医联体模式在胸痛中心经皮冠状动脉介入术术后患者运动康复管理中的应用  

The application of medical alliance mode inexercise rehabilitation management of patients after percutaneous coronary interventioninchest paincenter

作　　者：王晓丽[1] 顾铭忠[1] 王莉莉 王萍[1] Wang Xiaoli;Gu Mingzhong;Wang Lili;Wang Ping(Chest Pain Center,Yancheng Third People′s Hospital,The Affiliated Yanchen Hospital of Southeast University,Yancheng 224000,China;YuLong Community Health Service Center,Yancheng 224000,China)

机构地区：[1]东南大学附属盐城医院,盐城市第三人民医院急诊医学科,盐城224000 [2]盐城市毓龙社区服务中心,盐城224000

出　　处：《中华医学杂志》2020年第24期1877-1880,共4页National Medical Journal of China

基　　金：江苏省盐城市医学科技发展计划项目(YK2018122)。

摘　　要：目的探讨医联体在胸痛中心经皮冠状动脉介入术(PCI)术后患者运动康复管理中的作用。方法选取2017年7月至2018年12月盐城市第三人民医院胸痛中心(东南大学附属盐城医院)经PCI术后患者91例,根据其术后有无参与医联体运动康复管理分为运动康复组(54例)及对照组(37例)。观察两组生活质量量表(SF-36)评分、术后1、3个月的血压、血糖、血脂达标率及主要心血管事件(MACE)的发生率。结果运动康复组与对照组患者术后3个月血脂达标率(74.1%比54.1%)比较差异有统计学意义(P<0.05);运动康复组患者1个月后在生理机能(PF)、生理职能(RP)、一般健康状况(GH)、精力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)这7个维度及生命质量总分的得分与对照组比较差异有统计学意义(P<0.05);3个月后在RP、GH、VT、SF、RE、MH这6个维度及生命质量总分的得分较对照组差异有统计学意义(P<0.05)。结论医联体模式下管理有助于胸痛中心PCI术后患者的心脏康复,提高生活质量,可考虑探索推广。Objective To explore the comprehensive effect of exercise-based cardia crehabilitation in patients managed with medical alliance who have undergone percutaneous coronary intervention(PCI)from Chest Pain Center.Methods A total of 91 post PCI patients with coronary atherosclerotic heart disease were enrolled into the study.Fifty-four patients were in exercise rehabilitation group and 37 patients were in control group according to whether they were managed with medical alliance.Scores of Short Form-36 Health Survey(SF-36),qualified rate of blood pressure,blood glucose,blood lipid and incidence of MACEs of patients were compared at discharge,1 month after discharge and 3 months after discharge between two groups.Results The qualified rate of blood lipid of patients in exercise rehabilitation group was significantly higher than that in control group 3 months after discharge(P<0.05).There was significant difference in Scores of physical functioning,role-physical(RP),general health(GH),vitality(VT),social functioning(SF),role-emotional(RE),mental health(MH)and Quality of Life(QL)between the two groups 1 month after discharge(P<0.05)and there was significant difference in Scores of RP,GH,VT,SF,RE,MH and QL between the two groups 3 months after discharge(P<0.05).Conclusion Medical alliance management has positive effects on patients who have undergone PCI from Chest Pain Center,improves the motor function and quality of life.Therefore,it is worthy of promotion with the support of the policy.

关 键 词：经皮冠状动脉介入术 医联体 胸痛中心 运动康复管理 

分 类 号：R473.5[医药卫生—护理学]