早期心脏康复训练对急性心肌梗死行PCI术后疗效及预后的影响

Effects of early cardiac rehabilitation training on curative effect and prognosis of patients with acute myocardial infarction after PCI

目的探讨早期心脏康复训练对急性心肌梗死(AMI)行经皮冠状动脉介入(PCI)术后早期疗效及预后影响。方法选择2017年2月至2018年2月我院心内科收治的117例行PCI治疗AMI患者为研究对象,依照随机对照的原则,将其分为对照组57例和研究组60例,对照组采用常规护理,研究组早期心脏康复训练,对比两组临床护理效果及生活质量。结果研究组左心室射血分(LVEF)、内皮素1(ET-1)、可溶性血管细胞黏附分子1(sVCAM-1)均优于对照组(P<0.05);术后1个月研究组生活质量评分中各指标分值均大于对照组,差异具有统计学意义(P<0.05)。结论早期心脏康复训练可提高AMI患者PCI术后生活质量,有助于心功能恢复,值得推广。

Objective To discuss the effects of early cardiac rehabilitation training on early curative effect and prognosis of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods To select 117 cases of patients with AMI who underwent PCI treatment in our hospital's department of cardiology from February 2017 to February 2018 as a study object.According to the principle of randomized control,they were divided into control groups for 57 cases and study groups for 60 cases.Routine nursing was adopted in the control group,and early cardiac rehabilitation training was implemented in the study group,The clinical nursing effects and quality of life were compared between the two groups.Results The left ventricular ejection fractions(LVEF),endothelin 1(ET-1),and soluble vascular cell adhesion molecule 1(sVCAM-1)in the study group were better than those in the control group(P<0.05).The every indexes in quality of life score of the study group were higher than those of the control group at 1 month after operation,and the differences were statistically significant(P<0.05).Conclusion Early cardiac rehabilitation training could improve the quality of life of patients with AMI after PCI and help to restore cardiac function,which was worth popularizing.