PCI术后Ⅰ期心脏康复患者不同时间行6分钟步行试验的安全性比较  

Safety comparison on starting 6 Minute Walking Test at different times for patients in phase Ⅰ cardiac rehabilitation after PCI

作　　者：蹇祥玉[1] 叶秀莲[1] 路海云[1] 郑韵仪 罗莹怡[1] 吴丹丹 Jian Xiangyu;Ye Xiulian;Lu Haiyun;Zheng Yunyi;Luo Yingyi;Wu Dandan(Heart Center,Foshan Second People′s Hospital,Foshan 528000,China)

机构地区：[1]佛山市第二人民医院心脏中心,广东佛山528000

出　　处：《护理学杂志》2020年第7期84-86,共3页Journal of Nursing Science

基　　金：佛山市十三五医学重点专科和特色专科建设项目(FSZDZK135027);佛山市第二人民医院新技术新项目(2019021)。

摘　　要：目的探讨急性心肌梗死PCI术后Ⅰ期心脏康复患者提前行6分钟步行试验的安全性及可行性.方法将69例急性心肌梗死PCI术后Ⅰ期心脏康复患者随机分为对照组34例和观察组35例.对照组于出院前1d行6分钟步行试验,观察组于PCI术后第4天行6MWT.比较两组6分钟步行距离及试验中的心率、血压、血氧饱和度、BORG评分和心律失常发生情况.结果两组均完成6分钟步行试验,两组6分钟步行距离及试验中的心率、血压、血氧饱和度、BORG评分、心律失常发生率无显著差异(均P>0.05).结论急性心肌梗死PCI术后Ⅰ期心脏康复患者将6分钟步行试验提前至术后第4天进行安全可行,可以评价Ⅰ期心脏康复的效果和运动能力,使患者出院前能更好得掌握自我训练方法,从而提高运动耐力.Objective To explore the safety and feasibility of starting 6 Minute Walking Test(6MWT)in advance for acute Myocardial Infarction(MI)patients in phase Ⅰ cardiac rehabilitation after PCI.Methods Totally 69 acute MI patients in phase Ⅰ cardiac rehabilitation after PCI were randomized into a control group(34 cases)and an interventiongroup(35 cases).The control group conducted 6MWT at 1 day before discharge,while the intervention group started 6MWT at 4 days after PCI.The 6 Minute Walk Distance(6MWD),Heart Rate(HR),Blood Pressure(BP),blood oxygen saturation,BORG score and cardiac arrhythmia rate between the two groups during the test were compared.Results Both of the two groups completed the 6MWT.There were no significant differences in 6MWD,HR,blood oxygen saturation,Oxygenation,BORG score and cardiac arrhythmia rate between the two groups(P>0.05 for all).Conclusion Acute MI patients in phase Ⅰ cardiac rehabilitation after PCI starting 6MWT at 4 days after PCI is safe and feasible.It can evaluate the effect of phase Ⅰ cardiac rehabilitation and patients′exercise ability,and help patients better understand self-training methods before discharge,then improve theirexercise endurance.

关 键 词：急性心肌梗死 PCI术 6分钟步行试验 次极量运动试验 心脏功能 心脏康复 运动耐力 安全性 

分 类 号：R473.5[医药卫生—护理学]