心脏康复治疗对冠状动脉支架术后患者的影响研究  

Study on the impact of cardiac rehabilitation therapy on patients after coronary artery stenting

作　　者：付涵 田文文 褚振宇 FU Han;TIAN Wenwen;CHU Zhenyu(Department of Cardiology,Zaozhuang Central Hospital of Shandong Guoxin Nursing Group,Shandong,Zaozhuang 277000,China)

机构地区：[1]山东国欣颐养集团枣庄中心医院心内科,山东枣庄277000

出　　处：《中国医药科学》2024年第7期195-198,共4页China Medicine And Pharmacy

摘　　要：目的分析心脏康复治疗对冠状动脉支架术后患者的影响。方法选取2022年1月至2023年3月山东国欣颐养集团枣庄中心医院心内科的70例冠状动脉支架术后患者作为研究对象,根据随机数表法分为对照组(n=35)和观察组(n=35),对照组采取常规治疗,观察组联合心脏康复治疗,分析其干预效果和差异。结果治疗前,两组心肺功能指标比较,差异无统计学意义(P>0.05);治疗后,观察组心肺功能指标(左室射血分数、每搏输血量、用力肺活量)均高于对照组,差异有统计学意义(P<0.05)。治疗前,两组生活质量指标比较,差异无统计学意义(P>0.05);治疗后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。治疗前,两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);治疗后,观察组HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论心脏康复治疗可以改善冠状动脉支架术后患者运动心肺功能,提升其生活质量,减少不良反应的发生,缓解患者不良情绪,值得临床推广应用。Objective To analyze the impact of cardiac rehabilitation therapy on patients after coronary artery stenting.Methods A total of 70 patients undergoing coronary artery stenting at the Department of Cardiology of Zaozhuang Central Hospital of Shandong Guoxin Nursing Group from January 2022 to March 2023 were selected as the research object.They were divided into a control group(n=35)and an observation group(n=35)using a random number table method.The control group received routine therapy,while the observation group received cardiac rehabilitation therapy based on routine therapy.The intervention effects and differences were analyzed.Results Before treatment,the cardiopulmonary function indicators were compared between the two groups,without statistically significant difference(P>0.05).After treatment,the cardiopulmonary function indicators(left ventricular ejection fraction,stroke volume,and forced vital capacity)of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).Before treatment,the quality of life indicators were compared between the two groups,without statistically significant difference(P>0.05).After treatment,the qualityof-life score of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Before treatment,the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores were compared between the two groups,without statistically significant differences(P>0.05).After treatment,the HAMA and HAMD scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The total incidence of adverse reactions in the observ ation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Cardiac rehabilitation therapy can improve the exercise cardiopulmonary function of patients after coronary artery stenting,improve their quality of life,reduce adverse reactions,and alleviate pa

关 键 词：心脏康复治疗 冠状动脉支架术 运动心肺功能 情绪 不良反应 

分 类 号：R541.4[医药卫生—心血管疾病]