心脏运动康复对心肌梗死PCI术后患者心功能及生活质量的影响  

Effect of exercise-based cardiac rehabilitation on cardiac function and quality of life in patients with myocardial infarction after PCI

作　　者：张杉杉 臧舒婷 刘亚楠 王鑫 Zhang Shanshan;Zang Shuting;Liu Yanan;Wang Xin(Department of Emergency,Henan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Henan Provincial Key Medicine Laboratory of Nursing,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院急诊医学科郑州大学人民医院河南省护理医学重点实验室,郑州450000

出　　处：《中国实用医刊》2022年第11期74-77,共4页Chinese Journal of Practical Medicine

基　　金：河南省2021年科技发展计划(212102310136);河南省护理医学重点实验室(HNSYHLKT202110)。

摘　　要：目的探讨心脏运动康复对心肌梗死经皮冠状动脉介入治疗(PCI)术后患者的影响。方法抽取2020年2月至2021年2月于河南省人民医院行PCI术的心肌梗死患者100例, 依据术后干预方法分为心脏运动康复组及常规康复指导组, 每组50例。比较分析两组患者的心功能、代谢当量(METs)、6 min步行距离(6MWD)、生活质量、主要不良心血管事件发生情况及出血事件发生情况。结果干预后, 两组室壁运动指数、左室舒张末期内径、左室收缩末期内径均低于干预前, 且心脏运动康复组低于常规康复指导组(P<0.05);干预后, 两组左室射血分数、METs、6MWD均高于干预前, 且心脏运动康复组高于常规康复指导组(P<0.05)。干预后, 两组躯体活动、担心用药、药物不良反应、情绪反应、依赖性、安全性、饮食评分及心肌梗死多维度评估量表总分均低于干预前(P均<0.05), 且心脏运动康复组上述指标低于常规康复指导组(P<0.05)。心脏运动康复组主要不良心血管事件发生率(6.00%, 4/50)低于常规康复指导组(22.00%, 11/50), P<0.05, 但两组出血事件发生率比较差异未见统计学意义(P>0.05)。结论心肌梗死PCI术后心脏运动康复能够有效改善患者心功能, 还能够有效改善患者的生活质量。Objective To investigate the effect of exercise-based cardiac rehabilitation after percutaneous coronary intervention(PCI)on patients with myocardial infarction.Methods One hundred patients with myocardial infarction undergoing PCI in Henan Provincial People’s Hospital from February 2020 to February 2021 were selected.And they were divided into exercise-based cardiac rehabilitation group and routine rehabilitation guidance group according to postoperative intervention methods,with 50 cases in each group.The cardiac function,metabolic equivalent(METs),6-minute walk distance(6MWD),activities of daily life,major adverse cardiovascular events and bleeding events of the two groups were compared and analyzed.Results After intervention,wall motion score index,left ventricular end-diastolic diameter and left ventricular end-systolic diameter in the two groups were lower than those before intervention,and these indexes in the exercise-based cardiac rehabilitation group were lower than those in the routine rehabilitation guidance group(P<0.05);after intervention,the left ventricular ejection fraction,METs and 6MWD in the two groups were higher than those before intervention,and these indexes in the exercise-based cardiac rehabilitation group were higher than those in the routine rehabilitation guidance group(P<0.05).After intervention,the physical activity,worry about medication,drug adverse reaction,emotional reaction,dependence,safety,diet score and myocardial infarction dimensional assessment scale total score in the two groups were lower than those before treatment(all P<0.05),and these indexes in the exercise-based cardiac rehabilitation group were lower than those in the routine rehabilitation guidance group(P<0.05).The incidence of major adverse cardiovascular events in the exercise-based cardiac rehabilitation group was 6.00%(4/50),lower than the 22.00%(11/50)in the routine rehabilitation guidance group(P<0.05).But there was no significant difference in the incidence of bleeding events between the two groups(P>0.

关 键 词：心肌梗死 经皮冠状动脉介入术 常规康复指导 心脏运动康复 心功能 生活质量 主要不良心血管事件 出血事件 

分 类 号：R542.22[医药卫生—心血管疾病] R493[医药卫生—内科学]