康复训练在STEMI急诊PCI术患者运动耐力改善及心血管不良事件预防中的作用
Role of Rehabilitation Training in Improving Exercise Endurance and Preventing Cardiovascular Adverse Events in STEMI Patients Undergoing Emergency PCI
邢成1
作者信息
- 1. 北京市丰台区康复医院急诊内科,北京 100079
- 折叠
摘要
目的 分析康复训练在ST段抬高型心肌梗死(STEMI)急诊经皮冠状动脉介入(PCI)术患者运动耐力改善及不良事件预防中的应用效果.方法 选取北京市丰台区康复医院 2021 年 1 月—2023 年 11 月收治的 100 例STEMI急诊PCI术患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组 50 例.对照组采用常规干预,观察组在对照组基础上进行康复训练.对比两组患者的心功能、心血管不良事件发生情况、运动耐力及血脂水平.结果 干预后,观察组的同型半胱氨酸、血浆脑钠肽水平均低于对照组,左室舒张末期内径短于对照组,左室射血分数高于对照组,组间差异有统计学意义(P＜0.05).观察组的心血管不良事件发生率为 2.00%,低于对照组的 20.00%,差异有统计学意义(P＜0.05).干预后,观察组的 6 min步行距离、运动持续时间均长于对照组,峰值功率、峰值摄氧量、无氧阈值均高于对照组,组间差异有统计学意义(P＜0.05).结论 康复训练在STEMI急诊PCI术患者中的应用效果显著,可有效改善其心功能,提升其运动耐力,降低心血管不良事件发生率,值得临床推广使用.
Abstract
Objective To analyze the effect of rehabilitation training on improving exercise endurance and preventing cardiovascular adverse events in patients with ST-segment elevation myocardial infarction(STEMI)undergoing emergency percutaneous coronary intervention(PCI).Methods A total of 100 cases of STEMI emergency PCI patients admitted to Beijing Fengtai Rehabilitation Hospital from January 2021 to November 2023 were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 50 cases in each group.The control group received conventional intervention,and the observation group received rehabilitation training on this basis.The cardiac function,cardiovascular adverse events,exercise endurance and blood lipid levels were compared between the two groups.Results After intervention,the levels of homocysteine,plasma brain natriuretic peptide in the observation group were lower than those in the control group,the left ventricular end-diastolic diameter in the observation group was shorter than that of control group,and the left ventricular ejection fraction was higher than that in the control group,the differences between the groups were statistically significant(P＜0.05).The incidence of cardiovascular adverse events in the observation group was 2.00%,lower than 20.00%in the control group,and the difference was statistically significant(P＜0.05).After intervention,the 6-min walking distance and exercise duration of the observation group were longer than those of the control group,and the peak power,peak oxygen uptake and anaerobic threshold were higher than those of the control group,the differences between the groups were statistically significant(P＜0.05).Conclusion The application of rehabilitation training in STEMI patients undergoing emergency PCI has significant effects,which can effectively improve their heart function,enhance their exercise endurance and reduce the incidence of cardiovascular adverse events,and is worthy of clinical promotion.
关键词
STEMI急诊PCI术/康复训练/运动耐力/不良事件Key words
STEMI emergency PCI/Rehabilitation training/Exercise endurance/Adverse event引用本文复制引用
出版年
2024
NETL
NSTL
万方数据