摘要
目的:探讨HPEM模式下的心脏康复干预措施对提高PCI术后心绞痛患者心功能的效果。方法:选取2021年10月—2023年4月南华大学附属第二医院收治的96例PCI术后心绞痛患者作为研究对象,根据随机数表法分为试验组和参照组,每组各48例。参照组采用术后常规护理措施,试验组并给予HPEM模式下的心脏康复干预措施,比较两组干预前后心功能指标、6MWT和GQOLI-74评分、AHSMSRS评分和SAQ评分,观察两组不良心血管事件发生情况。结果:干预后试验组LVEF较参照组更高,LVESD和LVEDD水平较参照组更低,差异有统计学意义(P<0.05);干预后,试验组患者6MWT和GQOLI-74评分均明显高于参照组,差异有统计学意义(P<0.05);干预后,试验组患者AHSMSRS评分和SAQ评分较参照组更高,差异有统计学意义(P<0.05);试验组不良心血管事件发生率(4.17%)明显低于参照组(18.75%),差异有统计学意义(P<0.05)。结论:HPEM模式下的心脏康复干预措施可提高PCI术后心绞痛患者心功能,改善运动能力,提高生活质量,减少不良心血管事件。
Objective:To explore the effect of cardiac rehabilitation intervention measures in HPEM mode on improving the cardiac function of patients with angina pectoris after PCI.Method:A total of 96 patients with angina pectoris after PCI treated in the hospital from October 2021 to April 2023 were selected as the study subjects and divided into test group and reference group according to random number table method,with 48 cases in each group.The reference group was given postoperative routine nursing measures,and the experimental group was given cardiac rehabilitation intervention measures under HPEM mode.Cardiac function indexes,6MWT and GQOLI-74 scores,AHSMSRS scores and SAQ scores were compared between the two groups before and after intervention,and adverse cardiovascular events were observed between the two groups.Result:Compared with the control group,LVEF was higher,bu LVESD and LVEDD levels were lower in experimental group after intervention(P<0.05).Compared with the reference group,6MWT and GQOLI-74 scores in experimental group were significantly higher than those in the reference group after intervention(P<0.05).Compared with the control group,AHSMSRS and SAQ scores of experimental group were higher after intervention(P<0.05).The incidence of adverse cardiovascular events in experimental group was 4.17%,which was significantly lower than 18.75%in control group(P<0.05).Conclusion:Cardiac rehabilitation interventions in HPEM mode can improve the cardiac function,exercise ability and quality of life,and reduce adverse cardiovascular events in patients with angina pectoris after PCI.
作者
顾周琼
GU Zhouqiong(The Second Affiliated Hospital of the University of South China,Hengyang 421001,China)
出处
《中外医学研究》
2024年第24期140-143,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
