摘要
目的:分析早期心脏康复训练对老年急性心肌梗死(acute myocardial infarction,AMI)患者经皮冠状动脉介入(percutaneous coronary intervention,PCI)术后康复效果、心功能与生活质量的影响。方法:选取2020年1-11月佛山复星禅诚医院治疗的90例老年急性心肌梗死患者。按随机数表分为对照组和研究组,各45例。对照组给予PCI常规康复锻炼,研究组给予早期心脏康复训练。观察两组干预6个月后康复效果、心功能和生活质量。结果:研究组总有效率为95.56%,高于对照组的82.22%(P<0.05);干预后,研究组左心室收缩末径(LVESD)为(41.13±5.26)mm,左心室舒张末径(LVEDD)为(56.49±5.21)mm,均低于对照组,研究组左心射血分数(LVEF)为(48.52±7.49)%,高于对照组,差异均有统计学意义(P<0.05);研究组精神健康(80.73±5.26)分,社会功能(78.23±7.45)分,生理功能为(83.86±7.59)分,躯体疼痛(82.58±3.27)分,精力(77.12±6.08)分,情感职能(76.31±5.14)分,生理职能(79.16±6.23)分,健康状况(76.96±6.24)分,均高于对照组,差异均有统计学意义(P<0.05)。结论:老年AMI患者PCI术后给予早期心脏康复训练的效果较好,帮助快速恢复心功能,提升其生活质量。
Objective:To analyze the effects of early cardiac rehabilitation training on the rehabilitation effect,cardiac function and quality of life in elderly patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI).Method:A total of 90 elderly patients with AMI treated in Foshan Fosun Chancheng Hospital from January to November 2020 were selected.According to the random number table,they were divided into control group and study group,45 cases in each group.The control group was given PCI routine rehabilitation exercise,and the study group was given early cardiac rehabilitation training.The rehabilitation effect,cardiac function and quality of life of the two groups were observed after 6 months of intervention.Result:The total effective rate of the study group was 95.56%,which was higher than 82.22% of the control group (P<0.05);and after intervention,the left ventricular end systolic diameter (LVESD) was (41.13±5.26) mm,left ventricular end diastolic diameter (LVEDD) was (56.49±5.21) mm in the study group,which were lower than those in the control group,left ventricular ejection fraction (LVEF) in the study group was (48.52±7.49)%,which was higher than that in the control group,the differences were statistically significant (P<0.05);the (80.73±5.26) points of mental health,(78.23±7.45) points of social function,(83.86±7.59) points of physical function,(82.58±3.27) points of physical pain,(77.12±6.08) points of energy,and (76.31±5.14) points of emotional function,(79.16±6.23) points of physiological function and (76.96±6.24) points of health status of the study group were higher than those of the control group,and the differences were statistically significant (P<0.05).Conclusion:The effect of early cardiac rehabilitation training on elderly patients with AMI after PCI is better,helping to quickly restore cardiac function and improve their quality of life.
作者
彭春莉
PENG Chunli(Foshan Fosun Chancheng Hospital,Foshan 528000,China)
出处
《中外医学研究》
2022年第3期165-168,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
早期心脏康复训练
AMI
PCI
效果
心功能
生活质量
Early cardiac rehabilitation training
AMI
PCI
Effect
Cardiac function
Quality of life
