早期心脏康复对急性心肌梗死介入术后患者的预后影响  

The Effect of Early Cardiac Rehabilitation on the Prognosis of Patients with Acute Myocardial Infarction after Interventional Surgery

作　　者：霍红[1] 李冰[1] 曲超 HUO Hong;LI Bing;QU Chao(Department of Cardiology,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China)

机构地区：[1]黑龙江省医院心内科,黑龙江哈尔滨150036

出　　处：《系统医学》2022年第3期32-35,共4页Systems Medicine

基　　金：2019年黑龙江省卫生计生委科研课题(2019-172)。

摘　　要：目的观察早期的心脏康复治疗对急性心肌梗死介入术后患者预后影响。方法选取2020年1—12月间该院收治的急性心肌梗死并行急诊介入术的80例患者,随机分为两组,各40例。对照组行术后常规治疗方案,观察组行术后早期心脏康复治疗。对比评估两组患者的生活自理能力、生活质量及术后出院6个月心血管事件发生率。结果治疗后,观察组Barthel指数评分为(62.35±4.01)分,明显优于对照组(53.28±5.25)分,生活质量评分为(40.15±4.03)分,明显低于对照组(51.32±3.50)分,差异有统计学意义(t=8.695、13.224,P<0.001)。观察组术后出院6个月发生心血管不良事件3例(7.50%),明显低于对照组10例(25.00%),差异有统计学意义(χ^(2)=4.501,P<0.05)。结论早期心脏康复治疗能够提高急性心肌梗死患者介入术后的生活自理能力及生活质量并减少出院后6个月心血管不良事件的发生率。Objective To observe the effect of early cardiac rehabilitation on the prognosis of patients with acute myocardial infarction after interventional surgery.Methods A total of 80 patients with acute myocardial infarction and emergency interventions from January to December 2020 in the hospital were selected,and they were randomly divided into two groups,with 40 cases in each group.The control group received conventional postoperative treatment,and the observation group received early postoperative cardiac rehabilitation.The self-care ability,quality of life of the two groups of patients were compared and evaluated,and the incidence of cardiovascular events within 6 months after the operation was discharged.Results After treatment,the Barthel index score in the observation group was(62.35±4.01)points significantly better than the control group(53.28±5.25)points,and the quality of life score of observation group was(40.15±4.03)points significantly lower than the control group(51.32±3.50)points,the difference was statistically significant(t=8.695,13.224,P<0.001).The rate of 3 cases of cardiovascular adverse events in the observation group(7.50%)was significantly lower than that of the control group 10 cases(25.00%)at 6 months after discharge,the difference was statistically significant(χ^(2)=4.501,P<0.05).Conclusion Early cardiac rehabilitation therapy can improve the self-care ability and quality of life of patients with acute myocardial infarction after interventional procedures,and reduce the incidence of cardiovascular adverse events 6 months after discharge.

关 键 词：急性心肌梗死 早期心脏康复 介入治疗 生活质量 

分 类 号：R4[医药卫生—临床医学]