以症状限制性心肺功能运动试验结局设计心脏康复运动训练方案治疗心肌梗死经皮冠状动脉介入术患者的应用研究  

Designing Cardiac Rehabilitation Exercise Training Program with Symptom-limited Cardiopulmonary Exercise Test Outcomes for the Treatment of Patients with Myocardial Infarction Undergoing Percutaneous Coronary Intervention

作　　者：李梦[1] Li Meng(Outpatient Clinic,Children's Hospital of Zhengzhou University,Children's Hospital of Henan Province,Zhengzhou Children's Hospital,Zhengzhou,Henan,450018,China)

机构地区：[1]郑州大学附属儿童医院·河南省儿童医院·郑州儿童医院门诊,河南郑州450018

出　　处：《黑龙江医学》2023年第17期2141-2144,共4页Heilongjiang Medical Journal

摘　　要：目的:探究以症状限制性心肺功能运动试验(Cardiopulmonary exercise test,CPET)结局设计心脏康复运动训练方案治疗心肌梗死经皮冠状动脉介入术(PCI)患者中的应用效果。方法:选取2020年1月—2021年2月郑州大学附属儿童医院收治的106例行PCI的心肌梗死患者作为研究对象,采用随机数表法分为观察组与对照组,每组各53例。对照组给予常规护理干预,观察组实施以症状限制性CPET结局设计心脏康复运动训练方案。比较分析两组患者干预前后血流动力学指标情况、心脏不良事件发生情况、生活质量水平及其达标率情况。结果:干预2周后,观察组平均动脉压、心输出量优于对照组,差异有统计学意义(P<0.05)。观察组再发心绞痛、非致死性心梗、严重心率失常、缺血性心率衰竭等心脏不良事件总发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组生活质量水平评分明显高于对照组,差异有统计学意义(P<0.05)。观察组患者生活质量达标率高于对照组,差异有统计学意义(P<0.05)。结论:对心肌梗死PCI患者实施以症状限制性CPET结局设计心脏康复运动训练方案,有助于改善各项血流动力学指标,减少心脏不良事件发生率,提高患者生活质量。Objective:To investigate the effectiveness of designing a cardiac rehabilitation exercise training program with symptom-limited cardiopulmonary exercise test(CPET) outcomes in the treatment of patients with percutaneous coronary intervention(PCI) for myocardial infarction.Methods:106 patients with myocardial infarction who were admitted to the sample hospital for PCI from January 2020 to February 2021 were selected for the study,and were divided into observation group and control group using the random number table method,with 53 cases in each group.The control group was given conventional nursing interventions and the observation group implemented a cardiac rehabilitation exercise training program designed with symptom-limiting CPET outcomes.The hemodynamic index profile,the occurrence of adverse cardiac events,the quality of life level and its attainment rate were compared and analyzed between the two groups before and after the intervention.Results:After 2 weeks of intervention,the mean arterial pressure and cardiac output of the observation group were better than those of the control group,with statistically significant differences(P<0.05).The total incidence of adverse cardiac events such as recurrent angina pectoris,nonfatal infarction,severe arrhythmia,and ischemic heart failure was significantly lower in the observation group than in the control group,and the difference was statistically significant(P<0.05).The quality of life level scores in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).The patients in the observation group achieved a higher quality of life standard than the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of a cardiac rehabilitation exercise training program designed with symptom-limiting CPET outcomes in PCI patients with myocardial infarction helped improve all hemodynamic indices,reduce the incidence of adverse cardiac events,and improve patients' q

关 键 词：症状限制性心肺功能运动试验 心脏康复运动训练方案 心肌梗死 经皮冠状动脉介入术 

分 类 号：R493[医药卫生—康复医学]