动能递进式运动对急性心肌梗死经皮冠状动脉介入术后患者早期运动功能的改善作用  

The effect of kinetic progressive exercise on the improvement of early motor function in patients with acute myocardial infarction after PCI

作　　者：陈丽萍[1] 符娇珠[1] 吴少琼[1] 吴永娟[1] 林妙春[1] 徐卫平[1] 陈录清[1] 郭观华[1] CHEN Liping;FU Jiaozhu;WU Shaoqiong;WU Yongjuan;LIN Miaochun;XU Weiping;CHEN Luqing;GUO Guanhua(The Second Branch of Cardiology Department,Zhanjiang Central People's Hospital,Zhanjiang 524045,China)

机构地区：[1]湛江中心人民医院心内二科,广东湛江524045

出　　处：《中国临床护理》2020年第1期22-25,29,共5页Chinese Clinical Nursing

摘　　要：目的探讨动能递进式运动干预对急性心肌梗死经皮冠状动脉介入(percutaneous coronary intervention,PCI)术后患者早期运动功能的改善作用。方法选取2017年3月-2018年3月于我院接受PCI术治疗的急性心肌梗死患者84例作为观察对象,将其以随机抽签法分成实验组与对照组,每组各42例。对照组予以常规护理,实验组在对照组的基础上增用动能递进式运动干预。比较2组干预前后心功能(左心室射血分数、左心室舒张末期容积、左心室收缩末期容积)、早期运动功能、不良事件发生情况及患者生活质量。结果干预后,实验组左心室射血分数高于对照组(t=4.281,P<0.001);运动时间、最大运动负荷、代谢当量水平均好于对照组(P<0.05);不良事件发生率低于对照组(χ^2=4.480,P=0.034),症状、躯体功能、心理社会功能、认知功能、满意度评分高于对照组(P<0.05)。结论动能递进式运动干预可显著改善急性心肌梗死PCI术后患者早期运动功能,同时有利于改善患者心功能,降低不良事件发生风险,提高患者的生活质量。Objective To investigate the effect of kinetic progressive exercise intervention on the improvement of early motor function in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods Totally 84 patients with acute myocardial infarction and treated with PCI in our hospital between March 2017 and March 2018 were selected and randomly divided into an experimental group and a control group,each of 42.Both groups were given routine nursing,while the experimental group was additionally provided with kinetic progressive exercise intervention.The cardiac function including the left ventricular ejection fraction(LVEF),left ventricular end-diastolic volume(LVEDV)and left ventricular end-systolic volume(LVESV),early motor function,occurrence of adverse events,and life quality before and after intervention were measured and compared between the two groups.Results There were no significant differences in all the measurements before the intervention.After the intervention,the LVEF level of the experimental group was significantly higher than that of the control group(t=4.281,P<0.001),the exercise duration,maximum exercise load and metabolic equivalent level of the former were significantly better than the latter(P<0.05).While the incidence of adverse events of the former was significantly lower than the latter(χ^2=4.480,P=0.034).The symptoms,physical function,psychosocial function,cognitive function and satisfaction scores of the experimental group were significantly higher than those of the control group(P<0.05).Conclusion Kinetic progressive exercise intervention can significantly improve the early motor function,lower the incidence of adverse events,and improve the life quality of patients with acute myocardial infarction after PCI.

关 键 词：急性心肌梗死 经皮冠状动脉介入术 运动干预 心功能 运动功能 

分 类 号：R473.5[医药卫生—护理学]