摘要
目的:探讨心脏康复运动指导对接受介入治疗的急性冠状动脉综合征(ACS)患者生活质量的影响。方法:选择ACS并成功行经皮冠脉介入术(PCI)后患者285例,按随机数字表法分3组:(1)个性化运动指导+曲美他嗪组(A组,96例);(2)运动指导组(B组,95例);(3)无运动指导对照组(C组,94例),分别于PCI术后第1、6、12个月对3组患者进行门诊复查和/或电话随访,比较三组患者代谢当量、36项简易健康调查表(SF-36)评分及6min步行试验结果。结果:出院时3组各项指标均无统计学差异(P均>0.05);半年及1年后,与B组和C组比较,A组代谢当量[半年:(4.26±0.55)METs比(3.87±0.57)METs比(5.01±0.88)METs,一年:(5.14±0.39)METs比(4.53±0.58)METs比(6.20±0.76)METs比]、SF-36得分[半年:(79.47±4.49)分比(70.98±5.59)分比(81.40±5.05)分,一年:(83.19±3.82)分比(73.63±5.25)分比(88.03±3.31)分]、6min步行距离[半年:(477.45±31.68)m比(456.00±30.03)m比(494.85±24.28)m,一年:(516.42±31.53)m比(475.25±29.78)m比(549.12±28.07)m]均明显增加(P均<0.01)。结论:密切随访下给予个性化运动指导可提高急性冠脉综合征患者介入治疗后的运动能力和生活质量。
Objective.. To explore influence of cardiac rehabilitation exercise guidance （CRG） on quality of life （QOL） in patients with acute coronary syndrome （ACS） undergoing percutaneous coronary intervention （PCI）. Methods： A total of 285 ACS patients after successful PCI were selected. According to random number table, they were divided into group A （n = 96, received individuatized exercise guidance under close follow-up and trimetazidine）, group B （n = 95, received exercise guidance under close follow-up） and group C （n = 94, received routine follow-up without ex- ercise guidance）. Outpatient review and/or telephone follow-up was performed on three groups on pt, 6：h, and 12th month after PCI. Metabolic equivalent, the medical outcomes study 36-item short-form heath survey （SF-36） score and 6rain walking distance （6MWD） were compared among three groups. Results： There were no significant differ- ence in all indexes among three groups at discharge, P〈0.05 all compared with group B and group C after six and 12 months, there were significant rise in metabolic equivalent [.six months： （4.26± 0.55） METs vs. （3.87± 0. 57） METsvs. （5.01±0.88） METs, 12 months： （5.14±0.39） METs vs. （4.53-0.58） METs vs. （6.20±0.76） METs, SF-36 score [-six months： （79.47 ± 4. 49） scores vs. （70.98 ± 5.59） scores vs. （81.40 ± 5. 05） scores, 12 months： （83.19± 3.82） scores vs. （73.63 ± 5.25） scores vs. （88.03 ± 3.31） scores and 6MWD [.six months： （477.45±31.68） m vs. （456.00 ± 30.03） m vs. （494.85± 24.28） m, 12 months： （516.42± 31.53） m vs. （475. 25 ± 29.78） m vs. （549.12 ± 28.07） m in group A, P（0.01 all. Conclusion： Individualized exercise guidance under close follow-up can improve exercise tolerance and QOL in ACS patients after PCI.
出处
《心血管康复医学杂志》
CAS
2017年第6期581-586,共6页
Chinese Journal of Cardiovascular Rehabilitation Medicine
作者简介
徐峰，E-mail：fengxuxf1967@163．COm
