| 心脏运动康复对心肌梗死PCI术后患者心功能及生活质量的影响 |
| 投稿时间：2017-05-22 修订日期：2017-06-16 点此下载全文 |
| 引用本文：佟士骅,居海宁,王玉华.心脏运动康复对心肌梗死PCI术后患者心功能及生活质量的影响[J].医学研究杂志,2018,47(3):142-145 |
| DOI：
10.11969/j.issn.1673-548X.2018.03.035 |
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| 中文摘要:目的 探讨心脏运动康复对急性心肌梗死（AMI）经皮冠状动脉介入（PCI）术后患者心功能及生活质量的影响。方法 190例成功实施急诊PCI患者随机分为运动康复组（n=95）、对照组（n=95）。对照组给予内科常规药物治疗、康复指导，运动康复组在此基础上给予院内、院外心脏运动康复干预和随访。比较两组患者PCI术后心功能、主要不良心血管事件（MACE），采用世界卫生组织生存质量测定量表简表（WHOQOL-BREF）比较两组术后不同时间生活质量的变化。结果 干预6个月，运动康复组LVESD、LVEDD、LVEF均较出院前明显改善，且明显优于对照组（P<0.05）；干预3个月、6个月WHOQOL-BREF各维度评分均较出院前明显升高（P<0.05），且心理、社会关系维度评分运动康复组显著高于对照组（P<0.05），干预6个月两组生理维度评分比较，差异有统计学意义（P<0.05）；运动康复组术后1个月内MACE总发生率为9.5%，显著低于对照组20.0%（P<0.05）。结论 PCI术后给予心脏康复运动可改善AMI患者的心功能，减少术后不良心血管事件发生，提高生活质量。 |
| 中文关键词:急性心肌梗死 经皮冠状动脉介入 心脏运动康复 心功能 生活质量 |
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| Influence of Cardiac Exercise Rehabilitation on Cardiac Function and Quality of Life in Myocardial Infarction after PCI |
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| Abstract:Objective To explore the influence of cardiac exercise rehabilitation on cardiac function and quality of life(QOL) in acute myocardial infarction(AMI) after percutaneous coronary intervention (PCI). Methods Totally 190 patients with AMI who was successfully performed by PCI were randomly divided into exercise rehabilitation group (n=95), control group (n=95). Patients in Control group were given medical routine guidance including drug treatment and rehabilitation training.These in exercise rehabilitation group were given exercise rehabilitation intervention inside and outside of hospital and follow-up. The cardiac function, major adverse cardiac events (MACE) after PCI between two groups were compared. The change of QOL evaluated by WHOQOL BREF between two groups at different time was analyzed. Results At 6 months after PCI, the LVESD, LVEDD, LVEF in exercise rehabilitation group were obviously improved than those before discharge, and significantly better than those in control group (P<0.05). At 3, 6 months after PCI, the WHOQOL-BREF score of each dimension was significantly increased than those before discharge (P<0.05), and the psychological, social relations dimension scores in exercise rehabilitation group were significantly higher than those in control group (P<0.05). There was significant different on physical dimension score between two groups at 6 months after PCI (P<0.05). The incidence of MACE within 30 days in exercise rehabilitation group was 9.5%,which was significantly lower than that in control group 20.0% (P<0.05). Conclusion Cardiac exercise rehabilitation after PCI for AMI patients can contribute to improve heart function, reduce postoperative MACE, and improve the QOL. |
| keywords:Acute myocardial infarction Percutaneous coronary intervention Cardiac exercise rehabilitation Cardiac function Quality of life |
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