摘要
目的观察介入治疗联合早期心脏康复治疗对合并高血压老年急性心肌梗死患者心脏功能的影响。方法在某院心内科住院治疗合并高血压的老年急性心肌梗死患者145例,其中行介入治疗并联合早期心脏康复治疗者69例(观察组),行介入治疗者76例(对照组)。两组均给予心肌梗死的基础药物治疗,行心脏超声检测两组患者出院时和出院6个月后的心脏功能,比较两组患者心脏不良反应的发生率。结果观察组出院时和出院后6个月的心脏收缩功能改善、心室重构逆转情况差异有统计学意义(P<0.01),且观察组患者心脏不良事件发生率明显低于对照组(P<0.05)。结论介入治疗联合早期心脏康复治疗对合并高血压的老年急性心肌梗死患者心脏功能的改善有更好的临床效果,同时降低了心脏不良事件的发生率。
Objective To observe the effect of percutaneous coronary intervention (PCI) combined with early cardiac rehabilitation on cardiac function of elderly patients with acute myocardial infarction (AMI) complicated with hypertension. Methods A total of 145 elderly patients with AMI complicated with hypertension admitted to the Department of Cardiology of the hospital were selected, of which 69 patients received the treatment with PCI combined with early cardiac rehabilitation (Observation Group) and 76 patients received the treatment with PCI (Control Group). Both groups were given basic drug treatment for AMI. Cardiac ultrasound was used to detect cardiac function in both groups at the time of discharge and 6 months after the discharge. The incidence of adverse cardiac reactions was compared between the two groups. Results There was statistical difference in the improvement in cardiac systolic function and the reversion of ventricular remodeling in the Observation Group between the time of discharge and 6 months after the discharge (P<0.01). The Observation Group showed the incidence of adverse cardiac events significantly lower than the Control Group (P<0.05). Conclusion PCI combined with early cardiac rehabilitation has a better clinical effect on the improvement of cardiac function in elderly patients with AMI complicated with hypertension. It also can reduce the incidence of adverse cardiac events.
作者
吕绍翔
高超
王鹏飞
LV Shao-xiang;GAO Chao;WANG Peng-fei(New Rongqi Hospital of Shunde,Foshan 528300,China)
出处
《广东医科大学学报》
2019年第3期280-282,共3页
Journal of Guangdong Medical University
关键词
冠状动脉介入治疗
急性心肌梗死
高血压
心脏功能
percutaneous coronary intervention
acute myocardial infarction
hypertension
heart function
