经皮冠状动脉介入治疗患者的早期活动

Early exercise in patients undergoing percutaneous coronary intervention

经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)是治疗冠心病的主要方法之一,研究表明早期活动可减少术后冠状动脉支架内再狭窄的风险,但目前患者的临床参与率较低,因此需要促进PCI术后患者早期活动。早期活动开始的时间一般为术后12~24 h,内容包括有氧运动(太极、八段锦、步行、踏车、康复操、瑜伽、慢跑)和抗阻力运动(弹力球、弹力带),将二者相结合、采用多种活动方式能够发挥更大的优势。早期活动不仅对患者的运动耐力、结局指标、住院时间、生活质量有积极影响,还能改善患者的心理状态,建议在临床积极推广。

Percutaneous coronary intervention(PCI)is one of the main methods for the treatment of coronary heart disease.Studies have demonstrated that early exercise can lower the risk of postoperative restenosis in coronary artery stents.However,the current clinical participation rate is low.Thus,it is necessary to promote early exercise after PCI.The early exercise generally starts at 12 to 24 h after surgery,including aerobic exercise(Tai Chi,Baduanjin,walking,cycling,rehabilitation exercise,yoga,and jogging)and resistance exercise(bouncing ball and elastic band).These 2 kinds of early exercise should be combined in various activities to maximize their advantages.Early exercise can not only positively influence patients’exercise endurance,outcome index,length of stay,and quality of life but also improve their psychological state.Thus,it should be actively promoted in clinical practice.