有氧-抗阻训练对非ST段抬高型急性冠状动脉综合征患者PCI术后心脏功能恢复的影响  

Effect of aerobic-resistance training on cardiac function recovery after PCI in patients with non-ST elevation acute coronary syndrome

作　　者：丁丽[1] 熊琰琰 李素兰[1] Ding Li;Xiong Yanyan;Li Sulan(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院,郑州450052

出　　处：《中国实用医刊》2022年第9期63-66,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨非ST段抬高型急性冠状动脉综合征(NSTE-ACS)患者经皮冠状动脉介入治疗(PCI)术后应用有氧-抗阻训练对患者心脏功能恢复的影响。方法抽取郑州大学第一附属医院2020年8月至2021年8月接受PCI治疗的160例NSTE-ACS患者作为研究对象,依据术后治疗方式将其分为观察组和对照组,每组80例。对照组予以术后常规治疗,观察组在对照组基础上联合有氧-抗阻训练。比较两组患者治疗前后的心功能指标变化、6 min步行距离、术后心血管不良事件发生情况。结果观察组左室收缩末期内径、左室舒张末期内径及左室射血分数均优于对照组(P均<0.05);观察组6 min步行距离大于对照组(P<0.05);观察组术后心血管不良事件发生率(5.00%,4/80)低于对照组(15.00%,12/80),P<0.05。结论NSTE-ACS患者PCI术后采用有氧-抗阻训练,可有效改善患者心脏功能,恢复运动耐力,减少术后不良事件发生率。Objective To investigate the effect of aerobic-resistance training on cardiac function recovery after percutaneous coronary intervention(PCI)in patients with non-ST elevation acute coronary syndrome(NSTE-ACS).Methods A total of 160 NSTE-ACS patients who underwent PCI surgery in the First Affiliated Hospital of Zhengzhou University from August 2020 to August 2021 were included in this study,and they were divided into observation group and control group according to the postoperative treatment methods,with 80 patients in each group.Patients in the control group were given routine treatment after surgery,and patients in the observation group were given aerobic-resistance training based on the treatment of the control group.The changes of cardiac function indexes before and after treatment,6-min walking distance,occurrence of postoperative adverse cardiovascular events were compared between the two groups.Results The left ventricular end-systolic diameter,left ventricular end-diastolic diameter,and left ventricular ejection fraction in the observayion group were better than those in the control group(all P<0.05);the 6 min walking distance in the observation group were longer than that in the control group(P<0.05);the incidence of postoperative cardiovascular adverse events in the observation group(5.00%,4/80)was lower than that in the control group(15.00%,12/80),P<0.05.Conclusions Aerobic-resistance training in patients with NSTE-ACS after PCI can effectively improve their cardiac function,restore exercise endurance,and reduce the incidence of postoperative adverse events.

关 键 词：经皮冠状动脉介入治疗 非ST段抬高型急性冠状动脉综合征 有氧-抗阻训练 心脏功能 

分 类 号：R541.4[医药卫生—心血管疾病]