中国循证心血管医学杂志2024,Vol.16Issue(12) :1543-1545,1549.DOI:10.3969/j.issn.1674-4055.2024.12.30

心脏康复综合治疗对经皮冠状动脉介入治疗术后患者临床预后的影响分析

Influence of comprehensive treatment of cardiac rehabilitation on clinical prognosis in patients after percutaneous coronary intervention

赵冰 焦焕 王印 鲍宏刚
中国循证心血管医学杂志2024,Vol.16Issue(12) :1543-1545,1549.DOI:10.3969/j.issn.1674-4055.2024.12.30

心脏康复综合治疗对经皮冠状动脉介入治疗术后患者临床预后的影响分析

Influence of comprehensive treatment of cardiac rehabilitation on clinical prognosis in patients after percutaneous coronary intervention

赵冰 1焦焕 1王印 1鲍宏刚2
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作者信息

  • 1. 100700 北京,解放军总医院第七医学中心心内科
  • 2. 037000 大同,中部战区空军医院心内科
  • 折叠

摘要

目的 探究分析心脏康复综合治疗对经皮冠状动脉介入治疗(PCI)术后患者临床预后的影响.方法 选取2021年1月至2022年12月于解放军总医院第七医学中心心内科接受PCI的患者102例作为研究对象,采用随机数字表法将患者分为对照组和观察组,每组各51例.对照组采用常规康复治疗模式干预,观察组采用心脏康复综合治疗干预.比较两组患者心功能及生活质量的变化.结果 干预前两组左心室射血分数(LVEF)、左心室舒张末期内径(LVDD)及左心室后壁厚度(LVPW)比较,差异无统计学意义(P>0.05),干预后观察组LVEF、LVDD、LVPW优于对照组,差异有统计学意义(P<0.05);干预前治疗组与观察组在生理职能评分、心理职能评分、社会职能评分比较,差异无统计学意义(P>0.05),干预后观察组在生理职能评分、心理职能评分、社会职能评分优于对照组,差异有统计学意义(P<0.05).结论 与对照组相比,接受PCI的患者采用心脏康复综合治疗模式可提高LVEF、减小LVDD及LVPW,改善PCI术后患者的心功能;同时给予心脏康复综合治疗后,其生理职能评分、心理职能评分、社会职能评分均较对照组提高,可明显改善PCI术后患者的生活质量.

Abstract

Objective To analyze the influence of comprehensive treatment of cardiac rehabilitation (CR) on clinical prognosis in patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI).Methods CHD patients undergone PCI (n=102) were chosen from Department of Cardiology in the Seventh Medical Center of Chinese PLA General Hospital from Jan.2021 to Dec.2022.All patients were divided,according to random digital table,into control group and observation group (n=51).The control group was given intervention of routine comprehensive treatment,and observation group was given intervention of CR comprehensive treatment.The changes of heart function and heart function;quality of life (QOL) were compared between 2 groups.Results Before intervention,the differences in left ventricular ejection fraction (LVEF),left ventricular end-diastolic diameter (LVEDD) and left ventricular posterior wall thickness (LVPWT) had no statistical significance between 2 groups (P>0.05).After intervention,the differences in LVEF,LVEDD and LVPWT had statistical significance between 2 groups (P<0.05).The differences in scores of physiological function,psychological function and social ability had no statistical significance (P>0.05) between 2 groups before intervention,and the differences had statistical significance (P<0.05) between 2 groups after intervention.Conclusion LVEF is promoted,LVEDD and LVPWT are reduced,and heart function is improved in CHD patients undergone PCI after CR comprehensive treatment.At the same time,scores of physiological function,psychological function and social ability are raised,and QOL is significantly improved.

关键词

心脏康复综合治疗/经皮冠状动脉介入治疗/心功能/生活质量

Key words

Comprehensive treatment of cardiac rehabilitation/Percutaneous coronary intervention/Heart function/Quality of life

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出版年

2024
中国循证心血管医学杂志
中国人民解放军北京军区总医院

中国循证心血管医学杂志

CSTPCD
影响因子:1.272
ISSN:1674-4055
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