基于负荷心肌声学造影评价八段锦在冠脉介入术后的康复价值  

Rehabilitation value of performing eight-section exercise after percutaneous coronary intervention based on stress myocardial contrast echocardiography

作　　者：孙爱童 高迎春 齐岩松 蒋鹏 SUN Aitong;GAO Yingchun;QI Yansong;JIANG Peng(Department of Ultrasound,Inner Mongolia People's Hospital,Hohhot 010017,China;Department of Cardiology,Inner Mongolia People's Hospital,Hohhot 010017,China;Orthopedic Center(Sports Medicine Center),Inner Mongolia People's Hospital,Hohhot 010017,China)

机构地区：[1]内蒙古自治区人民医院超声医学科,呼和浩特010017 [2]内蒙古自治区人民医院心血管内科,呼和浩特010017 [3]内蒙古自治区人民医院骨科中心,呼和浩特010017

出　　处：《科技导报》2023年第23期28-34,共7页Science & Technology Review

基　　金：内蒙古自治区科技计划项目(2021GG0378);内蒙古自治区卫生健康委员会医疗卫生科技计划项目(202201017,202201041);内蒙古医科大学联合项目(YKD2022LH053)。

摘　　要：急性心肌梗死(AMI)是心血管疾病最常见的致死原因,AMI患者行经皮冠状动脉介入术(PCI)后需进行心脏康复。八段锦是中国传统的健身功法。以PCI术后患者为研究对象,利用负荷心肌声学造影(MCE)等手段,旨在评价八段锦对AMI患者预后心肌血液灌注、运动功能及生活质量的影响,指标包括心肌血流量(MBF)、室壁运动异常率、六分钟步行试验(6MWT)距离、Croog生活质量评分等。结果显示,与单纯PCI相比,使用八段锦作为康复方案术后1年时的心内膜下MBF、6MWT距离、睡眠与性功能、自觉健康状况、情绪、日常生活子项评分均显著增高,室壁运动异常率显著降低。说明八段锦可显著提高AMI患者的心肌血液灌注和改善心室壁运动,提高心肺运动功能,不但可改善预后的躯体健康和日常生活能力,还具有调节情绪和改善睡眠的作用。Acute myocardial infarction(AMI)is the most common cause of death in cardiovascular diseases.AMI patients who underwent percutaneous coronary intervention(PCI)always require the cardiac rehabilitation.Eight-section exercise is a traditional fitness exercise in China.This study uses objective assessment methods such as stress myocardial contrast echocardiography(MCE)and aims to evaluate the impact of eight-section exercise on the myocardial blood perfusion,motor function,and quality of life in the AMI patients who underwent PCI.The indicators included the myocardial blood flow(MBF),abnormal rate of ventricular wall motion,6-minute walking test(6MWT)distance,and Croog quality of life score.At the time of 1y rehabilitation after PCI,the patients'subendocardial MBF,6MWT distance,as well as the sleep and sexual function,conscious health status,mood,and daily life sub items of Croog score were significantly higher than before,while the abnormal rate of ventricular wall motion was significantly lower than before.It indicates that eight-section exercise can significantly improve the myocardial blood perfusion,ventricular wall motion,and cardiopulmonary function in AMI patients after PCI.Moreover,it not only improves the prognostic physical health and daily living ability but also has the effects of emotion regulation and sleep.

关 键 词：心脏康复 八段锦 负荷心肌声学造影 心肌血流量 心肺运动功能 预后生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]