早期康复对经桡动脉行急诊PCI的急性心梗患者左室射血分数及运动耐量的影响

Effect of early rehabilitation on left ventricular ejection fraction and exercise tolerance in patients with acute myocardial infarction treated by radial artery PCI

目的研究并探讨早期康复对经桡动脉行急诊经皮冠状动脉介入术(PCI)的急性心肌梗死患者左室射血分数及运动耐量的影响。方法选取108例经桡动脉行急诊PCI的急性心肌梗死患者作为研究对象,随机将其分为观察组和对照组,各54例。2组患者均在基础药物治疗的同时行常规护理,观察组患者在基础药物治疗和常规护理基础上行早期康复锻炼。分别在术后及术后3个月测量2组患者心脏左室射血分数(LVEF)以及6 min步行距离。结果术后对2组患者行心脏超声检查发现,2组患者的LVEF及6 min步行距离差异均无统计学意义(P>0.05);干预处理3个月后,观察组患者的LVEF较术后当天显著增加,并高于对照组(P<0.05);而对照组患者的LVEF值较术后当天下降,差异具有统计学意义(P<0.05)。观察组患者干预后6 min步行距离较干预前明显延长,较对照组也明显延长,差异均具有统计学意义(P<0.05)。结论针对经桡动脉行急诊PCI的急性心肌梗死患者行早期康复能够促进其心脏功能恢复并且提高运动耐量。

Objective To study the effect of early rehabilitation on ejection fraction and exercise tolerance of transradial of acute myocardial infarction patients with percutaneous coronary intervention（PCI）. Methods A total of 108 patients with acute myocardial infarction treated in our hospital were randomly divided into observation group and control group, with 54 cases per group. The patients in the two groups were given routine nursing while the patients in the observation group were additionally given early rehabilitation exercise. The left ventricular ejection fraction （LVEF） and 6 rain walking distance were measured. Results After operation, there was no significant difference in LVEF and 6 rain walking distance between the two groups （ P 〉 0.05 ）. After three months of treatment, LVEF was significantly increased than the day after surgery in the observation group, and were significantly increased compared with the control group （ P 〈 0.05 ）, while LVEF in the control group was decreased, and the difference was statistically significant （P 〈 0.05 ）. The observation group had longer 6 rain walking distance than the control group, the differences were statistically significant （ P 〈 0.05）. Conclusion Early rehabilitation for patients with acute myocardial infarction treated with radial artery PCI can improve cardiac function and exercise tolerance.