五禽戏联合Ⅱ期心脏康复在冠心病PCI术后患者中的应用
Application of Wuqinxi combined with Phase Ⅱ cardiac rehabilitation in patients with coronary heart disease after PCI
苏宇虹 1赵玉玲 1梁芳芳2
作者信息
- 1. 530022 南宁,广西中医药大学第一附属医院心血管内科
- 2. 530022 南宁,广西中医药大学第一附属医院急诊科
- 折叠
摘要
目的 探究五禽戏联合Ⅱ期心脏康复在冠状动脉粥样硬化性心脏病(冠心病)患者经皮冠状动脉介入治疗(PCI)术后干预中的应用价值.方法 选取2021年7月至2022年7月于广西中医药大学第一附属医院接受PCI的冠心病患者144例,按照随机数字表法分为对照组、联合组,每组各72例.对照组患者进行Ⅱ期心脏康复干预,联合组患者进行五禽戏联合Ⅱ期心脏康复干预.检测两组心功能变化,对比两组患者干预前及干预1月、干预3月后心理情绪、自我护理能力、生活质量,比较两组患者的心脏康复依从率、心血管事件发生率、家属满意率.结果 两组的性别、年龄、体质指数、心功能分级、高血压比、糖尿病比较,差异无统计学意义(P＞0.05).干预1月、干预3月后,联合组6 min步行距离(6MWD)、左室射血分数(LVEF)水平均高于对照组(P＜0.05).干预1月、干预3月后,联合组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于对照组(P＜0.05).干预1月、干预3月后,联合组自我护理能力测定表(ESCA)、简明健康状况调查表(SF-36)评分均高于对照组(P＜0.05).联合组患者心脏康复依从率、家属满意率高于对照组,心血管事件发生率低于对照组(P＜0.05).结论 冠心病患者PCI术后使用五禽戏联合Ⅱ期心脏康复进行干预,心功能恢复理想,有助于患者康复.
Abstract
Objective To explore the application value of Wuqinxi combined with phase Ⅱ cardiac rehabilitation in the postoperative intervention of patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 144 patients with coronary heart disease who underwent PCI in the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine from July 2021 to July 2022 were selected,they were divided into a control group and a combined group according to the method of random number table,with 72 cases in each group.Patients in the control group received phase Ⅱ cardiac rehabilitation intervention,while patients in the combined group received phase Ⅱ cardiac rehabilitation intervention combined with Wuqinxi.The changes in cardiac function in both groups were detected.The psychological emotion,self-care ability,and quality of life of the two groups of patients were compared before and after intervention for one month and three months.The compliance rate of cardiac rehabilitation,the incidence of cardiovascular events,and the satisfaction rate of family members were compared between the two groups.Results There was no significant difference in gender,age,body mass index,cardiac function classification,proportion of hypertension,and proportion of diabetes between the two groups(P>0.05).After 1 month and 3 months of intervention,the 6-minute walking distance(6MWD)and left ventricular ejection fraction(LVEF)levels in the combined group were higher than those in the control group(P<0.05).After one month and three months of intervention,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in the combined group were lower than those in the control group(P<0.05).After one month and three months of intervention,the scores of the exercise of self-care agency(ESCA)scale and short-form 36-item health survey questionnaire(SF-36)in the combined group were higher than those in the control group(P<0.05).The compliance rate of cardiac rehabilitation and the satisfaction rate of family members in the combined group were higher than those in the control group,and the incidence of cardiovascular events was lower than that in the control group(P<0.05).Conclusion Intervention with Wuqinxi combined with phase Ⅱ cardiac rehabilitation in patients with coronary heart disease after PCI is ideal for the recovery of cardiac function and is more conducive to the rehabilitation of patients.
关键词
冠状动脉粥样硬化性心脏病/经皮冠状动脉介入治疗/心脏康复/心血管事件/五禽戏Key words
Coronary heart disease/Percutaneous coronary intervention/Phase Ⅱ cardiac rehabilitation/Cardiovascular events/Wuqinxi引用本文复制引用
基金项目
广西中医药适宜技术开发与推广项目(GZSY23-19)
广西中医药局自筹经费科研课题(GXZYZ20210359)
出版年
2024
NETL
NSTL
维普
万方数据