急性心肌梗死主动脉球囊反搏治疗患者的早期心脏康复  

Early cardiac rehabilitation for patients with acute myocardial infarction treated with intra-aortic balloon pump

作　　者：吴克梅[1] 万苗苗[1] 周小敏 李翠 李娥 李颖[2] 邱静[2] Wu Kemei;Wan Miaomiao;Zhou Xiaomin;Li Cui;Li E;Li Ying;Qiu Jing(CCU,Wuhan Asia Heart Hospital,Wuhan 430022,China)

机构地区：[1]武汉亚洲心脏病医院CCU,湖北武汉430022 [2]武汉亚洲心脏病医院康复科,湖北武汉430022

出　　处：《护理学杂志》2022年第16期5-7,11,共4页Journal of Nursing Science

基　　金：武汉市卫生健康委医学科研项目(WX20A03)。

摘　　要：目的探讨早期心脏康复方案在经主动脉球囊反搏辅助循环治疗急性心肌梗死患者的应用效果。方法选择100例经主动脉球囊反搏辅助治疗的急性心肌梗死患者,随机分成对照组和干预组各50例。对照组给予常规康复训练,干预组在此基础上给予早期心脏康复训练,康复训练内容包括呼吸锻炼、肺部体疗、主动和被动肌力训练,营养支持及心理干预等。结果干预后,干预组血栓栓塞发生率以及疼痛、焦虑及抑郁程度显著低于对照组,日常生活能力评分、左心室射血分数显著优于对照组(均P<0.05)。结论早期心脏康复方案的实施,可促进经主动脉球囊反搏辅助治疗的急性心肌梗死患者康复,减轻焦虑抑郁情绪,提高生活质量。Objective To investigate the effect of early cardiac rehabilitation program on patients with acute myocardial infarction(AMI)treated with intra-aortic balloon pump(IABP).Methods A total of 100 AMI patients treated with IABP were randomly divided into 2 groups of 50 cases each.The control group was given routine rehabilitation training,while the intervention group was additionally given early cardiac rehabilitation training,which included breathing exercises,pulmonary physiotherapy,active and passive muscle strength training,nutritional support,psychological intervention,etc.Results After the intervention,the incidence rate of thromboembolism,pain scores,anxiety and depression scores in the intervention group were significantly lower than those of the control group,while ADL scores,and left ventricular ejection fraction were significantly higher than those of the control group(all P<0.05).Conclusion Early cardiac rehabilitation program can promote the rehabilitation of AMI patients treated with IABP,relieve anxiety and depression,and improve quality of life.

关 键 词：急性心肌梗死 主动脉球囊反搏 康复训练 心脏康复 康复护理 

分 类 号：R473.5[医药卫生—护理学] R493[医药卫生—临床医学]