摘要
目的探讨运动康复七步法改善急性心肌梗死经皮冠状动脉介入治疗（PCI）术后患者心功能，使患者生活尽早自理。
方法选择2016年1-12月住院的符合纳入标准的急性心肌梗死支架置入术后患者60例，采用随机数字表法分为康复组30例和对照组30例，对照组采用PCI常规护理，康复组采用运动康复七步法进行康复训练，术后第1天观察2组患者左室射血分数（LVEF），术后第9天观察2组患者LVEF和生活自理能力情况。心功能的评价采用心脏彩超，生活自理能力采用改良Barthel指数（MBI）。
结果术后第1天，康复组和对照组LVEF低于50%的发生率分别为53.30%（16/30）和50.00%（15/30），2组比较差异无统计学意义（χ2=0.067，P〉0.05）；术后第9天，康复组和对照组LVEF低于50%的发生率分别为26.70%（6/30）和46.70%（14/30），2组比较差异有统计学意义（χ2=4.800，P〈0.05）。康复组和对照组MBI评分分别为（80.167 ±4.111）、（64.200 ± 3.145）分，2组比较差异有统计学意义（t=16.896，P〈0.01）。
结论采用运动康复七步法进行康复训练可明显改善心肌梗死支架术后患者心功能和生活自理能力，在临床可推广应用。
ObjectiveTo discuss the improvement of the seven steps of exercise rehabilitation to improve the cardiac function of patients with acute myocardial infarction after percutaneous coronary intervention （PCI）, making patients to take care of themselves as early as possible.
MethodsA total of 60 cases of patients with acute myocardial infarction after stent implantation were selected to be admitted to our hospital from January to December 2016, using the random number table method to divide into the rehabilitation group （30 cases） and the control group （30 cases）. The control group received PCI routine nursing and the rehabilitation group received seven steps of rehabilitation training. The left ventricular ejection fraction （LVEF） of the two groups was observed one day after operation. The LVEF and self-care ability of the two groups were observed nine days after operation. The evaluation of cardiac function adopted the heart color ultrasound, and the improved Barthel Index （MBI） was adopted in life self-care ability.
ResultsThe first day after surgery, the incidence rate of LVEF below 50% in the rehabilitation group and control group were 53.30% （16/30） and 50.00% （15/30） respectively. There was no statistically significant difference between the two groups （χ2 = 0.067, P 〉 0.05）, the ninth day after surgery, the incidence rate of LVEF below 50% in the rehabilitation group and control group were 26.70% （6/30） and 46.70% （14/30）, the two groups had statistically significant difference （χ2 = 4.800, P 〈 0.05）. The MBI scores of the recovery group and the control group were respectively 80.167 ± 4.111 and 64.200 ± 3.145 respectively. The two groups had statistically significant difference （t = 16.896, P 〈 0.01）.
ConclusionsThe rehabilitation training can significantly improve the cardiac function and self-management ability of patients after myocardial infarction, and can be used in clinic.
作者
董姣姣
吴克琴
Dong Jiaofiao, Wu Keqin(Department of Geriatrics Cardiology, Jaagxi Provincial People ＇s Hospital, Nang Chang 330006, Chin)
出处
《中国实用护理杂志》
2018年第9期712-716,共5页
Chinese Journal of Practical Nursing
基金
南昌市科技支撑计划项目（2014HZZC018）
关键词
运动康复七步法
急性心肌梗死
心功能
生活自理能力
The seven step method of motion rehabilitation
Acute myocardial infarction
Cardiac function
Self-help ability
