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急性心肌梗死患者心脏康复中的临床路径研究 被引量:2

Study on clinical pathway in cardiac rehabilitation of patients with acute myocardial infarction
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摘要 目的观察分析急性心肌梗死患者心脏康复中的临床路径效果。方法选取本院(在2018年4月-2019年4月)收治的78例急性心肌梗死患者,按照数字随机表法分为实验组(应用心脏康复治疗方法)和对照组(应用常规治疗方法),每组均为39例。采用统计学分析两组心脏不良反应(心衰、心律失常以及心绞痛等)发生率、平均住院时间、平均日常活动能力评分、6min步行距离、平均脑钠肽水平、左室射血分数等。结果实验组左室射血分数、平均日常活动能力评分、平均脑钠肽水平明显高于对照组(P<0.05),实验组6min步行距离明显长于对照组(P<0.05);实验组心衰、心律失常以及心绞痛等心脏不良反应发生率明显低于对照组(P<0.05),实验组平均住院时间明显短于对照组(P<0.05)。结论急性心肌梗死患者心脏康复中的临床路径效果显著,具有缩短住院时间、不断提高左室射血分数、平均日常活动能力评分、平均脑钠肽水平以及降低心衰、心律失常以及心绞痛等心脏不良反应发生率等优势。 Objective To observe and analyze the effects of clinical pathways in cardiac rehabilitation in patients with acute myocardial infarction.Methods 78 patients with acute myocardial infarction admitted in our hospital(from April 2018 to April 2019)were selected and divided into experimental group(application of cardiac rehabilitation treatment method)and control group(application of conventional treatment method)according to the digital random table method),39 cases in each group.The incidence of adverse cardiac reactions(heart failure,arrhythmia,angina pectoris,etc.),average hospital stay,average daily activity ability score,6 min walking distance,average brain natriuretic peptide level,left ventricular ejection fraction,etc.were analyzed using statistics.Results The left ventricular ejection fraction,the average daily activity score,and the average brain natriuretic peptide level of the experimental group were significantly higher than that of the control group(P<0.05),and the 6-minute walking distance of the experimental group was significantly longer than that of the control group(P<0.05);The incidence of adverse cardiac reactions such as aging,arrhythmia,and angina pectoris was significantly lower than that of the control group(P<0.05),and the average hospital stay of the experimental group was significantly shorter than that of the control group(P<0.05).Conclusion The clinical pathway of cardiac rehabilitation in patients with acute myocardial infarction has significant effects,including shortening the length of hospital stay,continuously improving the left ventricular ejection fraction,average daily activity score,average brain natriuretic peptide level,and reducing heart failure,arrhythmia,and angina Advantages such as the incidence of adverse reactions.
作者 徐威 梁福俊 周君 Xu Wei;Liang Fujun;Zhou Jun(Liaoning Yingkou Da Shi Qiao Central hospital,Liaoning Yin Kou 115100)
出处 《辽宁医学杂志》 2021年第1期61-63,共3页 Medical Journal of Liaoning
关键词 急性心肌梗死患者 心脏康复 临床路径 护理效果 Patients with acute myocardial infarction Cardiac rehabilitation Clinical pathway Nursing effect
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