持续康复运动在急诊PCI治疗术后康复中的应用效果分析(1)
[摘要] 目的 探討分析持续康复运动在急诊经皮冠状动脉介入手术(PCI)治疗术后康复中的应用效果。 方法 方便选取2018年4月—2019年11月该院行急诊经皮冠状动脉介入手术(PCI)治疗的120例急性心肌梗死患者，随机分为观察组(n=60)与对照组(n=60)。对照组患者实施常规锻炼护理，观察组患者实施持续康复运动护理，比较两组患者术后1 d和6个月的LVESV、LVEDV、LVEF等心功能指标，术后3个月和6个月的6MWD与QOL，以及术后6个月冠脉再狭窄及死亡情况之间的差异。结果 观察组患者术后6个月LVESV(35.9±3.6)mL、LVEDV(46.3±4.5)mL低于对照组[(39.2±3.9)mL、(49.1±4.8) mL]，LVEF(51.8±4.9)%高于对照组(44.7±4.6) %，术后3个月6MWD(348.9±32.4)m和6个月的6MWD(451.9±43.6)m皆长于对照组[(309.6±34.2)m、(367.2±37.9) m]，术后3个月QOL评分(45.6±5.2)分、术后6个月QOL评分(41.3±3.8)分低于对照组[(50.2±4.9)分、(46.5±4.2)分]，差异有统计学意义(t=4.816、3.296、8.183、6.462、11.357、4.987、7.112，P<0.05);术后6个月冠脉再狭窄率3.3%、病死率0.0%皆低于对照组的13.3%、8.3%，差异有统计学意义(χ2=3.927、5.217，P<0.05)。结论 在急性心肌梗死患者急诊经皮冠状动脉介入手术(PCI)治疗后，实施持续康复运动护理干预，有利于改善患者心功能，降低冠脉再狭窄和病死风险，提高生活质量。
[关键词] 持续康复运动;急诊;经皮冠状动脉介入手术;术后康复
[Abstract] Objective To investigate the effect of continuous rehabilitation exercise on rehabilitation after emergency percutaneous coronary intervention (PCI) treatment. Methods A total of 120 patients with acute myocardial infarction who convenient select underwent emergency percutaneous coronary intervention(PCI) in the hospital from April， 2018 to November， 2019 were randomly divided into observation group (n=60) and control group (n=60). Patients in the control group received routine exercise care， and patients in the observation group received continuous rehabilitation exercise care. The differences of LVESV， LVEDV， LVEF and other cardiac function indicators， 6MWD and QOL at 3 and 6 months after surgery， and coronary restenosis and death at 6 months after surgery were compared between the two groups. Results The LVESV (35.9 ± 3.6) mL and LVEDV (46.3 ± 4.5) mL of the observation group were lower than the control group by(39.2 ± 3.9) mL and (49.1 ± 4.8) mL at 6 months after operation. The 6MWD (348.9 ± 32.4) m in the next 3 months and the 6MWD (451.9 ± 43.6)m in the 6 months were longer than the control group [(309.6 ± 34.2)m， (367.2 ± 37.9)m]， the QOL score (45.6 ± 5.2) points3 months after the operation， and 6 month QOL score (41.3 ± 3.8) points was lower than the control group[( 50.2 ± 4.9)， (46.5 ± 4.2)points]， and the difference was statistically significant (t=4.816， 3.296， 8.183， 6.462， 11.357， 4.987， 7.112， P<0.05); postoperative 6 month coronary restenosis rate was 3.3% and the mortality rate was 0.0%， which were lower than the control group's 13.3% and 8.3%. The differences were statistically significant(χ2=3.927， 5.217， P<0.05). Conclusion After emergency percutaneous coronary intervention (PCI) treatment in patients with acute myocardial infarction， the implementation of continuous rehabilitation sports nursing intervention is beneficial to improve the patient's cardiac function， reduce the risk of coronary restenosis and mortality， improve the quality of life., http://www.100md.com(冼燕林 杜莉萍)
[关键词] 持续康复运动;急诊;经皮冠状动脉介入手术;术后康复
[Abstract] Objective To investigate the effect of continuous rehabilitation exercise on rehabilitation after emergency percutaneous coronary intervention (PCI) treatment. Methods A total of 120 patients with acute myocardial infarction who convenient select underwent emergency percutaneous coronary intervention(PCI) in the hospital from April， 2018 to November， 2019 were randomly divided into observation group (n=60) and control group (n=60). Patients in the control group received routine exercise care， and patients in the observation group received continuous rehabilitation exercise care. The differences of LVESV， LVEDV， LVEF and other cardiac function indicators， 6MWD and QOL at 3 and 6 months after surgery， and coronary restenosis and death at 6 months after surgery were compared between the two groups. Results The LVESV (35.9 ± 3.6) mL and LVEDV (46.3 ± 4.5) mL of the observation group were lower than the control group by(39.2 ± 3.9) mL and (49.1 ± 4.8) mL at 6 months after operation. The 6MWD (348.9 ± 32.4) m in the next 3 months and the 6MWD (451.9 ± 43.6)m in the 6 months were longer than the control group [(309.6 ± 34.2)m， (367.2 ± 37.9)m]， the QOL score (45.6 ± 5.2) points3 months after the operation， and 6 month QOL score (41.3 ± 3.8) points was lower than the control group[( 50.2 ± 4.9)， (46.5 ± 4.2)points]， and the difference was statistically significant (t=4.816， 3.296， 8.183， 6.462， 11.357， 4.987， 7.112， P<0.05); postoperative 6 month coronary restenosis rate was 3.3% and the mortality rate was 0.0%， which were lower than the control group's 13.3% and 8.3%. The differences were statistically significant(χ2=3.927， 5.217， P<0.05). Conclusion After emergency percutaneous coronary intervention (PCI) treatment in patients with acute myocardial infarction， the implementation of continuous rehabilitation sports nursing intervention is beneficial to improve the patient's cardiac function， reduce the risk of coronary restenosis and mortality， improve the quality of life., http://www.100md.com(冼燕林 杜莉萍)