冠心病患者接受PTCA支架术后早期康复运动训练对提升体力恢复速度和改善生活质量的研究  

Study on early rehabilitation exercise training to enhance physical recovery speed and improve quality of life in patients with coronary heart disease after PTCA stenting

作　　者：薛瑞瑞 杜庆品 李静 XUE Ruirui;DU Qingpin;LI Jing(Department of Cardiovascular Medicine,The Third People's Hospital of Shangqiu,Shangqiu 476000,China)

机构地区：[1]商丘市第三人民医院心血管内科,河南商丘476000

出　　处：《黑龙江医药科学》2025年第2期47-49,53,共4页Heilongjiang Medicine and Pharmacy

基　　金：河南省自然科学基金项目,编号:20221403。

摘　　要：目的:探究在冠心病患者经皮穿刺冠状动脉腔内成形术(percutaneous transluminal coronary angioplasty,PTCA)支架术后开展早期康复运动训练,对患者体力恢复速度提升及生活质量改善的影响。方法:选取2022年1月至2023年12月在商丘市第三人民医院行PTCA支架术治疗的冠心病患者100例,依照随机数字表法对其进行分组,其中50例纳入对照组,术后接受常规康复护理,其余50例作为观察组在常规康复护理基础上开展早期康复运动训练。对两组患者的体力恢复速度、心功能表现、生活质量评价以及心血管相关不良反应进行观察。结果:观察组患者的术后首次床上活动时间与下床时间均早于对照组,其首次上台阶级数更多,住院时间更短,患者干预后的心功能相关指标改善效果较对照组更加显著,生活质量各项指标评分更高,并且心血管相关不良反应总发生率明显更低(P<0.05)。结论:在PTCA支架术后开展早期康复运动训练,能有效提高冠心病患者的体力恢复速度,改善心功能异常情况,提升术后生活质量,同时有助于加强对心血管相关并发症的防范效果。Objective:To explore the impact of early rehabilitation exercise training on the enhancement of physical recovery speed and improvement of quality of life in patients with coronary heart disease after percutaneous transluminal coronary angioplasty(PTCA)stenting.Methods:From January 2022 to December 2023,100 patients with coronary heart disease who underwent PTCA stenting at Shangqiu Third People's Hospital were selected and randomly divided into two groups using a random number table.50 patients were included in the control group and received conventional rehabilitation nursing after surgery,while the other 50 patients were included in the observation group and received early rehabilitation exercise training on the basis of conventional rehabilitation nursing.The physical recovery speed,cardiac function performance,quality of life evaluation and cardiovascular related adverse reactions were compared between the two groups.Results:Compared with the control group,patients in the observation group had earlier first postoperative bedside activity time and ambulation time,more steps taken on stairs during their first attempt,shorter hospital stays,more significant improvement in cardiac function-related indicators after intervention,higher scores on various quality of life indicators,and a significantly lower overall incidence of cardiovascular-related adverse reactions(P<0.05).Conclusion:Early rehabilitation exercise training after PTCA stenting can effectively enhance physical recovery speed of patients with coronary heart disease,improve abnormalities in cardiac function,enhance postoperative quality of life,and contribute to better prevention of cardiovascular-related complications.

关 键 词：冠心病 PTCA支架术 早期康复运动训练 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]