早期运动康复对急性心肌梗死急诊冠状动脉介入治疗患者心脏功能的影响  

Effect of early exercise rehabilitation on the heart function of patients with acute myocardial infarction after percutaneous coronary intervention

作　　者：王显良[1] 谷高玲[1] 孙海燕[1] 杨秀丽[1] 杨萌[1] 胡俊楠 WANG Xianliang;GU Gaoling;SUN Haiyan;YANG Xiuli;YANG Meng;HU Junnan(Department of Cardiology,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China)

机构地区：[1]新乡医学院第三附属医院心血管内科一病区,河南新乡453003

出　　处：《新乡医学院学报》2020年第6期584-587,共4页Journal of Xinxiang Medical University

摘　　要：目的探讨早期运动康复对急性心肌梗死(AMI)急诊行经皮冠状动脉支架植入术(PCI)患者心脏功能的影响。方法将120例急性心肌梗死急诊行PCI术的患者随机分为观察组及对照组,每组60例。对照组患者给予常规药物治疗,观察组患者在对照组治疗的基础上给予12周的早期运动康复治疗。术后第1天、第12周行心脏彩色超声检查测2组患者左心室舒张末期内径(LVEDD)和左心室射血分数(LVEF);术后第1、12周测2组患者6分钟步行距离(6MWD)及最大摄氧量(VO2max)、无氧阈(AT)。结果对照组和观察组患者心绞痛发生率分别为3.3%(2/60)、5.0%(3/60);2组患者心绞痛发生率比较差异无统计学意义(χ^2=0.091,P> 0.05)。术后第1天2组患者LVEDD、LVEF比较差异均无统计学意义(P> 0.05),术后1周2组患者VO2max、AT、6MWD比较差异无统计学意义(P> 0.05)。对照组患者术后第12周LVEDD、LVEF与术后第1天比较差异无统计学意义(P> 0.05),术后第12周VO2max、AT、6MWD与术后第1周比较差异无统计学意义(P> 0.05)。观察组患者术后第12周LVEDD与术后第1天比较差异无统计学意义(P> 0.05),LVEF高于术后第1天(P <0.05);观察组患者术后第12周VO2max、AT、6MWD高于术后第1周(P <0.05)。术后第12周,2组患者LVEDD比较差异无统计学意义(P> 0.05),观察组患者LVEF、VO2max、AT、6MWD高于对照组(P <0.05)。结论早期运动心脏康复治疗能改善急性心肌梗死急诊PCI术后患者的心脏功能。Objective To investigate the effect of early exercise rehabilitation on heart function of patients with acute myocardial infarction after emergency percutaneous coronary intervention(PCI).Methods A total of 120 patients with acute myocardial infarction(AMI)who underwent emergency PCI were randomly divided into observation group and control group,with 60 patients in each group.The patients in the control group were treated with conventional drugs;on the basis of the treatment of control group,the patients in the observation group were given early exercise rehabilitation treatment for 12 weeks.The left ventricular end diastolic diameter(LVEDD)and left ventricular ejection fraction(LVEF)of patients in the two groups were measured by color echocardiography on the 1 st day and the 12 th week after operation,and the six minutes walking distance(6MWD),maximum oxygen consumption(VO 2max)and anaerobic threshold(AT)were measured on the 1 st and 12 th week after operation.Results The incidence of angina of patients in the control and observation group was 3.3%(2/60),5.0%(3/60)respectively,and there was no significant difference in the incidence of angina of patients between the two groups(χ2=0.091,P>0.05).There was no significant difference in LVEDD,LVEF between the two groups on the first day after operation(P>0.05);there was no significant difference in VO 2max,AT and 6MWD between the two groups on the first week after operation(P>0.05).In the control group,there was no significant difference in LVEDD,LVEF between the first day after operation and the 12 th week after operation(P>0.05);there was no significant difference in VO 2max,AT,6MWD between the first week after operation and the 12 th week after operation(P>0.05).In the observation group,there was no significant difference in LVEDD between the first day after operation and the 12 th week after operation(P>0.05),and the LVEF at the 12 th week after operation was higher than that at the first day after operation(P<0.05);the VO 2max,AT and 6MWD of patients at the 12

关 键 词：早期运动康复 急性心肌梗死 急诊介入治疗 心脏功能 

分 类 号：R541[医药卫生—心血管疾病]