摘要
目的:探讨益气活血法联合心脏康复对急性ST段抬高型心肌梗死患者冠脉介入术后预后效果的影响。方法:将我院于2018年7月1日~2019年7月1日收入河北省沧州中西医结合医院且符合入选标准的急性ST段抬高型心肌梗死PCI术后患者150例随机分为3组,对照组50例给予常规西药治疗,康复组50例在对照组治疗基础上加用心脏康复治疗,中药+康复组50例在对照组常规西药治疗基础上加用心脏康复治疗和益气活血方,连续住院14天,分析三组患者治疗前后B型纳尿肽(BNP)、射血分数(EF)、心绞痛改善疗效、1年后患者不良心血管事件(心源性休克、急性心肌梗死、恶性心律失常、急性心力衰竭、心源性猝死)发作情况。结果:治疗后在BNP、EF、心绞痛改善疗效及1年后不良心血管事件上中药+康复组优于康复组及对照组(P<0.05),在心绞痛改善疗效、1年后不良心血管事件上康复组优于对照组(P<0.05),在BNP、EF上康复组与对照组差异无统计学意义(P>0.05)。结论:心脏康复治疗可降低患者不良心血管事件,而益气活血法联合心脏康复不但可降低急性ST段抬高型心肌梗死冠脉介入术后患者的不良心血管事件发生,还可以提高患者活动耐量,改善远期预后。
Objective:To study the effect of tonifying Qi invigorating blood circulation method combined with cardiac rehabilitation for patients of ST-segment elevation myocardial infarction after PCI.Methods:All the 150 patients from our hospital between July 1st2018 to July 1^(st)2019 with ST-segment elevation myocardial infarction after PCI were randomly divided into three groups,a controlled group with 50 cases were cared with common drugs,a CR group with 50 cases were cared with CR based on the controlled group,and a YHF+CR group with 50 cases were cared with YHF and CR based on the controlled group.The three groups all were cared in the hospital for 14 days,Observing BNP,EF,the number of unstable angina,adverse cardiovascular events after one year(Cardiogenic shock,Acute myocardial infarction,Malignant Arrhythmia,Acute heart failure,Sudden death)of the three groups before and after the treatment.Results:The angina improvement in the YHF+CR group was better than that of the controlled group and the CR group at EF,BNP,the number of unstable angina,adverse cardiovascular events after one year after treatment(P<0.05).The CR group was better than the controlled group at the number of unstable angina,adverse cardiovascular events after one year after treatment(P<0.05).the controlled group and the CR group had no difference at EF,BNP(P>0.05).Conclusion:tonifying Qi invigorating blood circulation method combined with cardiac rehabilitation have a good effect on?mobile tolerance and adverse cardiovascular events in patients with ST-segment elevation myocardial infarction after PCI.They can improve the long-term prognosis.
作者
侯春霞
高占义
魏月娟
HOU Chunxia;GAO Zhanyi;WEI Yuejuan(Department of Cardiology,Cangzhou Integrated Traditional Chinese and Western Medicine Hospital,Cangzhou Hebei 061000,China)
出处
《四川中医》
2022年第11期92-95,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
益气活血法
心脏康复
急性ST段抬高型心肌梗死
冠脉介入术后
Tonifying Qi invigorating blood circulation method
Cardiac rehabilitation
ST-segment elevation myocardial infarction
PCI
