艾灸贴联合早期运动处方对急性心肌梗死患者心脏康复过程心肺功能的影响  

Effects of moxibustion paste combined with early exercise prescription on cardiopulmonary function of patients with AMI during cardiac rehabilitation

作　　者：鄢丽萍[1] 喻燕敏[2] 朱青兰 何金荣[1] 吴琼[1] YAN Liping;YU Yanmin;ZHU Qinglan;HE Jinrong;WU Qiong(Department of Cardiology,the Jiangxi Provincial People Hospital,Jiangxi,Nanchang 330006,China;Department of Oncology,the Jiangxi Provincial People Hospital,Jiangxi,Nanchang 330006,China)

机构地区：[1]江西省人民医院心内科,江西南昌330006 [2]江西省人民医院肿瘤科,江西南昌330006

出　　处：《中国医药科学》2022年第10期5-8,16,共5页China Medicine And Pharmacy

基　　金：江西省中医药管理局科技计划项目(2020A0117)。

摘　　要：目的探究艾灸贴联合早期运动处方对急性心肌梗死(AMI)患者心脏康复的影响。方法选取江西省人民医院心内科2020年1月至2021年1月收治的60例AMI患者作为研究对象,按照随机数字表法分成观察组和对照组,每组各30例,对照组进行药物+运动处方治疗,观察组进行药物+运动处方+艾灸贴联合疗法。比较两组患者干预前、后的心脏泵血功能,运动及安静时心肺功能变化情况、生活质量。结果干预前,两组患者的每搏输出量(SV)、左心射血分数(LVEF)、心脏指数(CI)三项指标比较,差异无统计学意义(P>0.05)。干预后,两组患者的各项指标均比治疗前有显著改善,且观察组三项指标明显高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者安静及运动时的心肺功能指标疲劳程度(RPE)、心率收缩压乘积(RPP)、心率(HR)、峰值耗氧量(VO_(2))、峰值代谢当量(MET)比较,差异无统计学意义(P>0.05);干预后两组患者的RPE、HR、RPP、MET、VO_(2)均明显改善,且观察组优于对照组,差异有统计学意义(P<0.05)。同时,运动时的各项心肺功能指标均高于安静时的对应指标。观察组患者的生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论在AMI患者心脏康复治疗中药物+运动处方+艾灸贴联合疗法更有利于改善患者的心脏泵血能力、运动及安静时的心肺功能,提高患者的生活质量。Objective To investigate the effects of moxibustion paste combined with early exercise prescription on cardiac rehabilitation of patients with acute myocardial infarction(AMI).Methods A total of 60 patients with AMI admitted to the Department of Cardiology of the Jiangxi Provincial People’s Hospital from January 2020 to January 2021 were selected as study subjects and divided into the observation group(n=30)and the control group(n=30)according to the random number table method.The control group was treated with drug+exercise prescription,while the observation group was treated with drug+exercise prescription+moxibustion paste.The cardiac pumping function,changes in cardiopulmonary function during exercise and at rest,and quality of life(QoL)of the patients before and after the interventionwere compared between the two groups.Results Before the intervention,there were no statistically significant differences between the two groups in stroke volume(SV),left ventricular ejection fraction(LVEF)and cardiac index(CI)(P>0.05).After the intervention,all the above three indicators in both groups were significantly improved compared with those before the intervention,and the three indicators in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Before the intervention,there were no statistically significant differences between the two groupsin the cardiopulmonary function indicators such as fatigue degree rating of perceived exertion(RPE),rate-pressure product(RPP),heart rate(HR),peak oxygen consumption(VO_(2))and peak metabolic equivalent(MET)at rest and during exercise(P>0.05).After the intervention,the fatigue degree RPE,HR,RPP,peak MET and VO_(2) peak in both groups were significantly improved,and those in the observation group were better than those in the control group,with statistically significant differences(P<0.05).At the same time,the level of each cardiopulmonary function indicator during exercise was higher than that at rest.The

关 键 词：艾灸贴 早期运动处方 急性心肌梗死 心肺功能 

分 类 号：R542.2[医药卫生—心血管疾病]