有氧运动干预联合宁心涤痰汤对心肌梗死PCI术后患者心肺功能及生活质量的影响  

The Effect of Aerobic Exercise Intervention Combined with Ningxin Ditan Tang on Cardiopulmonary Function and Quality of Life in Patients with Myocardial Infarction After PCl

作　　者：晁欢欢 师晓娜 CHAO Huanhuan;SHI Xiaona(The First Afiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471000

出　　处：《实用中医内科杂志》2023年第8期148-150,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20190455)。

摘　　要：目的 分析有氧运动结合宁心涤痰汤对心肌梗死PCI术后患者心肺功能、生活质量的影响。方法 选取2021年1月—2022年6月医院收治的120例心肌梗死患者,按随机数字表法分组分为两组,各60例。两组患者均进行PCI手术治疗,对照组术后给予有氧运动干预,观察组在对照组基础上增加宁心涤痰汤内服。评估比较两组患者干预前后心肺功能指标、生活质量及护理满意度。结果 干预后,观察组患者的左室射血分数(LVEF)、每搏输出量(SV)高于对照组,而左室舒张末径(LVEDD)、左心室舒张末期容积(LVEDV)均低于对照组(P<0.05)。干预后,观察组患者的潮气量(TV)、肺活量(VC)、最大呼气流速(PEF)、肺总量(TLC)均高于对照组(P<0.05);观察组SF-36生活质量评分、护理满意度均高于对照组(P<0.05)。结论 有氧运动干预联合宁心涤痰汤对心肌梗死患者PCI术后有较好康复效果,可以提高患者心肺功能、生活质量和护理满意度。Objective To analyze the effects of aerobic exercise combined with Ningxin Ditan Tang on cardiopulmonary function and quality of life in patients with myocardial infarction after PCI.Methods 120 patients with myocardial infarction admitted to our hospital from January 2021 to June 2022 were randomly divided into a control group and an observation group,with 60 patients in each group.Both groups of patients underwent PCI surgery.The control group received postoperative aerobic exercise intervention,while the observation group received additional oral administration of Ningxin Ditan Tang on the basis of the control group.Evaluate and compare the cardiopulmonary function indicators,quality of life,and nursing satisfaction of two groups of patients before and after intervention.Results After the intervention,the left ventricular Ejection fraction(LVEF)and Stroke volume(SV)in the observation group were higher than those in the control group,while the left ventricular end diastolic diameter(LVEDD)and left ventricular end diastolic volume(LVEDV)were lower than those in the control group(P<0.05).After the intervention,the Tidal volume(TV),Vital capacity(VC),maximum expiratory flow rate(PEF)and total lung capacity(TLC)in the observation group were higher than those in the control group(P<0.05);The SF-36 quality of life score and nursing satisfaction in the observation group were higher than those in the control group(P<0.05).Conclusion The combination of aerobic exercise intervention and Ningxin Ditan Tang has a good rehabilitation effect on patients with myocardial infarction after PCI,which can improve their cardiopulmonary function,quality of life,and nursing satisfaction.

关 键 词：心肌梗死 冠脉介入术 宁心涤痰汤 有氧运动干预 心肺功能 

分 类 号：R473.5[医药卫生—护理学]