心脏康复在AMI患者PCI术后康复中的应用效果分析  

Analysis of application effect of cardiac rehabilitation in patients with acute myocardial infarction after PCI

作　　者：曲晓琳 QU Xiao-lin(Kuandian Manchu Autonomous County Hospital of Traditional Chinese Medicine,Dandong 118200,China)

机构地区：[1]宽甸满族自治县中医院,118200

出　　处：《中国现代药物应用》2022年第24期180-182,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究心脏康复应用于急性心肌梗死(AMI)患者经皮冠状动脉介入术(PCI)后康复中的效果。方法102例AMI患者,以随机数字表法分为观察组与对照组,各51例。对照组PCI术后给予常规康复干预,观察组PCI术后在对照组基础上给予心脏康复干预。比较两组心功能指标、心血管不良事件发生率、住院时间。结果随访3个月后,观察组左室射血分数(LVEF)(57.6±2.3)%高于对照组的(54.2±2.0)%,左室舒张末期内径(LVEDD)(54.6±2.6)mm、左室收缩末期内径(LVESD)(43.1±2.0)mm小于对照组的(57.8±3.1)、(47.6±2.4)mm,差异有统计学意义(P<0.05)。观察组心血管不良事件发生率7.84%低于对照组的23.53%,差异有统计学意义(P<0.05)。观察组住院时间(9.3±2.2)d短于对照组的(14.0±2.7)d,差异有统计学意义(P<0.05)。结论心脏康复有助于促进AMI患者PCI术后康复,改善心功能,减少心血管不良事件发生,值得推广。Objective To investigate the effect of cardiac rehabilitation in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods A total of 102 AMI patients were divided into observation group and control group by random numerical table,with 51 cases in each group.The control group received conventional rehabilitation intervention after PCI,and the observation group received cardiac rehabilitation intervention after PCI on the basis of the control group.The cardiac function indexes,incidence of cardiovascular adverse events,and hospitalization time were compared between the two groups.Results After 3 months of follow-up,the left ventricular ejection fraction(LVEF)of the observation group was(57.6±2.3)%,which was higher than(54.2±2.0)%of the control group;the left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)of the observation group were(54.6±2.6)mm and(43.1±2.0)mm,which were smaller than(57.8±3.1)and(47.6±2.4)mm of the control group;and the differences were statistically significant(P<0.05).The incidence of cardiovascular adverse events in the observation group was 7.84%,which was lower than 23.53%in the control group,and the difference was statistically significant(P<0.05).The mean hospitalization time in the observation group was(9.3±2.2)d,which was shorter than(14.0±2.7)d in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of cardiac rehabilitation can improve the postoperative recovery of AMI patients after PCI,improve the cardiac function,reduce the occurrence of adverse cardiovascular events,and is worth promoting.

关 键 词：心脏康复干预 急性心肌梗死 经皮冠状动脉介入术 心功能 

分 类 号：R542.22[医药卫生—心血管疾病]