摘要
目的分析急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)术后实施早期心脏康复训练的临床效果。方法100例行PCI手术的急性心肌梗死患者,通过随机数字表法分为研究组和对照组,每组50例。对照组实施基础运动康复教育,研究组在对照组基础上实施早期心脏康复训练。比较两组基线指标[心率(HR)、收缩压(SBP)、舒张压(DBP)、体质量指数(BMI)、每搏输出量(SV)、整体纵向应变(GLS)、二尖瓣口舒张早期与舒张晚期峰值流速比(E/A比)、左室舒张末容积(LVEDV)、左室收缩末容积(LVESV)]和心理状态评分。结果研究组SV、HR、SBP、DBP、LVEDV、LVESV、E/A比、GLS与比对照组对比,差异均无统计学意义(P>0.05)。研究组焦虑评分(7.34±1.23)分和抑郁评分(6.88±1.29)分均低于对照组的(15.45±1.92)、(15.44±1.22)分,差异有统计学意义(P<0.05)。结论早期心脏康复训练能够提升PCI术后急性心肌梗死患者心脏功能的适应程度,改善患者的心理状态,提高患者的生活质量,适合在临床进行开展和普及。
Objective To analyze the clinical effect of early cardiac rehabilitation training in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods A total of 100 patients with acute myocardial infarction after PCI were divided into research group and control group according to random numerical table,with 50 cases in each group.The control group received basic sports rehabilitation education,and the research group received early cardiac rehabilitation training on the basis of the control group.The baseline indicators[heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP),body mass index(BMI),stroke volume(SV),global longitudinal strain(GLS),peak mitral flow velocity in early diastole to that during atrial contraction(E/A),left ventricular end diastolic volume(LVEDV),left ventricular end systolic volume(LVESV)]and mental state score were compared between the two groups.Results The SV,HR,SBP,DBP,LVEDV,LVESV,E/A,GLS of the research group had no statistically significant difference compared with those of the control group(P>0.05).The anxiety score(7.34±1.23)points and depression score(6.88±1.29)points of the research group were lower than(15.45±1.92)and(15.44±1.22)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Early cardiac rehabilitation training can improve the adaptability of cardiac function in patients with acute myocardial infarction after PCI,improve the patient’s mental state,and improve the quality of life of patients,and is suitable for clinical development and popularization.
作者
赵赫
ZHAO He(Department of Cardiology,Liaoyang Central Hospital,Liaoyang 111000,China)
出处
《中国现代药物应用》
2021年第16期219-221,共3页
Chinese Journal of Modern Drug Application
关键词
早期心脏康复训练
急性心肌梗死
经皮冠状动脉介入治疗
Early cardiac rehabilitation training
Acute myocardial infarction
Percutaneous coronary intervention
