首页|高压氧治疗结合心脏康复护理训练对不稳定型心绞痛患者心电图改善情况及预后的影响

高压氧治疗结合心脏康复护理训练对不稳定型心绞痛患者心电图改善情况及预后的影响

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目的 探讨高压氧治疗结合心脏康复护理训练在不稳定型心绞痛患者中的应用效果.方法 以 114 例不稳定型心绞痛患者为对象,采用随机数字表法将其分为对照组和试验组,各57例.对照组给予心脏康复护理训练,试验组在此基础上给予高压氧治疗,两组均治疗4周,并随访 1年.比较两组心电图改善情况,心绞痛持续时间、发作次数,炎症、心肌损伤指标及预后情况.结果 试验组治疗 4 周后的心电图改善情况优于对照组,差异有统计学意义(P<0.05).治疗 4 周后,两组心绞痛持续时间短于治疗前,且试验组短于对照组,差异有统计学意义(P<0.05);两组心绞痛发作次数少于治疗前,且试验组少于对照组,差异有统计学意义(P<0.05).治疗 4 周后,两组血清γ干扰素、肿瘤坏死因子-α、超敏C反应蛋白水平低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05).治疗 4周后,两组血清肌酸激酶同工酶-MB、心肌肌钙蛋白I水平低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05).试验组随访期间不良事件总发生率低于对照组,差异有统计学意义(P<0.05).结论 高压氧治疗结合心脏康复护理训练治疗不稳定型心绞痛患者具有较好的应用效果.
Effect of hyperbaric oxygen therapy combined with cardiac rehabilitation nursing training on electrocardiogram improvement and prognosis of patients with unstable angina pectoris
Objective To investigate the application effect of hyperbaric oxygen therapy combined with cardiac rehabilitation nursing training in patients with unstable angina pectoris.Methods A total of 114 patients with unstable angina pectoris were divided into control group and experimental group by random number table method,57 cases in each group.The control group was given cardiac rehabilitation nursing training,and the experimental group was given hyperbaric oxygen therapy on this basis.Both groups were treated for four weeks and followed up for one year.Electrocardiogram improvement,angina pectoris duration,frequency of attacks,inflammation,myocardial injury,and prognosis were compared between the two groups.Results After four weeks of treatment,the electrocardiogram improvement of experimental group was better than that of control group,and the difference was statistically significant(P<0.05).After four weeks of treatment,the duration of angina pectoris in the two groups were shorter than those before treatment,while the experimental group was shorter than the control group,the differences were statistically significant(P<0.05).The frequency of angina pectoris in the two groups were less than those before treatment,the experimental group was less than the control group,the differences were statistically significant(P<0.05).After four weeks of treatment,levels of serum interferon-γ,tumor necrosis factor-α,and hypersensitivity C-reactive protein in two groups were lower than those before treatment,while those of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).After four weeks of treatment,levels of serum creatine kinase isozyme-MB,cardiac troponin I in two groups were lower than those before treatment,while those of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events in experimental group was lower than that in control group during follow-up,and the difference was statistically significant(P<0.05).Conclusion Hyperbaric oxygen combined with cardiac rehabilitation nursing training has a good effect on patients with unstable angina pectoris.

Unstable angina pectorisHyperbaric oxygenRehabilitation trainingElectrocardiogram

王桂丽、王艳玲、李丽娟、常丽艳

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河北省沧州市人民医院高压氧科,河北沧州 061000

河北省张家口市第一医院电生理科,河北张家口 075000

河北省沧州市人民医院静配中心,河北沧州 061000

不稳定型心绞痛 高压氧 康复训练 心电图

河北省卫生健康委医学科学研究课题

20221904

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(7)
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