心脏康复训练对急性心肌梗死患者经皮冠状动脉介入术后康复的影响

Effect of Cardiac Rehabilitation Training on the Rehabilitation of Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention

目的:探讨心脏康复训练对急性心肌梗死患者经皮冠状动脉介入术(PCI)后康复的影响。方法:将110例急性心肌梗死经PCI后患者随机分为对照组和观察组,每组各55例。对照组给予PCI术后常规治疗,观察组在常规治疗基础上给予心脏康复训练,疗程均为3个月。观察治疗前后两组患者的运动耐力、生活质量、心脏彩超检查结果、血清炎性因子水平,比较两组的临床疗效。结果:观察组治疗总有效率为98.2%(54/55),高于对照组的78.2%(43/55)(P<0.05)。治疗后与对照组比较,观察组患者Borg劳累度评估量表(Borg)评分、SF-36简明生活质量评估量表(SF-36)评分、左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)、室壁运动积分指数(WMSI),及血清肿瘤坏死因子α(TNF-α)、白细胞介素-6(IL-6)、内皮素-1(ET-1)水平降低更明显(P<0.05),6 min步行距离(6-MWD)增加更明显(P<0.05)。结论:心脏康复训练可提高急性心肌梗死患者PCI术后的康复效果,其作用机制可能与调节血清炎性因子水平有关。

Objective:To explore the effect of cardiac rehabilitation training on the rehabicitation of patients with acute myocardial infarction after percutaneous coronary intervention.Methods:110 patients after percutaneous intervention were randomly divided into the control group and the observation group,55 cases each.The control group was given routine treatment,while theobservation group was given cardiac rehabilitation training on the basis of routine treatment,and the course of treatment was all 3 months.The exercise endurance,quality of life,cardiac color ultrasound and the level of inflammatory factors were observed before and after treatment.The clinical efficacy in the two groups was compared.Results:The total effective rate was 98.2%(54/55)in the observation group which was higher than that 78.2%(43/55)in the control group(P<0.05).Compared with the control group after treatment,the level of Borg score,SF-36,LVEDV,LVESV,WMSI,TNF-α,IL-6,ET-1 in the observation group were significantly reduced(P<0.05),6-MWD in the observation group was significantly prolonged(P<0.05).Conclusion:Cardiac rehabilitation trainingcan significantly improve the rehabilitation effect of patients with acutemyocardial infarction after percutaneous coronary intervention,and the mechanism of action may be related to the regulation of serum inflammatory factors.