摘要
目的探究急性心肌梗死患者经皮冠状动脉介入术(PCI)后早期运动康复训练结合呼吸训练对心脏康复及心血管事件的影响.方法选择2021年6月—2022年5月于我院行PCI的急性心肌梗死患者78例为研究对象,根据随机数字表法分为对照组及观察组,每组39例.对照组进行常规康复训练,观察组进行早期运动康复训练结合呼吸训练,均持续训练2个月.对比两组的凝血酶原时间(PT)、纤维蛋白原(Fbg)、凝血活酶时间(aPTT),左室射血分数(LVEF)、左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD),心血管事件发生情况及生活质量.结果干预后,观察组的aPTT、PT均长于对照组,Fbg水平低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的LVEF高于对照组,LVEDD、LVESD均短于对照组,组间差异有统计学意义(P<0.05).观察组的心血管事件总发生率为2.56%,低于对照组的20.51%,差异有统计学意义(P<0.05).干预后,观察组的明尼苏达生活质量评分表各领域评分均低于对照组,组间差异有统计学意义(P<0.05).结论早期运动康复训练结合呼吸训练能够改善急性心肌梗死患者PCI后的凝血功能,促进心脏康复,降低心血管事件发生风险,提升生活质量.
Objective To explore the effect of early exercise rehabilitation training combined with respiratory training on cardiac rehabilitation and cardiovascular events in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods 78 patients with acute myocardial infarction who underwent PCI in our hospital from June 2021 to May 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group received routine rehabilitation training,and the observation group received early exercise rehabilitation training combined with respiratory training,both of which lasted for 2 months.The prothrombin time(PT),fibrinogen(Fbg),activated partial thromboplastin time(aPTT),left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD),cardiovascular events and quality of life of the two groups were compared.Results After intervention,the aPTT and PT in the observation group were longer than those in the control group,and the Fbg level was lower than that in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the LVEF in the observation group was higher than that in the control group,while the LVEDD and LVESD were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The total incidence of cardiovascular events in the observation group was 2.56%,lower than 20.51%in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of all areas of the Minnesota living with heart failure questionnaire in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Early exercise rehabilitation training combined with respiratory training can improve the coagulation function of patients with acute myocardial infarction after PCI,promote cardiac rehabilitation,reduce the risk of cardiovascular events,and improve the quality of life.
作者
张春平
吕彦霞
ZHANG Chunping;LYU Yanxia(Department of Cardiovascular Medicine,Yuncheng County People's Hospital,Heze Shandong,274700,China)
出处
《反射疗法与康复医学》
2022年第23期58-61,65,共5页
Reflexology And Rehabilitation Medicine
关键词
急性心肌梗死
早期运动康复训练
呼吸训练
心脏康复
心血管事件
Acute myocardial infarction
Early exercise rehabilitation training
Respiratory training
Cardiac rehabilitation
Cardiovascular events
作者简介
张春平(1985-),女,山东菏泽人,本科,主治医师,研究方向:心血管内科常见病诊治。
