groups were statistically significant(P<0.05);after intervention,the Borg Burnout Rating Scale score for the observation group was(5.77±0.94)points,lower than the control group's(9.48±1.02)points.The Chinese Questionnaire of Quality of Life in Chinese Patient with Cardiovascular Diseases score was(78.68±6.05)points,higher than the control group's(64.17±5.24)points,the differences between groups were statistically significant(P<0.05).Conclusion The combination of cardiac rehabilitation training and enhanced extracorporeal counterpulsation therapy can improve the cardiac function of AMI patients after PCI,enhance exercise endurance,and improve quality of life.

Acute myocardial infarctionCardiac rehabilitation trainingEnhanced extracorporeal counterpulsationPercutaneous coronary interventionCardiac functionExercise endurance

徐大勇

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成武县人民医院心血管内科,山东菏泽 274200

急性心肌梗死 心脏康复训练 增强型体外反搏 经皮冠状动脉介入治疗 心功能 运动耐力

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)