脚踏车结合Ⅰ期心脏康复运动在急性心肌梗死患者急诊经皮冠状动脉介入治疗术后的应用效果  

Effect of bicycle combined with phase Ⅰ cardiac rehabilitation exercise on patients with acute myocardial infarction after emergency percutaneous coronary intervention

作　　者：张晓琴 占凤 毛青 ZHANG Xiaoqin;ZHAN Feng;MAO Qing(Department of Nursing,Shangrao People's Hospital,Jiangxi Province,Shangrao 334000,China)

机构地区：[1]江西省上饶市人民医院护理部,江西上饶334000

出　　处：《中国当代医药》2025年第4期156-159,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202312302)。

摘　　要：目的探讨在急性心肌梗死(AMI)患者急诊经皮冠状动脉介入治疗(PCI)术后采取脚踏车结合Ⅰ期心脏康复运动干预措施的临床效果。方法选取2023年6月至10月在上饶市人民医院就诊的78例经桡动脉行急诊PCI术后AMI患者作为研究对象,按照随机数字表法分为对照组(n=39)和干预组(n=39),对照组应用常规护理模式,干预组在对照组基础上实施脚踏车与Ⅰ期心脏康复运动式护理。比较两组患者的心功能、6 min步行试验(6MWT)、运动耐力、生活质量、心脏不良事件、满意度。结果干预组干预后的左心室射血分数水平、6MWT测试成绩高于对照组,左心室舒张末期直径低于对照组,差异有统计学意义(P<0.05)。干预组患者干预后的生活质量评分高于对照组,差异有统计学意义(P<0.05)。干预组患者的心脏不良事件发生率低于对照组,差异有统计学意义(P<0.05)。两组患者的满意度比较,差异无统计学意义(P>0.05)。结论AMI患者急诊PCI术后行脚踏车结合Ⅰ期心脏康复运动可以促进患者心功能的恢复,改善患者生活质量,降低患者心脏不良事件的发生率,缩短住院天数并降低住院费用,增加患者及家属的满意度,且此方案安全可行。Objective To investigate the clinical effect of bicycle combined with phase Ⅰ cardiac rehabilitation exercise intervention after emergency percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI).Methods A total of 78 patients with AMI after emergency PCI via radial artery in Shangrao People's Hospital from June to October 2023 were selected and divided into the control group(n=39)and the intervention group(n=39)by random number table method.The control group was treated with routine nursing mode,and the intervention group was treated with bicycle and phase Ⅰ cardiac rehabilitation exercise based on the control group.Cardiac function,6 min walking test(6MWT),exercise endurance,quality of life,adverse cardiac events,satisfaction were compared between the two groups.Results After intervention,the left ventricular ejection fraction level and 6MWT test score of the intervention group were higher than that of the control group,and the left ventricular end-diastolic diameter was lower than that of the control group,with statistical significances(P<0.05).The quality of life score of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of cardiac adverse events in the intervention group was lower than that in the control group,with statistical significance(P<0.05).There was no significant difference in satisfaction between the two groups(P>0.05).Conclusion Bicycle combined with phase Ⅰ cardiac rehabilitation exercise for AMI patients after emergency PCI can promote the recovery of cardiac function,improve the quality of life,reduce the incidence of cardiac adverse events,shorten the length of hospital stay and reduce the cost of hospitalization,and increase the satisfaction of patients and their families,and this program is safe and feasible.

关 键 词：脚踏车 心脏康复运动 急性心肌梗死 经皮冠状动脉介入治疗 

分 类 号：R541[医药卫生—心血管疾病]