强化心脏康复训练对ACS患者PCI术后心功能与生活质量的影响分析

Effects of intensive cardiac rehabilitation exercise on cardiac function and quality of life in patients with ACS after PCI

目的分析强化心脏康复训练对急性冠状动脉综合征(acute coronary syndrome,ACS)患者经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)后心功能与生活质量的影响。方法选取2016年1月至2017年4月于本院接受PCI的102例ACS患者为研究对象,采用随机数表法将其分为对照组(51例)和观察组(51例),分别给予常规康复训练和强化心脏康复训练。比较两组患者心脏彩色多普勒超声检查结果、世界卫生组织生存质量测定量表简表(World Health Organization quality of life-bref,WHOQOL-Bref)各领域评分及术后6个月内主要心脏不良事件(major adverse cardiac events,MACE)发生率。结果术后6个月,两组患者左心室射血分数(left ventricle ejection fraction,LVEF)均显著高于术后即刻(P_均<0.05),且观察组患者LVEF显著高于同期对照组(P<0.05)。术后3、6个月,两组患者心输出量均显著高于术后即刻(P_均<0.05),且术后6个月观察组患者心输出量显著高于同期对照组(P<0.05)。术后3、6个月,两组患者WHOQOL-Bref各领域评分均显著高于术后即刻(P_均<0.05),其中观察组患者生理和心理领域评分均显著高于同期对照组(P_均<0.05)。对照组患者MACE发生率显著高于观察组(P<0.05)。结论强化心脏康复训练能显著改善ACS患者PCI术后的心功能,提高生活质量,应用效果令人满意。

Objective To analyze the effects of intensive cardiac rehabilitation exercise on cardiac function and quality of life in patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Method 102 patients with ACS accepted PCI in our hospital from January 2016 to April 2017 were enrolled in this study.They were randomly divided into control group(51 cases)and observation group(51 cases)and were given routine and intensive cardiac rehabilitation exercises respectively.The results of color Doppler imaging,World Health Organization quality of life-bref(WHOQOL-Bref)and the incidence of major adverse cardiac events(MACE)within 6 months after operation were compared between the two groups.Result Left ventricular ejection fraction(LVEF)in both groups 6 months after operation was significantly higher than immediately after operation(Pall<0.05),and LVEF in observation group was significantly higher than that in control group at the same period(P<0.05).Cardiac output in both groups 3 and 6 months after operation was significantly higher than immediately after operation(Pall<0.05),and cardiac output in observation group was significantly higher than that in control group at the same period(P<0.05).WHOQOL-Bref in both groups 3 and 6 months after operation was significantly higher than immediately after operation(Pall<0.05),and the scores of physiological and psychological fields in observation group were significantly higher than those in control group at the same period(Pall<0.05).The incidence of MACE in control group was significantly higher than that in observation group(P<0.05).Conclusion Intensive cardiac rehabilitation exercise could significantly improve heart function of patients with ACS after PCI and improve their quality of life,and its effects are satisfactory.