七日渐进式功能锻炼法应用于冠心病PCI患者的效果观察  

Effect Observation of Seven-day Progressive Functional Exercise in Patients with Coronary Heart Disease After PCI

作　　者：尤雪静 YOU Xuejing(Department of Cardiovascular Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州大学第一附属医院心血管外科,河南郑州450000

出　　处：《生物医学工程学进展》2024年第4期399-404,共6页Progress in Biomedical Engineering

摘　　要：目的探讨七日渐进式功能锻炼法应用于冠心病经皮冠状动脉支架植入术(PCI)患者的效果。方法使用随机单双数法将2022年2月至2024年2月于郑州大学第一附属医院行PCI治疗的87例冠心病患者分为2组,对常规组43例患者行常规干预,对康复组44例患者联合七日渐进式功能锻炼法,术后7天比较两组的心功能、运动耐力,术后1个月评估两组的自护能力,随访3个月后对比两组的生活质量。结果康复组术后7天脑钠肽(NT-proBNP)低于常规组,左室舒张末期内径(LVEDD)、左室射血分数(LVEF)高于常规组(P<0.05),6min步行距离(6 MWD)、峰值通气率及峰值摄氧量高于常规组(P<0.05)。康复组术后1个月疾病知识管理、遵医行为、突发事件管理、症状管理及日常生活管理得分高于常规组(P<0.05)。康复组3个月后心理健康、社会能力、独立生活能力和生理健康得分高于常规组(P<0.05)。结论七日渐进式功能锻炼法能有效提升冠心病PCI患者的心功能和运动耐力,还可提高其自护能力,改善其生活质量。Objective To investigate the effect of seven-day progressive functional exercise in patients with coronary heart disease after percutaneous coronary stent implantation(PCI).Methods A total of 87 patients with coronary heart disease who underwent PCI in the First Affiliated Hospital of Zhengzhou University from February 2022 to February 2024 were randomly divided into two groups by single and even number method.43 patients in the conventional group received routine intervention and 44 patients in the rehabilitation group received routine intervention combined with seven-day progressive functional exercise.After intervention for 7 days,the cardiac function and exercise tolerance of the two groups were compared,and the self-care ability of the two groups was assessed after one month.The quality of life of the two groups was compared after 3 months of follow-up.Results The N-terminal pro brain natriuretic peptide(NT-proBNP)of the rehabilitation group was lower than that of the conventional group at 7 days after surgery,and the left ventricular end diastolic diameter(LVEDD)and Left ventricular ejection fraction(LVEF)of the rehabilitation group were higher than those in conventional group(P<0.05).6-minute walk distance(6 MWD),peak ventilation rate and peak oxygen intake were higher than those in the conventional group(P<0.05).The scores of disease knowledge management,compliance behavior,emergency management,symptom management and daily life management in the rehabilitation group were higher than those in the conventional group one month after surgery(P<0.05),and the scores of mental health,social ability,independent living ability and physical health in the rehabilitation group were also higher than those in the conventional group after 3 months(P<0.05).Conclusions Seven-day progressive functional exercise can effectively improve the exercise endurance and cardiac function of patients with coronary heart disease PCI,and also increase their self-care ability and improve their quality of life.

关 键 词：七日渐进式功能锻炼法 冠心病 经皮冠状动脉支架植入术 心功能 运动耐力 自护能力 生活质量 

分 类 号：R493[医药卫生—康复医学]