摘要
目的探讨急性心肌梗死(AMI)经皮冠状动脉介入(PCI)治疗后早期康复护理的应用效果。方法选择山东省立第三医院心内科于2017年1~5月期间收治42例AMI患者为研究对象,所有患者均接受PCI治疗,根据随机数表法分为对照组和观察组,每组21例,对照组予心内科常规护理,观察组在此基础上进行术后早期康复护理干预,时间为2周,比较两组患者术后3 d、术后3个月的左室射血分数(LVEF)和术后3个月的生活质量(采用SF-36量表评分)。结果术后3 d的术后3个月,观察组患者的LVEF分别为(55.4±5.3)%、(59.7±6.2)%,均明显高于对照组的(51.8±4.5)%、(54.3±5.6)%,差异均有统计学意义(P<0.05);术后3个月,观察组患者的SF-36量表总分为(66.9±5.4)分,明显高于对照组的(62.2±4.6)分,差异有统计学意义(P<0.05)。结论急性心肌梗死患者经皮冠状动脉介入术后进行早期康复护理可以有效提高心脏储备能力,改善患者的心功能、提高患者的生活质量。
Objective To explore the effect of early rehabilitation nursing after percutaneous coronary intervention（PCI） for acute myocardial infarction（AMI）. Methods A total of 42 AMI patients treated in the Department of Cardiology in Shandong Provincial Third Hospital from January 2017 to May 2017 were selected as research subjects. All the patients were treated with PCI and randomly divided into observation group and control group, with 21 patients in each group. The control group used routine nursing care of cardiology, and the observation group applied early rehabilitation nursing intervention based on the routine care of the control group, both for 2 weeks. Left ventricular ejection fraction（LVEF） at postoperative 3 day and 3 months, and quality of life scores（SF-36） at postoperative 3 months were compared between the two groups. Results At postoperative 3 day, 3 months, the LVEF in observation group were（55.4 ± 5.3）% and（59.7 ± 6.2）%, significantly higher than（51.8 ± 4.5）% and（54.3 ± 5.6）% in the control group（P〈0.05）. At postoperative 3 months, the SF-36 score of observation group was（66.9±5.4）, significantly higher than（62.2±4.6） in the control group（P〈0.05）. Conclusion Early rehabilitation nursing for patients with acute myocardial infarction after percutaneous coronary intervention can effectively improve cardiac reserve function, improve cardiac function and quality of life.
作者
张文英
赵敏敏
张翠英
ZHANG Wen-ying;ZHAO Min-min;ZHANG Cui-ying(Medical Insurance Office,Department of Cardiolog;Department of Bone Surgery;Shandong Provincial Third Hospital,Jinan 250031,Shandong,CHINA)
出处
《海南医学》
CAS
2018年第14期2063-2065,共3页
Hainan Medical Journal
基金
山东省中医药科技发展计划项目(编号:2015-377)
关键词
急性心肌梗死
经皮冠状动脉介入术
康复护理
心功能
生活质量
Acute myocardial infarction
Percutaneous coronary intervention
Rehabilitation nursing
Cardiacfunction
Quality of life
