摘要
目的:观察早期康复护理在急性心肌梗死(AMI)介入治疗患者中的应用效果。方法:选取76例行经皮冠状动脉介入治疗的AMI患者为研究对象,按随机数字表法分为对照组与观察组各38例。对照组采用常规护理,观察组采用早期康复护理,比较两组术后1周及护理3个月后运动耐力指标[6 min步行试验(6MWT)]水平,护理前后心功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVDD)]水平,以及心脏不良事件发生率。结果:护理3个月后,观察组6MWT距离长于对照组,差异有统计学意义(P<0.05);护理后,两组LVDD水平比较,差异无统计学意义(P>0.05);观察组LVEF水平高于对照组,差异有统计学意义(P<0.05);观察组心脏不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:早期康复护理应用于AMI患者可提高运动耐力指标水平,改善心功能指标水平,以及降低心脏不良事件发生率,其效果优于常规护理。
Objective:To observe application effects of early rehabilitation nursing in patients with acute myocardial infarction(AMI)undergoing interventional therapy.Methods:76 patients with AMI undergoing PCI were selected as the research objects,and were divided into control group and observation group according to the random number table method,38 cases in each group.The control group received routine nursing,while the observation group was given the early rehabilitation nursing.The levels of exercise tolerance indexed[6 min walking test(6MWT)]1 week after the surgery and after 3 months of nursing,the cardiac function index levels[left ventricular ejection fraction(LVEF),left ventricular enddiastolic diameter(LVDD)]before and after the nursing and the incidence of adverse cardiac events were compared between the two groups.Results:After 3 months of nursing,the 6MWT distance of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,there was no significant difference in the LVDD level between the two groups(P>0.05).The level of LVEF in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of cardiac adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:The early rehabilitation nursing for the AMI patients can improve the levels of exercise endurance index,improve the levels of cardiac function indexed,and reduce the incidence of adverse cardiac events.Moreover,it is superior to the routine nursing.
作者
谢美丽
徐彩红
XIE Meili;XU Caihong(The Second Department of Cardiovascular Medicine of Zhumadian Central Hospital,Zhumadian 463000 Henan,China)
出处
《中国民康医学》
2022年第9期153-155,159,共4页
Medical Journal of Chinese People’s Health
关键词
急性心肌梗死
经皮冠状动脉介入术
早期康复护理
运动耐力
心功能
心脏不良事件
Acute myocardial infarction
Percutaneous coronary intervention
Early rehabilitation nursing
Exercise tolerance
Cardiac function
Adverse cardiac event
