摘要
目的探讨个体化康复运动训练及综合康复指导在冠心病经皮冠状动脉介入治疗(PCI)术后患者中的应用效果.方法选择2018年6月—2020年6月于该院行PCI手术的冠心病患者80例为研究对象,按照随机数表法分为两组,各40例.对照组术后接受常规康复指导,观察组在对照组基础上接受个体化康复运动训练及综合康复指导.对比两组干预前后生活质量、心功能以及随访期间不良心血管事件发生情况.结果观察组干预后生理机能、生理职能、躯体疼痛及一般健康状况评分均高于对照组,组间差异有统计学意义(P<0.05).干预及随访期间,观察组不良心血管事件发生率7.50%低于对照组的20.00%,差异有统计学意义(P<0.05).观察组干预后6 min步行试验距离长于对照组,差异有统计学意义(P<0.05).结论个体化康复运动训练及综合康复指导能够改善冠心病PCI术后患者的心功能,提高其生活质量,减少不良心血管事件的发生.
Objective To explore the application effect of individualized rehabilitation exercise training and comprehensive rehabilitation guidance in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 80 patients with coronary heart disease who underwent PCI in the hospital from June 2018 to June 2020 were selected as the research subjects,and divided into two groups according to the random number table method,with 40 cases in each group.The control group received routine rehabilitation guidance after operation,while the observation group received individualized rehabilitation exercise training and comprehensive rehabilitation guidance on the basis of the control group.The quality of life and cardiac function before and after the intervention,and adverse cardiovascular events during the follow-up period were compared between the two groups.Results The scores of physiological function,physiological function,body pain and general health status in the observation group after the intervention were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).During the intervention and follow-up period,the incidence of adverse cardiovascular events in the observation group was 7.50%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).The distance of the 6-min walking test in the observation group after intervention was longer than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Individualized rehabilitation exercise training and comprehensive rehabilitation guidance can improve the cardiac function of patients with coronary heart disease after PCI,improve their quality of life,and reduce the occurrence of adverse cardiovascular events.
作者
刘东庭
LIU Dongting(Department of Cardiovascular Medicine,Beijing Yanqing District Hospital(Peking University Third Hospital Yanqing Hospital),Beijing,102100,China)
出处
《反射疗法与康复医学》
2021年第12期105-107,112,共4页
Reflexology And Rehabilitation Medicine
关键词
冠心病
经皮冠状动脉介入治疗
个体化康复运动训练
综合康复指导
生活质量
不良心血管事件
Coronary heart disease
Percutaneous coronary intervention
Individualized rehabilitation exercise training
Comprehensive rehabilitation guidance
Quality of life
Adverse cardiovascular events
作者简介
刘东庭(1982-),男,北京人,硕士研究生,主治医师,研究方向:心血管疾病治疗,冠脉介入治疗。
