体外反搏在冠心病急性心肌梗死PCI术后康复中的应用效果

Practical effect of external counterpulsation in the rehabilitation of patients with coronary heart disease and acute myocardial infarction after PCI

目的探讨体外反搏在冠心病急性心肌梗死经皮冠状动脉介入治疗(PCI)术后康复中的应用效果。方法70例冠心病急性心肌梗死PCI术后患者,根据入院先后顺序将其分为观察组与对照组,每组35例。对照组患者术后康复治疗期间应用常规药物治疗,观察组患者在对照组的基础上于术后7 d应用体外反搏治疗。比较两组患者的临床治疗效果、治疗前后的心功能指标[每搏输出量(SV)、心脏指数(CI)、心排血量(CO)]及脑钠肽(BNP)水平。结果观察组患者的治疗总有效率91.43%显著高于对照组的65.71%,差异有统计学意义(P<0.05)。治疗前,两组患者的SV、CI、CO比较,差异无统计学意义(P>0.05);治疗后,观察组患者的SV、CI、CO均显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的BNP水平比较,差异无统计学意义(P>0.05);治疗后,观察组患者的BNP水平(129.53±12.34)ng/L显著低于对照组的(144.23±16.12)ng/L,差异有统计学意义(P<0.05)。结论对冠心病心肌梗死PCI术后患者予以常规药物联合体外反搏治疗,可促进PCI术后病情尽早康复,同时有助于改善患者心功能,值得大力推广并应用。

Objective To discuss the practical effect of external counterpulsation in the rehabilitation of patients with coronary heart disease and acute myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 70 patients with coronary heart disease and acute myocardial infarction after PCI were divided into an observation and a control group according to admission order,with 35 cases in each group.Patients in the control group were treated with conventional drugs during postoperative rehabilitation,and patients in the observation group were treated with extracorporeal counterpulsation 7 d after surgery on the basis of the control group.The clinical effect,cardiac function indicators[stroke volume(SV),cardiac index(CI),cardiac output(CO)],and brain natriuretic peptide(BNP)before and after treatment were compared between the two groups.Results The total effective rate in the observation group was 91.43%,which was significantly higher than 65.71%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in SV,CI,CO between the two groups(P>0.05).After treatment,the SV,CI,and CO of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in BNP levels between the two groups(P>0.05).After treatment,the BNP level(129.53±12.34)ng/L of the observation group was significantly lower than(144.23±16.12)ng/L of the control group,and the difference was statistically significant(P<0.05).Conclusion Combination of conventional drugs and external counterpulsation can promote the early recovery of patients with coronary heart disease and acute myocardial infarction after PCI,and help to improve the cardiac function,which is worthy of promotion and application.