以运动平板试验为指导的心脏康复训练对急性心肌梗死PCI术后患者康复效果的影响  

Influence of Cardiac Rehabilitation Training Guided by Exercise Treadmill Test on Rehabilitation Outcomes of Patients with Acute Myocardial Infarction after PCI Surgery

作　　者：李清莲 陈彩燕 LI Qinglian;CHEN Caiyan(Department of Electrocardiography,Maoming People's Hospital,Guangdong Province,Maoming Guangdong,525000,China;Department of Rehabilitation,Maoming People's Hospital,Guangdong Province,Maoming Guangdong,525000,China)

机构地区：[1]广东省茂名市人民医院心电图科,广东茂名525000 [2]广东省茂名市人民医院康复科,广东茂名525000

出　　处：《反射疗法与康复医学》2024年第21期64-68,共5页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨以运动平板试验为指导的心脏康复训练对急性心肌梗死经皮冠状动脉介入术(PCI)治疗后患者康复效果的影响。方法选取2021年8月—2022年7月于茂名市人民医院行PCI术的100例急性心肌梗死患者为研究对象,根据随机数字表法分为对照组和研究组,每组50例。对照组进行常规心脏康复训练干预,研究组在对照组基础上采用运动平板试验干预,两组均持续干预12个月。比较两组患者的运动最大心率、总时间、代谢当量、运动试验结果阳性率、心功能、心血管不良事件发生情况及焦虑抑郁情况。结果干预12个月后,研究组的最大心率低于对照组,运动总时间长于对照组,代谢当量高于对照组,组间差异有统计学意义(P<0.05);研究组的运动试验结果阳性率为0.00%,低于对照组的12.00%,差异有统计学意义(P<0.05);研究组的血管不良事件发生率为2.00%,低于对照组的16.00%,差异有统计学意义(P<0.05);研究组的焦虑自评量表、抑郁自评量表评分均低于对照组,组间差异有统计学意义(P<0.05)。结论以运动平板试验为指导的心脏康复训练对急性心肌梗死PCI术后患者的康复效果具有积极影响,可降低其最大心率,提高运动总时间及代谢当量,降低运动试验结果阳性率,改善心功能,同时降低心血管不良事件发生率,减轻患者的焦虑抑郁情绪。Objective To investigate the effect of cardiac rehabilitation training guided by exercise treadmill test on rehabilitation of patients with acute myocardial infarction after percutaneous coronary intervention(PCI)surgery.Methods One hundred patients with acute myocardial infarction who underwent PCI in Maoming People's Hospital from August 2021 to July 2022 were selected as the research objects,and were divided into a control group and a study group according to random number table method,with 50 cases in each group.The control group received routine cardiac rehabilitation training,and the study group received exercise treadmill test on the basis of the control group,both groups continued the intervention for 12 months.The maximum heart rate,total exercise time,metabolic equivalent,positive rate of exercise test results,heart function,occurrence of adverse cardiovascular events and anxiety and depression were compared between the two groups.Results After 12 months of intervention,the maximum heart rate of the study group was lower than that of the control group,the total exercise time was longer than that of the control group,and the metabolic equivalent was higher than that of the control group,,the differences between the groups were statistically significant(P<0.05);the positive rate of exercise test results results in the study group was 0.00%,which was lower than 12.00%in the control group,and the difference was statistically significant(P<0.05);the left ventricular ejection fraction of the study group was higher than that of the control group,the 6-min Walking Distance was longer than that of the control group,and the brain natriuretic peptide level was lower than that of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of vascular adverse events in the study group was 2.00%,which was lower than 16.00%in the control group,and the difference was statistically significant(P<0.05);the scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale i

关 键 词：急性心肌梗死 经皮冠状动脉介入术 运动平板试验 心脏康复训练 

分 类 号：R542.22[医药卫生—心血管疾病]