PCI术后早期康复对冠心病患者心脏康复的作用研究  

Effects of early rehabilitation after PCI on cardiac rehabilitation in patients with coronary heart disease

作　　者：邵利辉[1] 王艳娟[2] 李敏[1] 秦佩 戴朝晖[1] SHAO Li-hui;WANG Yan-juan;LI Min;QIN Pei;DAI Zhao-hui(Third Department of Cardiology,Fourth Hospital of Changsha City,Changsha,Hunan,410006,China)

机构地区：[1]湖南省长沙市第四医院心血管三科,湖南长沙410006 [2]湖南省长沙市第四医院护理部,湖南长沙410006

出　　处：《心血管康复医学杂志》2019年第5期571-575,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：湖南省卫生计生委科研计划课题(B20180388)

摘　　要：目的:研究经皮冠状动脉介入(PCI)术后早期康复对冠心病患者心脏康复的作用。方法:本院收治的100例行PCI治疗的冠心病患者被随机均分为常规护理组与早期康复组,各50例;比较两组术后临床指标、不良心血管事件(MACE)发生率,治疗前、后Morningside康复状态量表(MRSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会功能缺陷筛选量表(SDSS)、健康调查简表(SF-36)的评分及患者满意度。结果:与常规护理组比较,早期康复组术后首次下床时间、下床活动时间,生活完全自理时间、住院时间均显著缩短,术后MACE发生率显著降低(52%比18%),P均=0.001;治疗后,与常规护理组比较,早期康复组MRSS[(5.87±1.21)分比(2.69±1.01)分]、SAS[(49.96±3.98)分比(44.56±3.12)分]、SDS[(49.89±3.85)分比(45.38±3.15)分]得分及SDSS各项维度得分均显著降低,SF-36[(89.76±7.23)分比(93.98±8.09)分]得分显著增加,患者总满意率显著提高(70%比90%),P<0.05或<0.01。结论:PCI术后早期康复可显著提高冠心病患者心脏康复水平,改善患者心理状态、社会功能与生活质量,并可缩短术后恢复时间,全面提升患者满意度。Objective: To study effects of early rehabilitation after percutaneous coronary intervention (PCI) on cardiac rehabilitation in patients with coronary heart disease (CHD). Methods: A total of 100 CHD patients undergoing PCI in our hospital were randomly and equally divided into routine nursing group and early rehabilitation group. Clinical indexes and incidence rate of major adverse cardiovascular events (MACE) after PCI, scores of Morningside rehabilitative state scale (MRSS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), social disability screening schedule (SDSS), short-form 36 health survey questionnaire (SF-36) before and after treatment and patient satisfaction were compared between two groups before discharge. Results: Compared with routine nursing group, there were significant reductions in first-time get out of bed time、exercise time, complete self-care time, hospitalization time, postoperative incidence rate of MACE (52% vs. 18%) in early rehabilitation group, P =0.001 all;After treatment, compared with routine nursing group, there were significant reductions in scores of MRSS[(5.87±1.21) scores vs.(2.69±1.01) scores], SAS[(49.96±3.98) scores vs.(44.56±3.12) scores], SDS[(49.89±3.85) scores vs.(45.38±3.15) score] and each dimension score of SDSS, and significant rise in SF-36 score [(89.76±7.23) scores vs.(93.98±8.09) scores] and total satisfaction rate of patients (70% vs. 90%) in early rehabilitation group, P <0.05 or <0.01. Conclusion: Early rehabilitation after PCI can significantly improve cardiac rehabilitation level, psychological state, social function and quality of life, shorten postoperative recovery time and comprehensively improve patient satisfaction in CHD patients.

关 键 词：冠心病 血管成形术 气囊 冠状动脉 康复 

分 类 号：R541.409[医药卫生—心血管疾病]