首页|正念减压式抗阻训练对急性心肌梗死PCI术后患者心功能及冠脉微循环的影响研究

正念减压式抗阻训练对急性心肌梗死PCI术后患者心功能及冠脉微循环的影响研究

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目的 探究正念减压式抗阻训练对急性心肌梗死PCI术后患者心理弹性及冠脉微循环的影响。方法 选择2022年2月—2023年2月期间在联勤保障部队第九八八医院行PCI手术治疗的急性心肌梗死患者90例,按照数字表达法分为例数相同的两组,对照组(45例)实施常规康复措施,观察组(45例)则采用正念减压式抗阻训练。比较两组患者心功能数据,包括:LVEF(左室射血分数)、LVESD(左室舒张内径)、LVEDD(左室舒张);比较两组患者冠脉微循环数据,包括:CFR(冠状动脉血流储备指数)、IMR(冠状动脉循环抵抗指数)、SAQ(西雅图心绞痛)量表评分;比较两组患者运动功能,包括:峰值摄氧量、峰值功率、6 min步行距离、最大运动时间。结果 LVEDD等心功能数据两组患者干预前无差异(P>0。05);观察组LVEDD等心功能数据干预后较对照组改善显著,组间比差异有统计学意义(P<0。05)。CFR、IMR等冠脉微循环数据两组患者干预前无差异(P>0。05);观察组CFR、IMR等冠脉微循环数据较对照组改善显著,组间比差异有统计学意义(P<0。05)。峰值摄氧量、最大运动时间等运动功能数据两组患者干预前无差异(P>0。05);观察组峰值摄氧量、最大运动时间等运动功能数据较对照组高,组间比差异有统计学意义(P<0。05)。结论 对行PCI手术治疗的急性心肌梗死患者实施正念减压式抗阻训练,对其预后起到着关键的作用,可有效改善患者的心功能及冠脉微循环,同时可提升患者的运动功能,值得临床借鉴。
Effect of mindfulness-based stress reduction resistance training on cardiac function and coronary microcirculation in patients with acute myocardial infarction after PCI
Objective To explore the effects of mindfulness-based stress reduction resistance training on mental resili-ence and coronary microcirculation in patients with acute myocardial infarction after PCI.Methods A total of 90 pa-tients with acute myocardial infarction who underwent PCI surgery in he 988 Hospital of Joint Logistic Support Force from February 2022 to February 2023 were divided into two groups with the same number of cases according to numerical ex-pression method.The control group(45 cases)received routine rehabilitation measures,while the observation group(45 cases)received mindfully decompression resistance training.The cardiac function data of the two groups were com-pared,including LVEF(left ventricular ejection fraction),LVESD(left ventricular diastolic diameter)and LVEDD(left ventricular diastolic diameter).Coronary microcirculation data of the two groups were compared,including CFR(coronary flow reserve index),IMR(coronary circulation resistance index),SAQ(seattle angina pectoris)scale score;the exercise function of the two groups was compared,including peak oxygen uptake,peak power,6min walking dis-tance and maximum exercise time.Results There was no difference in the isocardial function-data of LVEDD between two groups before intervention(P>0.05).After intervention,the LVEDD isocardiac function data of the observation group was significantly improved compared with that of the control group,and the difference of inter-group ratio was statistically significant(P<0.05).CFR,IMR and other coronary microcirculation data were not different between the two groups before intervention(P>0.05).CFR,IMR and other coronary microcirculation data in observation group were significantly improved compared with that of control group,and the difference of ratio between groups was statisti-cally significant(P<0.05).There was no difference in motor function data such as peak oxygen uptake and maximum exercise time between the two groups before intervention(P>0.05).The exercise function data of the observation group were higher than those of the control group(P<0.05).Conclusion Mindful-decompression resistance training for patients with acute myocardial infarction after PCI plays a key role in prognosis.It can effectively improve patients'heart function and coronary microcirculation,as well as improve patients'motor function,which is worthy of clinical reference.

Acute myocardial infarctionPCIHeart functionCoronary microcirculationMindfulness-based stress re-ductionResistance training

丁平、楚曌涵、郭晓峰、陈红、张海燕、韩丽华

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联勤保障部队第九八八医院心血管内科,郑州 450021

新乡医学院,新乡 453000

河南中医药大学,郑州 450000

急性心肌梗死 PCI 心功能 冠脉微循环 正念减压 抗阻训练

国家自然科学基金面上项目

81373610

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(13)
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