康复运动训练对急性心肌梗死PCI术后患者呼吸功能及生活质量的影响

Influence of rehabilitation exercise training on respiratory function and quality of life in acute myocardial infarction after PCI

目的探讨康复运动训练对急性心肌梗死(AMI)经皮冠状动脉介入(PCI)术后患者呼吸功能及生活质量的影响。方法 86例成功实施急诊PCI患者分为康复运动组(n=43)和对照组(n=43)。对照组给予内科常规药物治疗、康复指导,康复运动组在此基础上给予院内、院外康复运动干预和随访。比较两组治疗前、后的生活质量评分(WHOQOL-BREF)、呼吸问卷评分(SGRQ)、肺功能情况以及6 min步行试验(6MWT)。结果治疗6个月后,两组WHOQOL-BREF各维度评分、SGRQ评分、肺功能以及6MWT均明显改善,且康复运动组WHOQOL-BREF各维度评分(除环境评分外)、SGRQ评分、肺功能以及6MWT均优于对照组(P<0.05)。结论 PCI术后给予康复运动可改善AMI患者的呼吸功能,并明显提高生活质量。

Objective To explore the influence of rehabilitation exercise training on respiratory function and quality of life in acute myocardial infarction （AMI） after percutaneous coronary intervention （PCI）. Methods A total of 86 patients with AMI who successfully performed by PCI were divided into rehabilitation exercise group （n=43） and control group （n= 43）. The control group was given medical routine guidance including drug treatment and rehabilitation training. The rehabilitation exercise group was given rehabilitation exercise intervention inside and outside of hospital and follow-up. The changes of WHOQOL-BREF and SGRQ scores, lung function and 6-minute walk test （6MWT） between the two groups before and after treatment were compared. Results After 6 months of treatment, the WHOQOL-BREF scores, SGRQ scores, lung function and 6MWT in the two groups significantly improved （P〈0.05）, and those cexcept for environment score in the rehabilitation exercise group were significantly better than the control group （P〈0.05）. Conclusion Rehabilitation exercise training after PCI for AMI patients can improve respiratory function and quality of life.