多学科阶段性康复训练对老年急性冠脉综合征介入术后患者心脏康复效果的影响  

Effects of multidisciplinary phased rehabilitation training on cardiac rehabilitation outcome in elderly patients with acute coronary syndrome after interventional surgery

作　　者：白杰 张洁 肖艳香 吴晓宇 Bai Jie;Zhang Jie;Xiao Yanxiang;Wu Xiaoyu(Department of Cardiovascular Disease,Hospital of Integrated Traditional Chinese and Western Medicine of Cangzhou City,Cangzhou,Hebei,061000,P.R.China)

机构地区：[1]河北省沧州中西医结合医院东院区心血管病科,河北沧州061000

出　　处：《老年医学与保健》2025年第1期131-135,151,共6页Geriatrics & Health Care

基　　金：河北省中医药管理局(2019269)。

摘　　要：目的探讨多学科阶段性康复训练对老年急性冠脉综合征介入术后患者心脏康复效果的影响。方法回顾性选取2023年1月—2024年1月在河北省沧州中西医结合医院行急性冠脉综合征介入术的100例老年患者,按术后不同的干预方式分为观察组(n=50)和对照组(n=50)。对照组采用常规康复训练,观察组接受多学科阶段性康复训练。比较干预前后2组患者心功能、炎症指标值,统计并对比2组患者术后MACE发生情况。结果干预后,2组患者LVEF、CO、6MWD值均较同组干预前升高(P<0.05),且观察组LVEF、CO、6MWD值均高于对照组(P<0.05);2组患者LVEDD值、hs-CRP、IL-6、IL-10、TNF-α水平均较同组干预前降低(P<0.05),且观察组上述指标值均低于对照组(P<0.05);观察组患者MACE发生率低于对照组(P<0.05)。结论多学科阶段性康复训练提示可能有助于改善老年急性冠脉综合征介入术后患者的心脏功能,减轻机体炎症反应,降低术后不良心脏事件的发生风险。Objective To explore the effects of multidisciplinary phased rehabilitation training on cardiac rehabilitation outcome in elderly patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Methods A retrospective study was conducted on 100 elderly patients who underwent PCI for ACS in Hospital of Integrated Traditional Chinese and Western Medicine of Cangzhou City from January 2023 to January 2024.They were divided into observation group(n=50)and control group(n=50)based on postoperative intervention methods.The control group received conventional rehabilitation training,while the observation group received multidisciplinary phased rehabilitation training.Cardiac function indicators and inflammatory markers were compared between the two groups before and after the intervention.The incidence of major adverse cardiac events(MACE)were analyzed and compared between the two groups.Results After intervention,the values of left ventricular ejection fraction(LVEF),cardiac output(CO)and 6-minute walking distance(6MWD)in both groups were significantly higher than those in the same groups before intervention(P<0.05),and the above index values in the observation group were higher than those in the control group(P<0.05);left ventricular end-diastolic diameter(LVEDD)and the levels of hs-CRP,IL-6,IL-10 and TNF-αin both groups were significantly lower than those in the same groups before intervention(P<0.05),and the above index values in the observation group were lower than those in the control group(P<0.05).The incidence of MACE in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The multidisciplinary phased rehabilitation training may improve cardiac function,reduce systemic inflammation,and lower the risk of postoperative adverse cardiac events in elderly ACS patients after PCI.

关 键 词：老年 急性冠脉综合征 介入术 多学科阶段性康复训练 心脏康复 心功能 炎症 

分 类 号：R47[医药卫生—护理学]