心脏康复综合管理模式对经皮冠状动脉介入治疗术后患者心肺功能的影响

Effect of comprehensive management mode of cardiac rehabilitation on cardiopulmonary function of patients after percutaneous coronary intervention

目的 分析心脏康复综合管理模式对经皮冠状动脉介入治疗(PCI)术后患者心肺功能的影响。方法 60例PCI手术患者,根据管理方法不同分为参照组和试验组,每组30例。参照组患者术后采用常规管理干预,试验组患者术后在参照组基础上采用心脏康复综合管理模式干预。对比两组心功能指标[左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、左心室射血分数(LVEF)]、肺功能指标[第1秒用力呼气容积占预计值的百分比(FEV1%)、用力肺活量占预计值的百分比(FVC%)]、不良心血管事件发生情况、生活质量综合评定问卷-74(GQOL-74)评分。结果 干预后,试验组LVEDD(52.16±1.45)mm、LVESD(51.16±2.41)mm短于参照组的(57.62±2.84)、(56.26±2.44)mm, LVEF(69.52±5.44)%高于参照组的(58.26±3.37)%,差异具有统计学意义(P<0.05)。干预后,试验组FEV1%、FVC%分别为(89.26±8.46)%、(84.05±8.46)%,均高于参照组的(81.26±7.05)%、(72.52±6.13)%,差异具有统计学意义(P<0.05)。试验组不良心血管事件发生率为3.33%,低于参照组的23.33%,差异具有统计学意义(P<0.05)。干预后,试验组情感、角色、躯体、社会评分高于参照组,差异具有统计学意义(P<0.05)。结论 心脏康复综合管理模式可有效改善PCI患者术后心肺功能,降低不良心血管事件发生率,提高患者生活质量。

Objective To analyze the effect of comprehensive management mode of cardiac rehabilitation on cardiopulmonary function of patients after percutaneous coronary intervention(PCI).Methods A total of 60 patients undergoing PCI were divided into reference group and test group according to different management methods,with 30 cases in each group.Patients in the reference group were treated with conventional management interventions after surgery,and patients in the test group were treated with comprehensive management mode of cardiac rehabilitation on the basis of the reference group after surgery.Both groups were compared in terms of cardiac function indicators[left ventricular end diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD),left ventricular ejection fraction(LVEF)],lung function indicators[forced expiratory volume in the 1 st second as a percentage of the predicted value(FEV1%),forced vital capacity as a percentage of the predicted value(FVC%)],occurrence of adverse cardiovascular events,Generic Quality of Life Inventory-74(GQOL-74)score.Results After intervention,the LVEDD(52.16±1.45)mm and LVESD(51.16±2.41)mm of the test group were shorter than(57.62±2.84)and(56.26±2.44)mm of the reference group,and the LVEF(69.52±5.44)%was higher than(58.26±3.37)%of the reference group.All the differences were statistically significant(P<0.05).After intervention,the FEV1%and FVC%of the test group were(89.26±8.46)%and(84.05±8.46)%,which were higher than(81.26±7.05)%and(72.52±6.13)%of the reference group,and the difference was statistically significant(P<0.05).The incidence of adverse cardiovascular events in the test group was 3.33%,which was lower than 23.33%in the reference group,and the difference was statistically significant(P<0.05).After intervention,the emotional,role,physical,and social scores of the test group were higher than those of the reference group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive management mode of cardiac rehabilitation can effectively improve the cardiopulmonary function,reduce the incidence of adverse cardiovascular events and improve the quality of life of patients after PCI.