心脏康复治疗对PCI术后急性冠脉综合征患者近期预后的影响

Effect of cardiac rehabilitation therapy on short-term prognosis of patients with acute coronary syndrome after PCI

目的研究心脏康复治疗对经皮冠状动脉介入术(PCI)术后急性冠脉综合征(ACS)患者近期预后的影响。方法将我院收治的拟行PCI术的ACS患者92例根据不同康复方式分为对照组(传统康复治疗)和观察组(在对照组基础上实施心脏康复治疗),各46例。比较两组的治疗效果。结果出院1年后,两组的LVEF、SBP、6 min步行试验结果均改善,且观察组均优于对照组(P<0.05)。观察组BMI、吸烟、高血压、高血脂、高血糖等危险因素控制情况均优于对照组(P<0.05)。两组并发症总发生率无显著差异(P>0.05)。结论心脏康复治疗能改善PCI术后ACS患者的心肺功能、运动功能,有效控制影响预后的危险因素,且安全性较高,可作为PCI术后的首选康复方案。

Objective To study the effect of cardiac rehabilitation therapy on the short-term prognosis of patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Methods Ninety-two patients with ACS undergoing PCI in our hospital were divided into control group(traditional rehabilitation therapy)and observation group(cardiac rehabilitation therapy on the basis of the control group)according to different rehabilitation methods,with46cases in each group.The therapeutic effects of two groups were compared.Results One year after discharge,the levels of LVEF,SBP and results of6-minute walking test of the two groups improved,and those in the observation group were better than the control group(P<0.05).The control effects of BMI,smoking,hypertension,hyperlipidemia and hyperglycemia in the observation group were better than those in the control group(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Cardiac rehabilitation therapy can significantly improve the cardiopulmonary function and motor function of ACS patients after PCI and effectively control the risk factors affecting prognosis,with higher safety.It can be used as the preferred rehabilitation program after PCI.