心脏康复对经皮冠状动脉支架植入术后患者的影响

The Effects of Cardiac Rehabilitation Program for the Patients after Percutaneous Coronary Intervention

目的探讨心脏康复治疗对经皮冠状动脉支架植入术(PCI)患者血脂生化指标、体重水平及健康行为的影响.方法将164例PCI术后患者分为实验组及对照组,实验组在常规护理基础上,接受为期12周的心脏康复治疗,而对照组只做常规护理治疗.结果实验组和对照组血脂各项生化指标及体重在出院后6个月与出院时均差比较,TG、TC、HDL、LDL及体重下降差异有统计学意义(P<0.05);实验组TG、TC、HDL、LDL及体重分别在出院时、出院后3个月及出院后6个月进行比较,TG、LDL及体重差异有统计学意义(P<0.05).结论心脏康复治疗能显著改善PCI术后患者的健康,改变其不良的生活方式,降低血脂各项生化指标,从而减少ISR发生率,提高患者的生活质量.

Objective To investigate the effects of Cardiac Rehabilitation on blood lipid parameters, weight and health behavior of patients who received the Percutaneous Coronary Intervention （PCI） . Methods 164 postoperative patients were divided randomly into Experimental Group and Control Group. Based on the routine nursing mode, the experimental group received the Cardiac Rehabilitation Program for 12 weeks, the control group received the routine nursing only. Results Compared the average deviation of the blood lipid parameter, weight and health behavior of patients in each group between the day of hospital discharge and 6 months after hospital discharge, the decrease ofTG, TC, HDL, LDL was statistically significant （P〈0.05） . Compared the results of TG, TC, HDL, LDL and weight in experiment group between the day of hospital discharge, 3 months and 6 months after hospital discharge, the decrease of TG, LDL and weight was statistically significant （P〈0.05） Conclusion The Cardiac Rehabilitation Program is effective in improving decreasing blood lipid and related biochemical parameters, and descendinz the health behavior and quality of life, occurrence rate of ISR.