改良式八段锦对老年急性心肌梗死患者心脏介入术后心肺运动能力的影响  被引量:1

Impact of modified Ba Duan Jin on cardiopulmonary function in elderly patients with acute myocardial infarction after cardiac intervention

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作  者:刘路 Liu Lu(The First Cardiovascular Department/Arrhythmia Department,University Town Hospital of Guangdong Provincial Traditional Chinese Medicine Hospital,Guangzhou 510000,China)

机构地区:[1]广东省中医院大学城医院心血管一科心律失常科,广州510000

出  处:《保健医学研究与实践》2023年第3期145-148,共4页Health Medicine Research and Practice

基  金:广东省医学科研基金(A2020506)。

摘  要:目的 探析改良式八段锦对老年急性心肌梗死患者心脏介入术后心肺运动能力的影响,以期为护理决策的制定提供参考。方法 选取2021年1月—2022年1月广东省中医院大学城医院收治的心脏介入术后的老年急性心肌梗死患者87例作为研究对象,按随机信封法分成对照组(n=43)与观察组(n=44)。对照组患者给予基础术后干预,观察组患者在对照组的基础上联合改良式八段锦进行干预。比较干预前后2组患者的心功能指标[左室射血分数(LVEF)、左室舒张末期内径(LVEDD)]、心肺运动能力(峰值代谢当量、峰值摄氧量、峰值氧脉搏)、自我效能感、自我感受负担及干预期间患者并发症发生率。结果 干预前,2组患者心功能指标、心肺运动能力指标、自我感受负担量表(SPBS)得分、一般自我效能感量表(GSES)得分比较,差异均无统计学意义(P>0.05)。干预后,2组患者心功能指标均优于治疗前,且观察组患者LVEF高于同期对照组,LVEDD低于同期对照组,差异均有统计学意义(P<0.05);2组患者心肺运动能力指标均优于治疗前,且观察组患者峰值代谢当量、峰值摄氧量、峰值氧脉搏均高于同期对照组,差异均有统计学意义(P<0.05);2组患者SPBS、GSES评分均优于治疗前,且观察组患者SPBS评分低于同期对照组,GSES评分高于同期对照组,差异均有统计学意义(P<0.05)。干预期间,对照组患者的并发症发生率为18.60%,高于观察组的4.54%,但差异并无统计学意义(P>0.05)。结论 改良式八段锦在老年急性心肌梗死术后患者中的应用效果显著,相较于常规术后干预,改良式八段锦在改善患者心肺功能,降低患者自我感受负担,提高患者自我效能感方面更具优势,值得临床推广。Objective This study aimed to explore the impact of modified Ba Duan Jin(Eight Section Brocade)on cardiopulmonary function in elderly patients with acute myocardial infarction after cardiac intervention to provide support for nursing decision-making.Methods A total of 87 elderly patients with acute myocardial infarction after cardiac intervention admitted to Guangdong Province Traditional Chinese Medicine Hospital(University Town Hospital)from January 2021 to January 2022 were recruited as study participants.They were randomly assigned to a control group(n=43)and an observation group(n=44)using a random envelope.The control group received basic postoperative interventions,while the observation group received modified Ba Duan Jin intervention based on the control group.The study compared the Left Ventricular Ejection Fraction(LVEF),Left Ventricular End-Diastolic Diameter(LVEDD),cardiopulmonary exercise capacity(peak metabolic equivalent,peak oxygen uptake,peak oxygen pulse),self-efficacy,self-perceived burden,and the incidence of complications during intervention between the two groups.Results Before the intervention,there was no significant difference in cardiac function indicators,cardiopulmonary exercise capacity indicators,Self-Perceived Burden Scale(SPBS),and General Self-Efficacy Scale(GSES)scores between the two groups(P>0.05).After the intervention,the cardiac function indicators of both groups were superior to those before,and the LVEF of the observation group was higher than that of the control group,while the LVEDD of the observation group was lower than that of the control group,with statistical significance(P<0.05).The cardiopulmonary exercise capacity indicators of both groups were superior to those before,and the peak metabolic equivalent,peak oxygen uptake,and peak oxygen pulse of the observation group were higher than those of the control group,with statistical significance(P<0.05).The SPBS and GSES scores of both groups were superior to those before,and the SPBS score of the observation group was

关 键 词:改良式八段锦 老年急性心肌梗死 心脏介入术 心肺运动能力 心功能 

分 类 号:R542.22[医药卫生—心血管疾病]

 

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