摘要
Background Interventional surgery for coronary heart disease(CHD)is one of the important surgical schemes for the treatment of CHD,which can help patients recover heart function and improve life quality.The purpose of this study was to observe the application of seven-step finger method combined with extracorporeal counterpulsation in cardiac rehabilitation after CHD intervention and its effect on readmission rate.Methods A total of 60 patients who underwent coronary intervention in our hospital from February 2022 to October 2023 were selected as the study objects,and were divided into the conventional group and the study group by random number table method,with 30 cases in each group.The conventional group received routine postoperative care,and the study group carried out seven-step finger method combined with external counterpulsation intervention on the basis of the conventional postoperative care.The postoperative pain and numbness of the two groups evaluated by visual analogue scale(VAS)at 1h,2h,4h after surgery and 1h after removal of the hemostatic apparatus,cardiac function indicators including left ventricular ejection fraction(LVEF)and left ventricular end-diastolic diameter(LVEDD),and perihospital indicators including 6-minute walking distance,barthel index(BI),length of stay and readmission rate were compared.Results The VAS scores of pain and numbness in the study group were significantly lower than those in the conventional group at 2h,4h and 1h after the hemostat was removed(P<0.05).After intervention,LVEF in the study group was significantly higher than that in the conventional group,and LVEDD was significantly lower than that in the conventional group(P<0.05).At discharge,the 6-minute walking distance and BI value of the study group were significantly higher than that of the conventional group,and the length of hospital stay was significantly lower than that of the conventional group(P<0.05).The readmission rate of the study group(3.33%)was significantly lower than that of the conventional group(26.67%)(P<0.05).Conclusions The use of seven-step finger method combined with external counterpulsation intervention after coronary intervention can reduce the pain and numbness of the operative limb,improve the cardiac function of patients,improve the rehabilitation effect and selfcare ability,shorten the length of hospital stay,and reduce the rate of re-hospitalization.
作者
钟秋苑
徐二喜
郭翡翠
徐进芳
梁嘉敏
黄萍
易莉莉
ZHONG Qiu-yuan;XU Er-xi;GUO Fei-cui;XU Jin-fang;LIANG Jia-min;HUANG Ping;YI Li-li(Department of Cardiovascular Medicine,The Fourth People's Hospital of Nanhai District,Foshan City 528000,China)
