运动康复对经皮腔内冠状动脉介入治疗患者心功能及主要不良心脏事件发生率的影响

Effect of exercise rehabilitation on patient's cardio-function and major adverse cardiac vascular events after percutaneous coronary intervention

目的探讨运动康复对经皮腔内冠状动脉介入治疗术(PCI)后主要不良心脏事件(MACE)的影响。方法在笔者所在医院行PCI的冠心病患者256例随机分为观察组和对照组,对照组出院后接受常规随访管理及进行日常活动,观察组患者在此基础上给予运动康复指导,随访观察1年内患者的心功能状态及MACE发生情况。结果出院后6、9和12个月观察组LVEF值明显高于对照组,两组分别比较差异具有统计学意义(P<0.05)。观察组MACE发生率明显低于对照组,两组比较差异具有统计学意义(P<0.05)。结论运动康复能明显减少PCI术后MACE发生率,改善心功能,值得重视。

Objective To investigate the effect of the exercise rehabilitation on major adverse cardiac events after percutaneous coronary intervention （PCI）. Methods In author＇s hospital,the 256 cases with PCI were divided into the observation group and the control group;the patients discharged from the hospital in the control group received the routine follow-up management and the daily activities,meanwhile the patients in the observation group received the exercise rehabilitation guidance;then the patients of two groups were followed for their heart function and MACE within a year. Results At 6,9 and 12 months after discharged,the LVEF level of the observation group was significantly higher than that of the control group （P〈0.05）. The incidence of MACE in the observation group was significantly lower than that in the control group （P〈0.05）. Conclusion The exercise rehabilitation can significantly reduce the incidence of MACE and improve the heart function,so it is worth to be pay attention.