渐进性肌肉训练联合心脏康复对急性心肌梗死经皮冠状动脉介入治疗患者的干预效果  

Intervention Effect of Progressive Muscle Training Combined with Cardiac Rehabilitation on Patientswith Acute Myocardial Infarction undergoing Percutaneous Coronary Intervention

作　　者：周洋洋 李俊青 ZHOU Yang-yang;L Jun-Qing(Heart Disease Distriet 1,Zhumadian TCM Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中医院心病一区,驻马店463000

出　　处：《四川解剖学杂志》2024年第5期164-166,共3页Sichuan Journal of Anatomy

摘　　要：目的:探讨渐进性肌肉训练联合心脏康复对急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)患者的干预效果.方法:选取2020 年6 月至2022 年6 月本院收治的96 例AMI患者为研究对象.按照干预方法将其分为观察组(n=48,采用渐进性肌肉放松训练联合心脏康复干预)和对照组(n=48,仅采用心脏康复干预).比较两组患者干预前、后,心功能[左心室射血分数(LVEF)、左心室短轴缩短率(FS)、室壁运动积分指数(WMSI)],负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]和心脏不良事件发生率.结果:干预后,观察组患者LVEF、FS高于对照组,WMSI低于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05).两组患者心脏不良事件发生率比较,差异无统计学意义(P>0.05).结论:渐进性肌肉训练联合心脏康复用于AMI患者PCI术后,可促进患者心功能恢复,改善其负性情绪.Objective:To explore the intervention effect of progressive muscle training combined with cardiac rehabilitation on patients with acute myocardial infarction(AMI)undergoing percutaneous coronary intervention(PCI).Methods:A total of 96 AMI patients in our hospital from June 2020 to June 2022 were selected as the research subjects.They were divided into observation group(n=48,received progressive muscle relaxation training combined with cardiac rehabilitation intervention)and control group(n=48,received cardiac rehabilitation intervention only)according to the intervention method.The cardiac function[left ventricular ejection fraction(LVEF),fractional shortening of the ventricular minor semi axis(FS),wall motion integral index(WMSI)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],and adverse cardiac events were compared between the two groups before and after intervention.Results:After intervention,IVEF and FS in observation group were higher than those in control group,while WMSI was lower than that in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of SAS and SDS in observation group were lower than those in control group,with statistically significant differences(P<0.05).There was no statistically significant difference in the incidence of adverse cardiac events between the two groups(P>0.05).Conclusion:Progressive muscle training combined with cardiac rehabilitation can promote cardiac function recovery and improve negative emotions in AMI patients after PCI.

关 键 词：急性心肌梗死 经皮冠状动脉介入 心脏康复 渐进性肌肉放松训练 

分 类 号：R54[医药卫生—心血管疾病]