阶段性心脏康复训练对急性冠状动脉综合征并心力衰竭患者PCI术后康复的影响  

Effect of staged cardiac rehabilitation training on rehabilitation of patients with acute coronary syndrome complicated by heart failure after PCI

作　　者：王栋梅[1] 马欣[1] 薛鸿群[1] Wang Dongmei;Ma Xin;Xue Hongqun(Department of Cardiology,the Second People’s Hospital of Jiaozuo,Jiaozuo 454001,China)

机构地区：[1]河南省焦作市第二人民医院心血管内科,454001

出　　处：《中国实用医刊》2021年第17期97-100,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析阶段性心脏康复训练对急性冠状动脉综合征(ACS)并心力衰竭患者经皮冠状动脉介入(PCI)术后康复的影响。方法抽取2018年1月至2020年12月焦作市第二人民医院收治的ACS并心力衰竭PCI术后患者80例,按随机数字表法分为研究组与对照组,每组40例。对照组采用常规康复训练,研究组在对照组治疗基础上采用阶段性心脏康复训练。比较两组康复锻炼依从性、干预前后心功能[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、室壁运动积分指数(WMSI)]、血流动力学[心输出量、左心室每搏做功(LSW)]、6 min步行距离(6MWD)和心血管不良反应发生率。结果研究组康复训练依从性(95.00%,38/40)高于对照组(77.50%,31/40),P<0.05。干预后,两组LVEF均较干预前增高,LVEDD、WMSI均较干预前降低,且研究组LVEF高于对照组,LVEDD、WMSI低于对照组,差异有统计学意义(P<0.05)。干预后,两组心输出量均较干预前升高,LSW均较干预前降低,且研究组心输出量高于对照组,LSW低于对照组(P<0.05)。干预后,两组6MWD均较治疗前增高,且研究组高于对照组(P<0.05);研究组心血管不良反应发生率(5.00%,2/40)低于对照组(20.00%,8/40),P<0.05。结论阶段性心脏康复训练应用于ACS并心力衰竭患者PCI术后,可提高康复训练依从性,改善血流动力学,提高心功能和运动耐力,降低心血管不良反应发生率。Objective To analyze the effect of staged cardiac rehabilitation training on rehabilitation of patients with acute coronary syndrome(ACS)complicated by heart failure after percutaneous coronary intervention(PCI).Methods A total of 80 patients with ACS complicated by heart failure treated in the Second People’s Hospital of Jiaozuo from January 2018 to December 2020 were selected and divided into study group(n=40)and control group(n=40)according to the random number table method.The control group was treated by routine rehabilitation training,while the study group was treated by staged cardiac rehabilitation training based on the treatment of the control group.The compliance of rehabilitation exercise,cardiac function assessed by left ventricular ejection fraction(LVEF),left ventricular end-diastolic diamter(LVEDD),wall motion score index(WMSI),hemodynamics assessed by cardiac output(CO)and left ventricular stroke work(LSW),6 min walk distance(6MWD),and incidence of cardiovascular adverse reactions were compared between the two groups before and after intervention.Results The compliance of rehabilitation training of the study group(95.00%,38/40)was higher than that of the control group(77.50%,31/40),P<0.05.After intervention,the LVEF of the two groups was higher than those before the intervention,while the LVEDD and WMSI were lower than those before the intervention(P<0.05).Compared with control group,the LVEF of the study group was higher,and the LVEDD and WMSI were lower after intervention(P<0.05).After intervention,the CO of the two groups was higher,and the LSW was lower,compared with those before intervention(P<0.05).After intervention,the CO of the study group was higher than that of the control group,and the LSW was lower than that of the control group(P<0.05).After intervention,the 6MWD of the two groups was higher than those before treatment,and the study group had higher 6MWD score than the control group(P<0.05).The incidence of cardiovascular adverse reactions in the study group was(5.00%,2/40),lower t

关 键 词：急性冠状动脉综合征 心力衰竭 阶段性心脏康复训练 心功能 运动耐力 心血管不良反应发生率 

分 类 号：R473.5[医药卫生—护理学]