基于多学科的运动处方在心肌梗死PCI术后患者中的应用

Effects of multidisciplinary exercise prescription in patients with myocardial infarction after percutaneous coronary intervention

目的探讨基于多学科的运动处方在心肌梗死PCI术后患者中的应用效果。方法采取便利抽样法,选取新乡市中心医院2019年1月—2020年1月收治的120例心肌梗死PCI术后患者为研究对象,根据随机数字表法分为对照组和观察组,每组各60例。对照组采取常规PCI术后护理,观察组在常规护理的基础上采用基于多学科的运动处方进行干预。比较两组患者的运动耐力和心肺功能。结果观察组干预后3、6个月的6 min步行距离均高于对照组,差异有统计学意义(P<0.01)。观察组患者干预后6个月的左心室射血分数、无氧阈、峰值摄氧量、代谢当量均高于对照组,左心室舒张末期内径低于对照组,差异有统计学意义(P<0.01)。结论基于多学科的运动处方可增强心肌梗死PCI术后患者运动耐力,改善其心肺功能。

Objective To explore the effects of multidisciplinary exercise prescription in patients with myocardial infarction after percutaneous coronary intervention(PCI).Methods Totally 120 patients with myocardial infarction undergoing PCI admitted at Xinxiang Central Hospital from January 2019 to January 2020 were selected by convenient sampling and divided into a control group and an observation group according to the random number table,with 60 patients in each group.Patients in the control group received routine nursing after PCI,while patients in the observation group underwent multidisciplinary exercise prescription on this basis.The exercise tolerance and cardiopulmonary function were compared between the two groups of patients.Results The 6-min walking distance in the observation group was higher than that in the control group both 3 and 6 months after intervention,and the difference was statistically significant(P<0.01).The left ventricular ejection fraction,anaerobic threshold,peak oxygen uptake,and metabolic equivalent of the observation group were higher than those of the control group 6 months after intervention,and the left ventricular end-diastolic diameter was lower than that of the control group,with statistically significant differences(P<0.01).Conclusions Multidisciplinary exercise prescription can enhance exercise tolerance and improve cardiopulmonary function in patients with myocardial infarction after PCI.