心脏运动康复干预在冠心病PCI术后病人中的应用  

Application of cardiac exercise rehabilitation intervention in patients with coronary heart disease after PCI

作　　者：张静[1] 霍仙娜 焦傲[1] ZHANG Jing;HUO Xianna;JIAO Ao(The 7th People's Hospital of Zhengzhou,Henan 450000,China)

机构地区：[1]郑州市第七人民医院,450000

出　　处：《全科护理》2020年第21期2671-2674,共4页Chinese General Practice Nursing

基　　金：2018年河南省医学科技攻关计划项目,编号:2018020865。

摘　　要：[目的]探究心脏运动康复干预在冠心病冠状动脉介入手术(PCI)术后病人中的应用效果。[方法]选取2018年1月—2019年1月于医院接受干预的184例冠心病PCI术后病人为研究对象,采用随机数字表法分为观察组与对照组各92例。对照组予以常规护理干预,观察组在常规护理干预基础上实施心脏运动康复干预。比较两组病人干预前及干预3个月后心肺功能、运动耐力及生存质量的变化情况。[结果]干预3个月后,两组病人最大摄氧量(VO2max)、左心室射血分数(LVEF)均较干预前明显提升(P均<0.05),且观察组病人明显高于同期对照组(P<0.05);两组病人最大心率(HRmax)较干预前明显下降(P均<0.05),且观察组病人明显低于对照组(P<0.05);干预3个月后,两组病人6 min步行试验(6 MWT)距离较干预前均明显上升(P均<0.05),观察组病人明显高于对照组(P<0.05);干预3个月后,两组病人躯体自理能力及工具性日常生活能力评分均较干预前下降(P均<0.05),且观察组病人明显低于对照组(P<0.05)。[结论]心脏运动康复干预可明显改善冠心病PCI术后病人的心肺功能,可明显提高病人的日常生活能力,对病情转归有利。Objective:To explore the application of cardiac exercise rehabilitation intervention for patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods:From January 2018 to January 2019,a total of 184 patients with coronary heart disease after PCI who were given intervention in our hospital were selected as subjects.According to the random number table method,they were divided into observation group and control group with 92 cases in each.The patients in control group were given routine nursing intervention while the patients in observation group were given cardiac exercise rehabilitation intervention on this basis of routine nursing intervention.Cardiopulmonary function,exercise endurance and quality of life were compared between the two groups before intervention and after 3 months of intervention.Results:After 3 months of intervention,the VO2max and LVEF in the two groups were significantly increased compared with those before intervention(all P<0.05),and the two indexes in observation group were significantly higher than those in control group at the same period(P<0.05).The HRmax in the two groups was significantly decreased compared with that before intervention(P<0.05),and the indexes in observation group were significantly lower than that in control group(P<0.05).After 3 months of intervention,the 6 WMT distance in the two groups was significantly increased compared with that before intervention(P<0.05),and the distance in observation group was significantly higher than that in control group(P<0.05).After 3 months of intervention,the physical self-care score and instrumental daily score in the two groups were decreased compared with those before intervention(all P<0.05),and the scores in observation group were significantly lower than those in control group(P<0.05).Conclusions:Cardiac exercise rehabilitation intervention can significantly improve the cardiopulmonary function,the quality of life and the disease outcomes of elderly patients with coronary heart disease after PCI.

关 键 词：心脏运动康复 冠心病 冠状动脉介入手术 心功能 生活质量 肺功能 

分 类 号：R473.5[医药卫生—护理学]