| 谷世奎,朱丹丹,刘虹秀,等.心脏康复运动治疗对急性心肌梗死经皮冠状动脉介入术病人心功能及健康相关体适能的影响[J].安徽医药,2024,28(9):1778-1782. |
| 心脏康复运动治疗对急性心肌梗死经皮冠状动脉介入术病人心功能及健康相关体适能的影响 |
| Impact of cardiac rehabilitation exercise therapy on cardiac function and health-related physical fitness in patients with acute myocardial infarction after PCI |
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| DOI：10.3969/j.issn.1009-6469.2024.09.018 |
| 中文关键词: 心脏康复 心肌梗死 经皮冠状动脉介入术 心功能 |
| 英文关键词: Cardiac rehabilitation Myocardial infarction Percutaneous coronary intervention Cardiac function |
| 基金项目:邯郸市科学技术研究与发展计划项目( 21422083070) |
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| 中文摘要: |
| 目的观察心脏康复运动治疗对急性心肌梗死( AMI)经皮冠状动脉介入术(PCI)治疗病人心功能及健康相关体适能的影响。方法选择 2021年 6月至 2022年 3月在邯郸市第一医院行 PCI治疗的 AMI病人 96例，按随机数字表法分为两组，对照组( n=48)给予常规护理，研究组( n=48)在对照组基础上给予心脏康复运动治疗。比较两组的心功能、健康相关体适能、 6 min步行距离、干预期间不良心血管事件( MACE)发生情况。结果干预后，两组的左室射血分数( LVEF)、 6 min步行距离均大于干预前( P<0.05)，左室舒张末期容积( LVEDV)小于干预前( P<0.05)，且研究组的 LVEF(57.79±5.86)%、6 min步行距离(386.22±48.49)m大于对照组［( 53.14±6.42)%、(357.63±45.51)m］(P<0.05)LVEDV小于对照组( P<0.05)。干预后，研究组的峰值摄氧量( VO2max)、氧脉搏、摄氧量对应功率的递增斜率( △VO2/△WR)、，代谢当量、握力指数、 30 s连续椅子站立试验( 30CS)均大于干预前( P<0.05)体脂肪、内脏脂肪面积( VFA)均小于干预前( P<0.05)且研究组的 VO2max(20.32±1.64)mL·min-1· kg-1、氧脉搏( 12.93±2.45)mL/次、，△VO2/△WR(10.14±1.63)mL·min-1·W-1、代谢当量6，.12±0.73、握力指数( 53.91±5.62)%、30-CS(19.21±6.39)次均大于对照组［(19.47±1.76)mL·min-1·kg-1、(11.74±2.66)mL/次、(9.43±1.78)mL·min-1·W-1、5.73±0.77、(50.18±8.83)%、(16.43±6.04)次］(P<0.05)，体脂肪( 25.88±5.23)%、VFA(94.14±27.32)cm2均小于对照组［( 28.52±7.04)%、(105.64±28.11)cm2］(P<0.05)。研究组的干预期间 MACE总发生率低于对照组( P<0.05)。结论行 PCI治疗的 AMI病人接受心脏康复运动治疗，利于改善心功能，提高健康相关体适能，增大 6 min步行距离，减少干预期间 MACE发生。 |
| 英文摘要: |
| Objective To observe the impact of cardiac rehabilitation exercise therapy on cardiac function and health-related physi- cal fitness in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI).Methods A total of 96 AMI patients who underwent PCI at Handan First Hospital from June 2021 to March 2022 were selected and divided into two groups ac-cording to the randomized numerical table method, with the control group (n=48) receiving conventional care and the study group (n= 48) receiving cardiac rehabilitation exercise therapy on the basis of the control group. Cardiac function, health-related physical fitness, 6 -minute walking distance and major adverse cardiovascular events (MACEs) during the intervention period were compared betweenthe two groups.Results After the intervention, the left ventricular ejection fraction (LVEF) and the 6 min walking distance were great-er than those before the intervention (P<0.05), the left ventricular end-diastolic volume (LVEDV) was less than that before the interven- tion in both groups (P<0.05), the LVEF (57.79±5.86)% and the 6 min walking distance (386.22±48.49) m were greater than those in thecontrol group (53.14±6.42)% and (357.63±45.51) m, respectively, and the LVEDV was less than that in the control group (P<0.05). Af- ter the intervention, the peak oxygen uptake (VO2max), oxygen pulse rate, increasing slope of oxygen uptake corresponding to power (△ VO2/△WR), metabolic equivalent, grip strength index, and 30-s continuous chair stand test (30-CS) were greater than those before the intervention in the study group (P<0.05); body fat and visceral fat area (VFA) were smaller than those before the intervention (P<0.05); and the study group's VO2max (20.32±1.64) mL·min-1·kg-1, oxygen pulse (12.93±2.45) mL/time, △VO2/△WR (10.14±1.63) mL·min-1· W-1, metabolic equivalent 6.12±0.73, grip index (53.91±5.62)% , and 30-CS (19.21±6.39) time were greater than those of the control group [(19.47±1.76) mL·min-1 ·kg-1, (11.74±2.66) mL/time, (9.43±1.78) mL·min-1 ·W-1, 5.73±1.78, (50.18±8.83)%, (16.43±6.04) time,] (P<0.05), and body fat (25.88±5.23)% and VFA (94.14±27.32) cm2 were lower than those of the control group [(28.52±7.04)%, (105.64±28.11) cm2] (P<0.05). The total incidence of MACEs in the study group during the intervention period was lower than that in the control group (P<0.05). Conclusion Cardiac rehabilitation exercise therapy for AMI patients after PCI can improve cardiac function and health-related physical fitness, increase the 6-min walking distance, and reduce the incidence of MACE during the intervention period. |
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