摘要
目的 探讨系统干预对急性心肌梗死患者心脏功能以及生命质量的影响。方法 选择2021年10月至2023年10月收治的急性心肌梗死92例为研究对象,分为对照组和观察组,每组46例。对照组行常规护理,观察组联合系统干预。比较2组心绞痛症状、心功能、生活质量、康复情况、不良心血管事件、再发心肌梗死发生率、并发症。结果 出院1个月后观察组躯体活动受限程度、心绞痛发作频率以及稳定状态均比对照组高,差异有统计学意义(P<0.05);观察组左心室射血分数、每搏输出量以及肌钙蛋白T水平均比对照组高,差异有统计学意义(P<0.05);观察组躯体功能、情绪功能、社会功能以及总体健康评分均比对照组高,差异有统计学意义(P<0.05);观察组卧床时间、疼痛消失时间以及住院时间均明显低于对照组,差异有统计学意义(P<0.05);观察组不良心血管事件、再发心肌梗死发生率均比对照组低,差异有统计学意义(P<0.05);观察组并发症发生率明显比对照组低,差异有统计学意义(P<0.05)。结论 急性心肌梗死使用系统干预能够明显改善患者心功能以及生命质量,值得推广。
Objective To explore the effects of systemic intervention on cardiac function and quality of life in patients with acute myocardial infarction.Methods A total of 92 patients with acute myocardial infarction admitted between October 2021 and October 2023 were selected,and divided into the control group(n=46)and observation group(n=46).Conventional nursing and systematic intervention were conducted in the control group and observation group,respectively.Symptoms of angina,cardiac function,quality of life,rehabilitation condition,adverse cardiovascular events,incidence of recurrent myocardial infarction,and complications were compared between groups.Results Restriction of physical activity,frequency of heart attacks,and stable status at 1 month of discharge were significantly improved in the observation group than the control group(P<0.05).Left ventricular ejection fraction(LVEF),stroke volume(SV)and troponin T(cTnT)were significantly higher in the observation group than the control group(P<0.05).The physical function,emotional function,social function and overall health scores in the observation group were significantly higher than the control group(P<0.05).Bed rest time,pain disappearance time and length of stay were significantly shorter in the observation group than the control group(P<0.05).The incidences of adverse cardiovascular events and recurrent myocardial infarction were significantly lower in the observation group than the control group(P<0.05).The incidence of complications was significantly lower in the observation group than the control group(P<0.05).Conclusion Systemic intervention can significantly improve the cardiac function,and the quality of life of patients with acute myocardial infarction,which deserves to be improved.
作者
陈培
蒋慧娟
尚亚东
程仁力
CHEN Pei;JIANG Huijuan;SHANG Yadong(Department of Emergency Medicine,Suzhou Hospital of Anhui Medical University,Anhui,Suzhou 234000,China)
出处
《河北医药》
2025年第7期1130-1134,共5页
Hebei Medical Journal
基金
安徽省高等学校省级质量工程项目(编号:2020jyxm0935)。
关键词
急性心肌梗死
系统干预
生活质量
acute myocardial infarction
system intervention
quality of life
