摘要
目的观察心脏康复体操对心肌梗死介入术后患者心肌损伤指标及心肺功能的影响。方法前瞻性选取庐江县人民医院于2021年1月~2023年6月接受经皮冠状动脉介入(PCI)治疗的84例急性心肌梗死患者,采用抽签法分为两组。常规组42例术后采用常规药物治疗,体操组42例术后采用常规药物治疗及心脏康复体操干预,两组均干预30 d。分别比较两组患者干预前后心功能、心肌损伤指标、6 min步行距离、心肺功能差异,统计两组患者12个月内主要不良心血管事件(MACE)发生率。结果干预后,两组患者左室射血分数(LVEF)高于干预前,左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)低于干预前;且体操组LVEF高于常规组,LVESD、LVEDD低于常规组,差异有统计学意义(t=2.639、4.867、4.944,P<0.05)。干预后,两组患者CK-MB、cTnⅠ、cTnT低于干预前,且体操组低于常规组,差异有统计学意义(t=6.748、3.325、4.386,P<0.05)。干预后,两组患者6 min步行距离高于干预前,且体操组高于常规组,差异有统计学意义(t=3.482,P<0.05);两组最大代谢当量、最大摄氧量(VO_(2)max)、最大氧脉搏(VO_(2)max∕HR)、无氧阀(AT)高于干预前,且体操组高于常规组,差异有统计学意义(t=3.678、2.078、3.433、4.915,P<0.05)。随访12个月,两组累计MACE发生率(常规组为28.57%,体操组为14.29%)比较,差异无统计学意义(χ^(2)=2.546,P>0.05)。结论院内心脏康复体操可改善心肌梗死介入术后心肺功能,减轻心肌损伤。
Objective To investigate the impact of in-hospital cardiac rehabilitation exercises on myocardial injury markers and cardiopulmonary function in patients following myocardial infarction intervention.Methods Eighty-four patients with acute myocardial infarction who underwent PCI at the People's Hospital of Lujiang County,from January 2021 to June 2023 were selected,and they were divided into two groups by lottery method.The conventional group of 42 cases was treated with conventional medication after surgery,and the gymnastic group of 42 cases was treated with conventional medication and in-hospital cardiac rehabilitation gymnastic intervention after surgery,and both groups were intervened for 30 d.We compared the differences in cardiac function,myocardial injury indexes,6-minute walking distance,and cardiorespiratory function before and after the intervention of the two groups respectively,and counted the rate of MACE in the two groups in 12 months.Results Post-intervention,both groups exhibited increased LVEF compared to pre-intervention levels,whereas LVESD and LVEDD decreased from their pre-intervention values.Moreover,the LVEF of the gymnastics group was higher than that of the conventional group,and LVESD and LVED were lower than those of the conventional group,with statistically significant differences(t=2.639,4.867,4.44,P<0.05).After the intervention,the CK-MB,cTnI,and cnT of both groups were lower than before the intervention,and the gymnastics group was lower than the conventional group,with statistically significant differences(t=6748,3.325,4.386,P<0.05).After the intervention,the 6 walking distance of both groups was higher than before the intervention,and the gymnastics group was higher than the conventional group,with a statistically significant difference(t=3.482,P<0.05).The maximum metabolic equivalents,VO_(2)max,VO_(2)∕HR,and AT of both groups were higher than before the intervention,and the gymnastics group was higher than the conventional group with statistically significant differences(t=3.678,2.078,3.433,4.91,P<0.05).During the 12-month follow-up,the cumulative MACE incidence was not statistically significant(χ^(2)=2.546,P>005).Conclusion In-hospital cardiac rehabilitation gymnastics improves cardiac function,exercise capacity and reduces myocardial damage after myocardial infarction intervention.
作者
张娟
张凤娇
吴雪晴
Zhang Juan;Zhang Fengjiao;Wu Xueqing(Department of Cardiovascular Medicine,Lujiang County People's Hospital,Anhui Province,Hefei 231500,China)
出处
《中华保健医学杂志》
2025年第1期72-76,共5页
Chinese Journal of Health Care and Medicine
基金
安徽省合肥市卫生健康委应用医学研究项目(Hwk2021zd007)。
关键词
心脏康复体操
心肌梗死
经皮冠状动脉介入
心功能
Cardiac rehabilitation exercises
Myocardial infarction
Percutaneous coronary intervention
Cardiac function
