参麦注射液联合心脏康复疗法对冠心病支架术后心脏康复功能的影响  

Effect of Shenmai Injection Combined with Cardiac Rehabilitation Therapy on Cardiac Rehabilitation After Stenting for Coronary Heart Disease

作　　者：何海英[1] 袁红[1] 潘芳芳[1] 屠思佳 王雁 HE Haiying;YUAN Hong;PAN Fangfang;TU Sijia;WANG Yan

机构地区：[1]杭州市余杭区第一人民医院,浙江杭州311100 [2]浙江医院心血管内科,浙江杭州310013

出　　处：《新中医》2021年第21期64-67,共4页New Chinese Medicine

基　　金：2018年浙江省医学会临床科研基金项目(2018ZYC-A51)。

摘　　要：目的:观察参麦注射液联合心脏康复疗法对冠心病支架术后心脏康复的影响。方法:选取200例冠心病支架植入患者为研究对象,按随机数字表法分为对照组及治疗组各100例。2组均做心脏康复治疗,治疗组加用参麦注射液。观察2组心率的无氧阈(AT)值和每公斤耗氧量运动峰值(VO_(2)max)、代谢当量(METS)、射血分数(EF)、脑钠肽(BNP)的指标。结果:治疗后,2组AT值均较治疗前下降,治疗组AT值低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组VO;max指标值均较治疗前上升,治疗组VO_(2)max指标值高于对照组,差异均有统计学意义(P<0.05)。治疗后,2组METS、EF指标值均较治疗前上升,其中治疗组治疗前后比较,差异有统计学意义(P<0.05);观察组上述2项指标值均高于对照组,其中METS差异有统计学意义(P<0.05)。治疗后,2组BNP指标值均较治疗前下降,治疗组BNP指标值低于对照组,差异均有统计学意义(P<0.05)。结论:参麦注射液联合心脏康复疗法对改善冠心病支架术后心脏康复的预后较好,有积极的作用。Objective:To observe the effect of Shenmai injection combined with cardiac rehabilitation therapy on cardiac rehabilitation after stenting for coronary heart disease.Methods:A total of 200 cases of patients with coronary heart disease after stent implantation were selected as research objects,and divided into the control group and the treatment group according to the random number table method,with 100 cases in each group.Both groups were treated with cardiac rehabilitation,and the treatment group was additionally treated with Shenmai injection.The anaerobic threshold(AT)values of heart rate,maximum oxygen consumption per kilogram during exercise(VO_(2)max),metabolic equivalents(METS),ejection fraction(EF)and brain natriuretic peptide(BNP)indexes in the two groups were observed.Results:After treatment,AT values in the two groups were decreased when compared with those before treatment,and AT value in the treatment group was lower than that in the control group,differences being significant(P<0.05).After treatment,the values of VO_(2)max in the two groups were increased when compared with those before treatment,and the value in the treatment group was higher than that in the control group,differences being significant(P<0.05).After treatment,the values of METS and EF in the two groups were increased when compared with those before treatment,there being significant difference in the treatment group(P<0.05);the values of the above two indexes in the observation group were higher than those in the control group,there being significant difference in METS(P<0.05).After treatment,BNP values in the two groups were decreased when compared with those before treatment,and BNP value in the treatment group was lower than that in the control group,differences being significant(P<0.05).Conclusion:Shenmai injection combined with cardiac rehabilitation therapy has a positive effect on improving the prognosis of cardiac rehabilitation after stenting for coronary heart disease.

关 键 词：冠心病支架术后 参麦注射液 心脏康复疗法 预后 

分 类 号：R541.4[医药卫生—心血管疾病]