早期心脏康复计划对非ST段抬高心肌梗死患者PCI术后心功能及终点事件的影响

Effect of early cardiac rehabilitation program on cardiac function and endpoint events after PCI operation in patients with non ST segment elevation myocardial infarction

目的分析早期心脏康复计划对非ST段抬高心肌梗死患者PCI术后心功能及终点事件的影响。方法选取2016年2月～2017年2月我院接诊的非ST段抬高心肌梗死患者66例,根据随机数字表法分为两组,每组33例。对照组患者PCI术后行常规护理干预,观察组患者PCI术后行早期心脏康复计划。比较两组患者PCI康复护理后心脏彩超的检查结果和终点事件发生情况。结果康复计划后,观察组LVEF提高较对照组明显,而WMSI较对照组下降明显,两组比较,差异有统计学意义(P <0. 05);而两组患者康复计划后LVESV和LVEDV水平比较,差异无统计学意义(P> 0. 05)。观察组恶性心律失常、心绞痛、心力衰竭等终点事件的发生率为12. 12%、明显低于对照组的30. 30%,差异有统计学意义(P <0. 05)。结论非ST段抬高心肌梗死患者PCI术后行早期心脏康复计划,可有效提高患者心功能,改善预后,是理想的心脏康复计划方式。

Objective To analyze the effect of early cardiac rehabilitation program on cardiac function and endpoint e- vents after PCI operation in patients with non ST segment elevation myocardial infarction.Methods 66cases of.non ST segment elevation myocardial infarction were selected in our hospital,and they were divided into two groups according to the random digital table method,with 33cases in each group.The patients in the control group were treated with routine nursing intervention after PCI,and the patients in the observation group underwent early cardiac rehabilitation program after PCI. The results of cardiac color Doppler ultrasound examination and the occurrence of endpoint events were compared between the two groups.Results After the rehabilitation program,the observation group LVEF increased significantly compared with the control group,while WMSI decreased significantly than the control group,the two groups,the difference was statistically significant (P <0.05);LVESV and LVEDV levels of patients in the two groups after the rehabilitation program,there was no statistically signifidant difference (P >0.05).The incidence of terminal arrhythmia,angina pectoris and heart failure in the observation group was 12.12%,which was significantly lower than that in the control group (30.30%),the difference was statistically significant (P <0.05).Conclusion Early cardiac rehabilitation program after PCI is a good way to im- prove cardiac function and prognosis in patients with non ST elevation myocardial infarction.