阶段式心脏康复对心肌梗死患者PCI术后运动耐力及生活质量的影响观察  

Effect of staged cardiac rehabilitation on exercise endurance and quality of life in patients with myocardial infarction after PCI

作　　者：郭瑞霞[1] 冯永萌[1] 袁玉红[1] 姚文哲 韩丽华 GUO Rui-xia;FENG Yong-meng;YUAN Yu-hong;YAO Wen-zhe;HAN Li-hua(Jiyuan People’s Hospital,Jiyuan,Henan 459000,China)

机构地区：[1]济源市人民医院,河南济源459000

出　　处：《医药论坛杂志》2020年第10期73-75,共3页Journal of Medical Forum

基　　金：国家自然科学基金面上项目(81373610);济源市科技攻关项目(17023013)。

摘　　要：目的探讨和分析阶段式心脏康复对心肌梗死患者PCI术后运动耐力及生活质量的影响。方法选取济源市人民医院于2019年1月—2019年10月期间收治心肌梗死行PCI术治疗患者80例,按数字表法分为两组,对照组40例患者实施常规康复干预,观察组40例患者实施阶段式心脏康复干预。根据VO2peak、VO2AT等指标水平,对比两组干预前后运动耐力。根据SF-36评定量表,对比两组干预前后心理功能、社会功能等生活质量评分。结果干预前两组VO2peak、VO2AT水平差异无统计学意义(P>0.05),干预后观察组各项运动耐力水平均优于对照组,组间差异有统计学意义(P<0.05)。干预前两组心理功能、社会功能等评分差异无统计学意义(P>0.05),干预后观察组各项生活质量评分均高于对照组,组间差异有统计学意义(P<0.05)。结论为进一步提高干预效果,本次研究对心肌梗死行PCI术治疗患者实施阶段式心脏康复,可有效改善运动耐力,提高生活质量,值得推广。Objective To explore and analyze the effect of staged cardiac rehabilitation on exercise tolerance and quality of life in patients with myocardial infarction after PCI.Methods From January 2019 to October 2019, Totally 80 patients with myocardial infarction underwent PCI in our hospital were divided into two groups according to the method of digital table. 40 patients in the control group received routine rehabilitation intervention, and 40 patients in the observation group received staged cardiac rehabilitation intervention. According to the indexes of VO2 peak and vo2 at, the exercise endurance of the two groups before and after the intervention was compared. According to the SF-36 scale, the quality of life scores of psychological function and social function before and after the intervention were compared between the two groups.Results Before the intervention, there was no difference in the levels of VO2 peak and vo2 at between the two groups(P>0.05). After the intervention, the levels of sports endurance in the observation group were better than those in the control group(P<0.05). Before intervention, there was no difference in the scores of psychological function and social function between the two groups(P>0.05). After intervention, the scores of quality of life in the observation group were higher than those in the control group(P<0.05).Conclusion In order to further improve the intervention effect, the study of PCI for myocardial infarction patients with staged cardiac rehabilitation can effectively improve exercise tolerance, improve the quality of life, it is worth promoting.

关 键 词：心肌梗死 PCI 阶段式心脏康复 运动耐力 生活质量 

分 类 号：R542.2+2[医药卫生—心血管疾病]