首页|早期心脏康复方案在急性心肌梗死经皮冠状动脉介入治疗患者中的作用分析

早期心脏康复方案在急性心肌梗死经皮冠状动脉介入治疗患者中的作用分析

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目的:探讨早期心脏康复方案对急性心肌梗死经皮冠状动脉介入治疗(PCI)患者的应用效果.方法:选取2022年1月至 2023年1月期间本院收治的68例急性心肌梗死患者作为研究对象.采用随机数字表法将患者分为对照组和观察组,每组各34 例.对照组采用常规术后康复护理,观察组在对照组基础上采用早期心脏康复方案.分析比较两组的运动功能[6 min步行试验(6MWT)]、生活质量及心血管不良事件.结果:护理前,两组的6MWT无显著差异(P>0.05).护理3 m后,两组6MWT均升高,且观察组的6MWT较对照组显著提高(P<0.05).观察组的心血管不良事件发生率显著低于对照组(P<0.05).护理前,两组的躯体功能、心理功能、社会功能、物质生活各项生活质量评分均无显著差异(P>0.05).护理后,两组的各项生活质量评分均比护理前提高,且观察组的各项生活质量评分均显著高于对照组(P<0.05).结论:早期心脏康复方案能够改善急性心肌梗死患者PCI术后运动功能,减少心血管不良事件发生,提高患者的生活质量.
Effect of early cardiac rehabilitation in patients with acute myocardial infarction treated by percutaneous coronary intervention
Objective:To investigate the effect of early cardiac rehabilitation in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:68 patients with acute myocardial infarction admitted to our hospital from January 2022 to January 2023 were selected as the study objects.Patients were divided into control group and observation group by random number table method,with 34 cases in each group.The control group received routine postoperative rehabilitation nursing,and the observation group received early cardiac rehabilitation program on the basis of the control group.Motor function[6min walking test(6MWT)],quality of life and cardiovascular adverse events were analyzed and compared between the two groups.Results:Before nursing,there was no significant difference in 6MWT between the two groups(P>0.05).After 3 months of nursing,6MWT in both groups was increased,and 6MWT in the observation group was significantly higher than that in the control group(P<0.05).The incidence of cardiovascular adverse events in observation group was significantly lower than that in control group(P<0.05).Before nursing,there were no significant differences in the scores of physical function,psychological function,social function and material life between the two groups(P>0.05).After nursing,the scores of life quality in both groups were improved compared with those before nursing,and the scores of life quality in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Early cardiac rehabilitation can improve motor function,reduce cardiovascular adverse events and improve the quality of life of patients with acute myocardial infarction after PCI.

Acute myocardial infarctionPercutaneous coronary interventionEarly cardiac rehabilitation training

王璐、马慧杰、谭冠文

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信阳职业技术学院,河南 信阳 464000

急性心肌梗死 经皮冠状动脉介入治疗 早期心脏康复训练

2023年度信阳市重点研发与推广专项(科技攻关、成果转化、软科学研究)项目

20230041

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(8)
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