摘要
目的探讨早期家庭运动心脏康复对急性心肌梗死(AMI)经皮冠状动脉介入(PCI)术后患者心室功能的影响。方法选取2015年1月~2016年6月于安徽省省立医院就诊AMI并行PCI治疗的50例患者随机分为2组:心脏康复组25例(男性21例,女性4例),予以早期家庭心脏康复运动训练;对照组25例(男性19例,女性6例),仅接受常规运动康复教育及护理。两组均在PCI后48 h内和术后4周行超声心动图检查,并通过Echo Pac-120软件分析基线与4周随访结束时整体和局部应变值。结果 4周随访结束时心脏康复组失访2例,对照组失访及死亡各1例。心脏康复组整体和局部应变值和左心室射血分数,较对照组均有显著改善(P均<0.05)。结论早期家庭运动心脏康复可改善急性心肌梗死PCI后患者的心室功能。
Objective To investigate the influence of early home-based exercises for cardiac rehabilitation on ventricular function in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods AMI patients(n=50)were chosen from the Provincial Hospital of Anhui Province from Jan.2015to June2016,and divided randomly into cardiac rehabilitation group(n=25,male21and female4)received early home-based exercises for cardiac rehabilitation,and control group(n=25,male19and female6)received only education and nursing of routine exercise rehabilitation.The examination of echocardiography was given2groups within48h after PCI and after PCI for4weeks,and global and segmental strain values of baseline and at the end of4-week follow-up were analyzed by using Echo Pac-120software.Results There were2cases missed in cardiac rehabilitation group,and1missed and1died in control group at the end of4-week follow-up.The global and segmental strain values and left ventricular ejection fraction(LVEF)were significantly improved in cardiac rehabilitation group compared with control group(all P<0.05).Conclusion The early home-based exercises for cardiac rehabilitation can improve the ventricular function in AMI patients after PCI.
作者
张锡栋
聂燕华
张锐
葛建军
Zhang Xidong;Nie Yanhua;Zhang Rui;Ge Jianjun(Department of Heart Surgery, Provincial Hospital of Anhui Province,Hefei 230000,China)
出处
《中国循证心血管医学杂志》
2017年第11期1360-1364,共5页
Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词
心脏康复
心肌梗死
血管成形术
经皮冠状动脉
Cardiac rehabilitation
Myocardial infarction
Angioplasty
Percutaneous coronary intervention
作者简介
通讯作者：葛建军,E-mail:liujia_sc@sina.com
