家庭心脏康复治疗对急性冠脉综合征患者PCI术后疗效的观察

Effect of family cardiac rehabilitation on PCI after acute coronary syndrome

目的观察心脏康复治疗对急性冠脉综合征患者PCI术后的疗效。方法选择64例急性冠脉综合征的患者,均行冠脉造影及支架植入术,分为试验组与对照组,各32例。两组均给予常规的药物治疗,试验组进行2～4周院内心脏康复和6个月的家庭心脏康复,包括生活方式干预、危险因素管理、个体化运动训练及心理指导。于术前及术后6个月对两组患者危险因素控制率、心功能、6MWT、再住院率进行评估。结果治疗后6个月,试验组危险因素控制率、心功能、6MWT均高于对照组(P <0.05),再住院率明显低于对照组(P <0.05)。结论心脏康复训练对急性冠脉综合征PCI术后危险因素控制、心功能的改善均有积极意义,降低再住院率。

Objective To observe the effect of cardiac rehabilitation on patients with acute coronary syndrome after PCI.Methods 64 patients with acute coronary syndrome were treated with coronary angiography and stent implantation,which were divided into experimental group and control group,32 cases in each group.The two groups were given conventional medicine treatment.The experimental group was treated for 2-4 weeks in hospital heart rehabilitation and 6 months of family heart rehabilitation,including lifestyle intervention,risk factor management,Individualized exercise training and psychological guidance.The risk factors control rate,cardiac function,6MWT and rehospitalization rate of the two groups were evaluated before and 6 months after operation.Results 6 months after treatment,the control rate of risk factors,cardiac function and 6MWT in the experimental group were higher than those of the control group(P<0.05),and the rate of rehospitalization was significantly lower than that of the control group(P<0.05).Conclusion Cardiac rehabilitation training has positive significance in controlling risk factors and improving cardiac function in patients with acute coronary syndrome after PCI,and reducing rehospitalization rate.