急性心肌梗死患者PCI术后Ⅰ期中西医结合运动康复的最佳证据总结  

Summary of the best evidence for integrated traditional Chinese and Western medicine exercise rehabilitation among acute myocardial infarction patients in phase Ⅰ after PCI

作　　者：王晨威 杨飞 张美洁 修萌 张伟英[2] Wang Chenwei;Yang Fei;Zhang Meijie;Xiu Meng;Zhang Weiying(School of Medicine,Tongji University,Shanghai 200331,China;Nursing Department,Shanghai East Hospital,Tongji University,Shanghai 200120,China;School of Nursing,Suzhou Medical College,Soochow University,Suzhou 215006,China)

机构地区：[1]同济大学医学院,上海200331 [2]同济大学附属东方医院护理部,上海200120 [3]苏州大学医学部护理学院,苏州215006

出　　处：《中华现代护理杂志》2025年第12期1554-1562,共9页Chinese Journal of Modern Nursing

摘　　要：目的整合急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后Ⅰ期中西医结合运动康复的最佳证据,为临床实践提供循证依据。方法去系统检索UpToDate、美国国立指南网、国际指南网、苏格兰院际指南网、加拿大医学协会临床实践指南、中华医学会、中国知网、医脉通、维普网、中国生物医学文献数据库、万方数据知识服务平台、Scops、Cochrane Library、PubMed和Web of Science等中关于AMI患者PCI术后Ⅰ期中西医结合运动康复的文献,检索时限均为建库至2024年5月20日。由2名研究者独立进行文献质量评价和资料提取。结果共纳入19篇文献,包括4篇指南、8篇专家共识、6篇系统评价、1篇随机对照试验。最终汇总了包含康复前评估、运动开始时机、运动类型、运动程序、运动监测、运动频率、终止运动训练的标准和健康教育及随访8个方面32条最佳证据。结论AMI患者PCI术后I期中西医结合运动康复的最佳证据总结,为规范AMI患者PCI术后Ⅰ期运动康复流程、实践标准提供了循证依据。Objective To summary the best evidence of integrated traditional Chinese and Western medicine exercise rehabilitation for phase Ⅰ cardiac rehabilitation after percutaneous coronary intervention(PCI)in patients with acute myocardial infarction(AMI)and to provide an evidence-based basis for clinical practice.Methods The literature on integrated Chinese and Western medicine exercise rehabilitation among AMI patients in phase Ⅰ after PCI was systematically searched in UpToDate,National Guideline Clearinghouse,Guidelines International Network,Scottish Intercollegiate Guidelines Network,Canadian Medical Association Clinical Practice Guideline,Chinese Medical Association,China National Knowledge Infrastructure,Medlive,VIP,China Biology Medicine disc,Wanfang Data,Scops,Cochrane Library,PubMed,and Web of Science,etc.The search period was from database establishment to May 20,2024.Literature quality assessment and data extraction were performed independently by two researchers.Results A total of 19 papers were included,including four guidelines,eight expert consensus,six systematic reviews,and one randomized controlled trial.Thirty-two pieces of best evidence were summarized from eight areas containing pre-rehabilitation assessment,timing of exercise,type of exercise,exercise program,exercise monitoring,frequency of exercise,criteria for termination of exercise,and health education and follow-up.Conclusions The summary of the best evidence of integrated Chinese and Western medicine exercise rehabilitation among AMI patients in phase I after PCI provides an evidence-based basis for standardizing the process and practice standards of exercise rehabilitation among AMI patients in phase Ⅰ after PCI.

关 键 词：经皮冠状动脉介入治疗 急性心肌梗死 运动康复 中西医结合 证据总结 

分 类 号：R541.4[医药卫生—心血管疾病]