摘要
目的 探讨心脏康复治疗方案对急性心肌梗死(AMI)患者经皮冠状动脉介入术(PCI)术后的康复效果及对心功能的影响。方法 100例PCI术后的AMI患者为研究对象,采用简单化随机法分为对照组和实验组,各50例。对照组患者PCI术后实施常规康复治疗方案进行干预,实验组患者PCI术后实施心脏康复治疗方案干预。比较两组患者干预前及干预3个月后健康状况调查简表(SF-36)评分和改良Barthel指数(MBI)评分、左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)和左心室舒张末期内径(LVEDD),术后住院时间,心血管不良事件发生率。结果 干预3个月后,对照组与实验组患者的SF-36评分和MBI评分均较干预前升高,且实验组高于对照组,差异具有统计学意义(P<0.05)。干预3个月后,两组患者LVEF、LVEDD和LVESD水平均较干预前明显改善,且实验组LVEF明显高于对照组, LVEDD和LVESD明显低于对照组,差异均有统计学意义(P<0.05)。实验组术后住院时间(9.35±2.27)d短于对照组的(14.23±2.75)d,差异具有统计学意义(P<0.05)。实验组患者心血管不良事件发生率2.0%显著低于对照组的16.0%,差异具有统计学意义(P<0.05)。结论 心脏康复治疗方案对AMI患者PCI术后具有显著的康复效果,能有效改善患者的心脏功能,提高患者的生活质量和日常生活活动能力,降低康复过程中心血管不良事件发生情况,缩短患者的康复周期。
Objective To explore the effect of cardiac rehabilitation program on acute myocardial infarction(AMI)patients after percutaneous coronary intervention(PCI),and its influence on cardiac function.Methods A total of 100 patients with AMI after PCI were studied and divided into a control group and an experimental group by simplified randomization method,with 50 patients in each group.The control group received routine rehabilitation treatment for intervention after PCI,and the experimental group received cardiac rehabilitation treatment for nursing intervention after PCI.Both groups were compared in terms of 36-item short-form health survey(SF-36)score and modified Barthel index(MBI)score,left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD)and left ventricular end-diastolic diameter(LVEDD)before intervention and 3 months after intervention,postoperative hospital stay,and incidence of adverse cardiovascular events.Results At 3 months after intervention,the SF-36 score and MBI score of the control group and the experimental group were higher than those before intervention,and the experimental group was higher than the control group.The difference was statistically significant(P<0.05).At 3 months after intervention,LVEF,LVEDD and LVESD levels were significantly improved in both groups compared with those before intervention,and LVEF level in the experimental group were significantly higher than that in the control group,while LVEDD and LVESD levels were significantly lower than those in the control group.The difference was statistically significant(P<0.05).The postoperative hospital stay of the experimental group was(9.35±2.27)d,which was shorter than(14.23±2.75)d of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse cardiovascular events in the experimental group was 2.0%,which was significantly lower than 16.0%in the control group,and the difference was statistically significant(P<0.05).Conclusion Cardiac rehabilitation program has si
作者
黄宇
HUANG Yu(Liaoning Electric Power Central Hospital Rehabilitation Medicine Center,Shenyang 110000,China)
出处
《中国现代药物应用》
2024年第5期153-156,共4页
Chinese Journal of Modern Drug Application
关键词
急性心肌梗死
经皮冠状动脉介入术
心脏康复治疗方案
Acute myocardial infarction
Percutaneous coronary intervention
Cardiac rehabilitation program
