渐进式康复运动在急性心肌梗死后心力衰竭中的应用观察  

Application observation of progressive rehabilitation exercise in heart failure after acute myocardial infarction

作　　者：胡长玉 张春燕[2] 申敏[3] HU Changyu;ZHANG Chunyan;SHEN Min(Critical Care Department of Anyang Third People's Hospital,Anyang,Henan 455000;Nursing Department of Anyang People's Hospital,Anyang,Henan 455000;Nursing Department of Anyang Third People's Hospital,Anyang,Henan 455000)

机构地区：[1]安阳市第三人民医院重症医学科,河南安阳455000 [2]安阳市人民医院护理部,河南安阳455000 [3]安阳市第三人民医院护理部,河南安阳455000

出　　处：《新疆医学》2025年第2期163-166,170,共5页Xinjiang Medical Journal

摘　　要：目的观察渐进式康复运动对急性心肌梗死后心力衰竭患者运动耐力、心功能及生活质量的改善作用。方法根据随机数字表法,将在2021年1月至2023年1月间于安阳市第三人民医院就诊的急性心肌梗死后心力衰竭患者(87例)分为对照组/观察组(43/44例)。两组入院后均行降脂、抗凝等常规治疗,在此基础上施以对照组步行训练与肢体平衡等常规康复训练,施以观察组渐进式康复运动训练。比较两组临床疗效及治疗前后的运动耐力、心功能、生活质量。结果观察组临床总有效率为86.36%,高于对照组的58.14%(P<0.05),观察组运动耐力较对照组更佳(P<0.05);观察组舒张早期最大峰值流速/舒张晚期最大峰值流速、左心室射血分数及每搏输出量均高于对照组,左心室舒张末期内径小于对照组(P<0.05);观察组生活质量各项评分均高于对照组(P<0.05)。结论渐进式康复运动治疗急性心肌梗死后心力衰竭的临床疗效确切,可有效增强患者运动耐力,改善心功能,提高患者生活质量,利于患者预后。Objective Exploring the clinical efficacy of progressive rehabilitation exercise in the treatment of heart failure after acute myocardial infarction and its impact on exercise endurance,cardiac function,and quality of life in patients.Methods According to the random number table method,87 patients with heart failure after acute myocardial infarction who were treated at Anyang City Third People's Hospital from January 2021 to January 2023 were divided into a control group/observation group(43/44 cases).After admission,both groups received routine treatment such as lipid-lowering,anticoagulation,and stable hemodynamics.The control group received routine rehabilitation training such as walking and limb balance on the basis of routine treatment,while the observation group received progressive rehabilitation exercise training on the basis of routine treatment.Compare the clinical efficacy,exercise endurance,cardiac function,and quality of life between the two groups before and after treatment.Results The total clinical effective rate of the observation group was 86.36%,which was higher than 58.14% of the control group(P<0.05).The exercise endurance of the observation group was better than that of the control group(P<0.05);The observation group had higher early diastolic peak flow velocity/late diastolic peak flow velocity,left ventricular ejection fraction,and stroke output than the control group,while the left ventricular end diastolic diameter was smaller than the control group(P<0.05);The quality of life scores of the observation group were higher than those of the control group(P<0.05).Conclusion The clinical efficacy of progressive rehabilitation exercise in the treatment of heart failure after acute myocardial infarction is definite,which can effectively enhance patients'exercise endurance,improve heart function,improve their quality of life,and facilitate their prognosis.

关 键 词：急性心肌梗死 心力衰竭 渐进式康复运动 临床疗效 

分 类 号：R473.5[医药卫生—护理学]