中医运动处方对经皮冠状动脉介入治疗术后患者Ⅱ期心脏康复的效果研究  

Study on the effect of Traditional Chinese Medicine exercise prescription on phaseⅡcardiac rehabilitation of patients after percutaneous coronary intervention

作　　者：梁晓慧[1] 王晓华[1] 蔡艳芳 张奇 谷文婷 韩爱敏 LIANG Xaiohui;WANG Xiaohua;CAI Yanfang;ZHANG Qi;GU Wenting;HAN Aimin(Department of General Practice,the First Hospital of Qinhuangdao,Qinhuangdao 066000,China;School of Nursing,Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Key Laboratory of Traditional Chinese Medicine Health Care Research in Hebei Province,Shijiazhuang 050200,China)

机构地区：[1]秦皇岛市第一医院全科医疗科,066000 [2]河北中医药大学护理学院,石家庄市050200 [3]河北省中医药康养照护研究重点实验室,石家庄市050200

出　　处：《护理管理杂志》2023年第12期988-992,共5页Journal of Nursing Administration

基　　金：河北省中医药管理局科研计划项目(2022369);秦皇岛市科学技术研究与发展计划(202101A138);2022年河北省社会科学发展研究课题(20220202329);河北省高等学校人文社会科学研究项目(SY2022028)。

摘　　要：目的探讨中医运动处方在经皮冠状动脉介入治疗术后患者Ⅱ期心脏康复中的应用效果。方法选取接受经皮冠状动脉介入治疗患者142例随机分为对照组70例和实验组72例。对照组给予常规心脏康复指导和常规运动康复,实验组在此基础上进行6个月中医运动处方康复训练。比较两组6 min步行距离、生存质量、心脏不良事件发生率。结果实验组患者出院后4周、6个月6 min步行距离增加(P<0.01),实验组患者出院后6个月生存质量得分高于同期对照组(P<0.01或P<0.05);两组患者心脏不良事件发生率比较,差异无统计学意义(P>0.05)。结论中医运动处方可以提高经皮冠状动脉介入治疗术后患者运动耐力、改善生活质量,使患者安全获益,值得临床推广应用。Objective To explore the application effect of traditional Chinese medicine(TCM)exercise prescription in phaseⅡcardiac rehabilitation of patients after Percutaneous Coronary Intervention(PCI).Methods A total of 142 patients receiving PCI were randomly divided into control group(70 cases)and experimental group(72 cases).The control group was given routine cardiac rehabilitation guidance and routine exercise rehabilitation,and the experimental group was given 6 months TCM exercise prescription rehabilitation training on the basis.The 6 min walking distance,quality of life and incidence of cardiac adverse events were compared between the two groups.Results The 6 min walking distance of the experimental group increased at 4 weeks and 6 months after discharge(P<0.01),and the quality of life score of the experimental group was higher than that of the control group at 6 months after discharge(P<0.01 or P<0.05).There was no significant difference in the incidence of cardiac adverse events between the two groups(P>0.05).Conclusion TCM exercise prescription can improve the exercise endurance and quality of life of patients after PCI,so that patients can benefit safely,and it is worthy of clinical application.

关 键 词：中医运动处方 冠状动介入治疗术 心脏康复 

分 类 号：R248[医药卫生—中医临床基础]