八段锦Ⅰ期心脏康复运动对急性心肌梗死经皮冠脉介入术后患者心肺功能及睡眠质量的影响  

Effects of Baduanjin Phase Ⅰ cardiac rehabilitation exercise on cardiopulmonary function and sleep quality in patients with acute myocardial infarction after percutaneous coronary intervention

作　　者：蔡瑜 郑红云 周园园[1] 杨朝 王英[3] 尹晶 CAI Yu;ZHENG Hongyun;ZHOU Yuanyuan;YANG Chao;WANG Ying;YIN Jing(Department of Cardiovascular Medicine,Suzhou Science and Technology City Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Suzhou 215153,China;Department of Respiratory and Critical Care Medicine,Suzhou Science and Technology City Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Suzhou 215153,China;Intervention Center of Wuhan Asian Heart Hospital,Hubei Province,Wuhan 430022,China;Department of Respiratory and Critical Care Medicine,Suzhou Science and Technology City Hospital Affiliated to Nanjing Medical University,Jiangsu Province,Suzhou 215153,China)

机构地区：[1]南京医科大学附属苏州科技城医院心血管内科,江苏苏州215153 [2]南京医科大学附属苏州科技城医院呼吸与危重症医学科,江苏苏州215153 [3]武汉亚洲心脏病医院介入中心,湖北武汉430022 [4]南京医科大学附属苏州科技城医院呼吸与危重症医学科,江苏苏州215153

出　　处：《中国医药导报》2022年第25期172-175,共4页China Medical Herald

基　　金：江苏省科技项目(BK20201183);南京医科大学附属苏州科技城医院院级课题(20HLA003)。

摘　　要：目的探讨八段锦Ⅰ期心脏康复运动对急性心肌梗死经皮冠状动脉介入术(PCI)后患者心肺功能及睡眠质量的影响。方法选择2020年6月至2021年5月南京医科大学附属苏州科技城医院和武汉亚洲心脏病医院共收治的90例急性心肌梗死PCI术后患者为研究对象,依照随机数字表法将其分为对照组和试验组,各45例。对照组术后采用常规运动指导,试验组在对照组的基础上采用八段锦Ⅰ期心脏康复运动,两组均持续干预2周。比较干预前后两组最大代谢当量(METmax)、最大摄氧量(VO_(2)max)、6分钟步行距离(6MWT)、匹兹堡睡眠质量指数(PSQI)评分。结果干预后,两组METmax、VO_(2)max、6MWT高于干预前,且试验组高于对照组(P<0.05);两组PSQI评分低于干预前,且试验组低于对照组(P<0.05)。结论八段锦Ⅰ期心脏康复运动可改善急性心肌梗死PCI术后患者的心肺功能、睡眠质量,提高运动耐力。Objective To investigate the effect of Baduanjin Phase Ⅰ cardiac rehabilitation exercise on the cardiopulmonary function and sleep quality of patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods Ninety patients with acute myocardial infarction after PCI who were admitted to the Suzhou Science and Technology City Hospital Affiliated to Nanjing Medical University and Wuhan Asian Heart Hospital from June 2020 to May 2021 were selected as the research objects.According to the random number table method,they were divided into control group and experimental group,with 45 cases in each group.The control group was guided by routine exercises after the operation,and the experimental group was used Baduanjin stage Ⅰ cardiac rehabilitation exercises on the basis of the control group.Both groups continued to intervene for two weeks.The maximum metabolic equivalent(METmax),maximum oxygen uptake(VO_(2)max),6-minute walking distance(6MWT),and Pittsburgh sleep quality index(PSQI)score were compared between two groups before and after the intervention.Complications of two groups were compared.Results After intervention,the METmax,VO_(2)max,6MWT of the two groups were higher than before intervention,and the experimental group were higher than the control group(P<0.05);the PSQI scores of the two groups were lower than before intervention,and the PSQI score of the experimental group was lower than that of the control group(P<0.05).Conclusion Baduanjin Phase Ⅰ cardiac rehabilitation exercise can improve cardiopulmonary function,sleep quality and exercise tolerance in patients with acute myocardial infarction after PCI.

关 键 词：八段锦Ⅰ期心脏康复运动 急性心肌梗死 经皮冠状动脉介入术 心肺功能 睡眠质量 

分 类 号：R473[医药卫生—护理学]