急性心肌梗死介入术后患者早期心脏康复临床效果的分析  

Analysis of Clinical Effect of Early Cardiac Rehabilitation in Patients with Acute Myocardial Infarction after Intervention

作　　者：霍红[1] 李冰[1] 牛哲[2] HUO Hong;LI Bing;NIU Zhe(Department of Cardiology,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China;Heilongjiang Institute of Engineering,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 [2]黑龙江工程学院,黑龙江哈尔滨150036

出　　处：《系统医学》2022年第10期30-33,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 观察急性心肌梗死患者介入治疗术后早期实施心脏康复训练对预后的影响。方法 选取2020年1—12月期间该院救治的80例因急性心肌梗死入院并行急诊介入治疗的患者,采用随机号码表法抽取样本,随机分为对照组和观察组。对照组进行常规术后治疗,观察组术后制订早期心脏康复方案。对比两组患者的心理状态、心功能指标及术后出院1个月心血管不良事件发生率。结果 观察组治疗后SAS评分(41.62±3.40)分、SDS评分(41.05±2.65)分明显低于对照组SAS评分(52.95±3.73)分、SDS评分(47.80±3.66)分,差异有统计学意义(t=14.164、9.496,P<0.05);观察组心功能检测指标LVEF(57.87±4.08)%明显优于对照组(52.87±3.03)%,观察组6 min步行试验(297.25±39.28)m明显优于对照组(227.50±32.71)m,差异有统计学意义(t=6.218、8.628,P<0.05);观察组术后出院1个月出现心血管不良反应事件2例(5%),明显低于对照组8例(20%),差异有统计学意义(χ^(2)=4.114,P<0.05)。结论 对急性心肌梗死介入术后患者早期进行心脏康复训练,有助于心脏功能的改善及心理状态的恢复。Objective To observe the effect of early cardiac rehabilitation training on prognosis in patients with acute myocardial infarction after interventional therapy.MethodsA total of 80 patients admitted to the hospital for acute myocardial infarction and undergoing emergency interventional treatment from January to December 2020 were selected,samples were drawn by random number table method,and randomly divided into control group and observation group.The control group received routine postoperative treatment,while the observation group was given an early cardiac rehabilitation program after operation.The psychological state,cardiac function indexes and the incidence of cardiovascular adverse events at 1 month after discharge were compared between the two groups.ResultsAfter treatment,the SAS score(41.62±3.40) points and SDS score(41.05±2.65) points of the observation group were significantly lower than those of the control group(52.95±3.73) points and SDS score(47.80±3.66) points,and the differences were statistically significant(t=14.164,9.496,P<0.05).The cardiac function test index LVEF(57.87±4.08)% in the observation group was significantly better than that in the control group(52.87±3.03)%,and the difference was statistically significant(P<0.05).The 6-min walking test in the observation group(297.25±39.28) m was significantly better than that in the control group(227.50±32.71) m,and the difference was statistically significant(t=6.218,8.628,P<0.05).In the observation group,2 cases of cardiovascular adverse events occurred 1 month after discharge from hospital(5%),which was significantly lower than 8 cases in the control group(20%),the difference was statistically significant(χ~2=4.114,P<0.05).ConclusionEarly cardiac rehabilitation training for patients with acute myocardial infarction after interventional intervention is helpful to improve cardiac function and restore psychological state.

关 键 词：急性心肌梗死 介入治疗 早期心脏康复 心脏功能 

分 类 号：R6[医药卫生—外科学]