早期强化心脏康复训练对急性非ST段抬高型心肌梗死PCI术后患者康复效果及生活质量的影响

Effect of early intensive cardiac rehabilitation training on the rehabilitation and quality of life in patients with acute non-ST-segment elevation myocardial infarction after PCI

目的探讨早期强化心脏康复训练对急性非ST段抬高型心肌梗死经皮冠状动脉介入治疗(PCI)术后患者康复效果及生活质量的影响。方法选择2017年5月至2018年8月安徽省淮北市人民医院收治的急性非ST段抬高型心肌梗死PCI术后患者80例,按照随机数字表法将其分为干预组和对照组,各40例。对照组给予标准运动量的早期常规康复训练,干预组给予早期强化心脏康复训练。随访6个月,比较两组心功能、终点事件及生活质量。结果随访6个月,两组左心室射血分数(LVEF)高于干预前,室壁运动积分指数(WMSI)低于干预前(P<0.05),干预组LVEF高于对照组,WMSI低于对照组(P<0.05);干预组终点事件发生率低于对照组(P<0.05);两组多维度评估量表(MIDAS)评分低于干预前(P<0.05);干预组躯体活动、情绪反应、依赖性、饮食及MIDAS总分低于对照组(P<0.05)。结论早期强化康复训练有助于保护急性非ST段抬高型心肌梗死PCI术后患者心功能,减少恶性终点事件的发生,改善患者生活质量。

Objective To investigate the effect of early intensive cardiac rehabilitation training on the rehabilitation effect and quality of life of patients with acute non-ST-elevation myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 80 patients with acute non-ST-segment elevation myocardial infarction after PCI admitted to Huaibei People’s Hospital from May 2017 to August 2018 were selected.According to random number table method,they were divided into intervention group and control group,with 40 cases in each group.The control group was given early routine rehabilitation training with standard exercise,and the intervention group was given early intensive cardiac rehabilitation training.Follow-up for 6 months,the heart function,endpoint events and quality of life were compared between two groups.Results After 6 months of follow-up,the left ventricular ejection fraction(LVEF)of the two groups was higher than before the intervention,the wall motion index(WMSI)was lower than before the intervention(P<0.05),the LVEF of the intervention group was higher than that of the control group,and the WMSI was lower in the control group(P<0.05);the incidence of end-point events in the intervention group was lower than that in the control group(P<0.05);the scores of the two groups of patients on the multidimensional assessment scale(MIDAS)were lower than before the intervention(P<0.05);the body of the intervention group,the total score of activity,emotional response,dependence,diet,and MIDAS was lower than that of the control group(P<0.05).Conclusion Early intensive rehabilitation training can help protect the cardiac function of patients with acute non-ST-segment elevation myocardial infarction after PCI,reduce the occurrence of malignant endpoint events,and improve the quality of life of patients.