基于互联网思维的康复管理模式对CHD患者PCI术后的康复效果  

Rehabilitation effect of rehabilitation management mode based on Internet thinking on CHD patients after PCI

作　　者：于倩怡 王娟 尹姣 刘晓阳 薛淑敏 史敏 YU Qian-yi;WANG Juan;YIN Jiao;LIU Xiao-yang;XUE Shu-min;SHI Min(Department of Cardiovascular Medicine,Second Affiliated Hospital of Chinese PLA Air Force Military Medical University,Xi'an,Shaanxi,710038,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院心血管内科,陕西西安710038

出　　处：《心血管康复医学杂志》2025年第1期109-113,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探究互联网思维的延续康复管理对冠心病(CHD)患者经皮冠状动脉介入(PCI)术后的康复效果。方法:纳入2020年10月-2021年12月中国人民解放军空军军医大学第二附属医院收治的100例CHD患者,采用随机数字表法分为对照组、干预组,每组50例。对照组应用常规康复护理模式,干预组应用“互联网+”延续康复护理干预方案,均干预3个月。比较两组心功能、心肺运动试验指标、抑郁情况、服药依从性、生存质量以及随访1年的不良心血管事件发生情况。结果:与对照组比较,干预组3个月后无氧阈摄氧量(VO 2@AT)[(11.75±0.39)ml·kg^(-1)·min^(-1)比(10.17±0.76)ml·kg^(-1)·min^(-1)]、峰值摄氧量(Peak VO 2)[(17.87±0.72)ml·kg^(-1)·min^(-1)比(16.66±0.24)ml·kg^(-1)·min^(-1)]、左室射血分数(LVEF)[(51.15±2.42)%比(44.09±1.94)%]、Morisky用药依从性量表评分[(5.29±0.30)分比(4.11±0.27)分]、西雅图心绞痛量表(SAQ)评分[(85.50±4.37)分比(73.27±2.53)分]均显著升高,左室舒张末内径(LVEDd)[(40.51±0.41)mm比(46.64±0.99)mm]、抑郁症筛查量表(PHQ-9)评分[(7.67±0.85)分比(9.66±1.43)分]及随访1年内不良心血管事件总发生率(4.00%比16.00%)均显著降低(P<0.05或<0.01)。结论:CHD患者PCI术后应用互联网延续康复干预可以改善心肺运动能力、心功能,有助于提升其生活质量并缓解抑郁情绪,并降低心血管不良事件发生风险。Objective:This study aims to explore the rehabilitation effect of continuous rehabilitation management based on Internet thinking on patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:This randomized controlled study enrolled 100 CHD patients admitted in Second Affiliated Hospital of Chinese PLA Air Force Military Medical University between October 2020 and December 2021.They were divided into control group(n=50)and intervention group(n=50).Patients in control group received routine rehabilitation nursing mode,compared to those in intervention group applying“Internet+”continuous rehabilitation nursing intervention program,both groups were intervened for 3 months.Cardiac function,cardiopulmonary exercise test indexes,depression,medication compliance,quality of life and incidence of adverse cardiovascular events within 1-year follow-up were compared between two groups.Results:Compared with patients in control group after 3 months,those in intervention group had significant higher oxygen uptake at anaerobic threshold(VO 2@AT)[(11.75±0.39)ml·kg^(-1)·min^(-1) vs.(10.17±0.76)ml·kg^(-1)·min^(-1)],peak oxygen uptake(Peak VO 2)[(17.87±0.72)ml·kg^(-1)·min^(-1) vs.(16.66±0.24)ml·kg^(-1)·min^(-1)],left ventricular ejection fraction(LVEF)[(51.15±2.42)%vs.(44.09±1.94)%],scores of Morisky Medication Adherence Scale(MMAS-8)[(5.29±0.30)points vs.(4.11±0.27)points]and Seattle Angina Questionnaire(SAQ)[(85.50±4.37)points vs.(73.27±2.53)points],and significant lower left ventricular end-diastolic diameter(LVEDd)[(40.51±0.41)mm vs.(46.64±0.99)mm],score of Patient Health Questionnaire-9(PHQ-9)[(7.67±0.85)points vs.(9.66±1.43)points]and total incidence of adverse cardiovascular events within 1-year follow-up(4.00%vs.16.00%)(P<0.05 or<0.01).Conclusion:Internet continuous rehabilitation intervention could improve cardiopulmonary exercise capacity and cardiac function,help to improve their quality of life and relieve depression,and reduce the risk of adverse cardiovascu

关 键 词：冠心病 血管成形术 气囊 冠状动脉 康复 

分 类 号：R541.4[医药卫生—心血管疾病]