八段锦Ⅰ期心脏康复干预在急性心肌梗死冠状动脉支架介入术患者中的作用

Effect of Baduanjin StageⅠCardiac Rehabilitation Intervention in Patients with Acute Myocardial Infarction after Coronary Stent Intervention

目的研究八段锦I期心脏康复干预在急性心肌梗死冠状动脉支架介入术患者中的应用效果。方法选取2020年1月~2023年6月我院收治的冠状动脉支架植入术患者92例,根据随机数字表法将其分为对照组和研究组,每组各46例。对照组行常规心脏康复护理,研究组行八段锦I期心脏康复干预,对比两组患者术后次日、干预2周时心功能及生活质量。结果术后次日,两组患者左心室射血分数、左心室收缩末期内径、左心室舒张末期内径等心功能指标对比无显著差异(P>0.05);干预2周时,两组患者左心室射血分数均有提升(P<0.05),研究组高于对照组(P<0.05),两组患者左心室收缩末期内径、左心室舒张末期内径均有下降(P<0.05),研究组低于对照组(P<0.05)。术后次日,两组患者APQLO各维度评分及总评分对比无显著差异(P>0.05),干预2周时,两组患者APQLO各维度评分及总评分均有提升(P<0.05),研究组高于对照组(P<0.05)。结论八段锦I期心脏康复干预可有效改善急性心肌梗死冠状动脉支架介入术患者的心功能,提升其生活质量。

Objective:To study the effect of Baduanjin stage I cardiac rehabilitation intervention in patients with acute myocardial infarction after coronary stent intervention.Methods:A total of 92 patients underwent coronary stent implantation in our hospital from January 2020 to June 2023 were selected,and were divided into the control group and the research group according to the random number table method,with 46 cases in each group.The control group received routine cardiac rehabilitation nursing,and the research group received Baduanjin I cardiac rehabilitation intervention.Cardiac function and quality of life were compared between the two groups on the next day after surgery and at 2 weeks after intervention.Results:On the next day after surgery,there was no significant difference in cardiac function indexes such as left ventricular ejection fraction,left ventricular end-systolic diameter,and left ventricular end-diastolic diameter between the two groups(P>0.05).At 2 weeks after intervention,left ventricular ejection fraction was increased in both groups(P<0.05),which was higher in the study group than in the control group(P<0.05),the left ventricular end-systolic diameter and left ventricular end-diastolic diameter decreased in both groups(P<0.05),which was lower in than in the control group(P<0.05).On the next day after surgery,there was no significant difference in APQLO scores and total scores between the two groups(P>0.05).At 2 weeks after intervention,APQLO scores of all dimensions and total scores in both groups were improved(P<0.05),which was higher in the study group than in the control group(P<0.05).Conclusion:Baduanjin stage I cardiac rehabilitation intervention can effectively improve the cardiac function of patients with acute myocardial infarction after coronary stent intervention and improve their quality of life.