艾灸贴联合早期康复运动对急性心肌梗死患者心脏康复的影响

Effect of moxibustion paste combined with early rehabilitation exercises on cardiac rehabilitation of patients with acute myocardial infarction

目的探究艾灸贴联合早期康复运动对急性心肌梗死(AMI)患者心功能及预后康复的影响。方法选取2020年6月至2021年6月江西省人民医院收治的80例AMI患者为研究对象,采用随机数字表法分为对照组和观察组,每组40例。2组患者均接受常规护理干预,在此基础上,对照组给予康复运动方案干预,观察组给予康复运动方案+艾灸贴干预。比较2组的心功能、生活自理能力、凝血功能和不良心血管事件发生情况。结果干预6周、12周后,2组的左室射血分数(LVEF)均高于干预前,N末端B型尿钠肽前体(NT-proBNP)水平均低于干预前,6分钟步行距离(6MWD)均长于干预前,均有统计学差异(P均<0.05);干预12周后,2组的上述指标均优于干预6周后(P均<0.05),且观察组均优于对照组(P均<0.05)。干预12周后,观察组的日常生活活动能力量表(ADL)评分高于对照组(P<0.05)。干预12周后,2组的活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)和凝血酶时间(TT)均长于干预前(P均<0.05),纤维蛋白原(Fbg)水平均低于干预前(P均<0.05),且观察组的上述指标均优于对照组(P均<0.05)。干预期间,观察组的不良心血管事件总发生率低于对照组(P<0.05)。结论艾灸贴联合早期康复运动能有效改善AMI患者的心功能和凝血功能,提高其生活自理能力,并降低不良心血管事件发生率。

Objective To explore the effect of moxibustion paste combined with early rehabilitation exercises on the cardiac function and prognosis of patients with acute myocardial infarction(AMI).Methods A total of 80 AMI patients admitted to Jiangxi Provincial People's Hospital from June 2020 to June 2021 were selected as the research objects and assigned into a control group and an observation group by random number table method,each with 40 cases.Both groups received routine nursing intervention.The control group was additionally given intervention of rehabilitation exercises,and the observation group was additionally given intervention of rehabilitation exercises and moxibustion paste.The cardiac function,self-care ability,coagulation function,and adverse cardiovascular events were compared between the two groups.Results After 6 and 12 weeks of intervention,the left ventricular ejection fraction(LVEF)of both groups was higher than that before intervention.The level of Nterminal pro-B-type natriuretic peptide(NT-proBNP)was lower than that before intervention.The 6-min walk distance(6MWD)was longer than that before intervention.The differences were statistically significant(all P<0.05).After 12 weeks of intervention,the above indicators in both groups were better than those after 6 weeks of intervention(all P<0.05),and the observation group was better than the control group(all P<0.05).After 12 weeks of intervention,the score of activities of daily living(ADL)in the observation group was higher than that in the control group(P<0.05).After 12 weeks of intervention,the activated partial thromboplastin time(APTT),prothrombin time(PT),and thrombin time(TT)in both groups were longer than those before intervention(all P<0.05),and the level of fibrinogen(Fbg)was lower than that before intervention(both P<0.05).The above indicators in the observation group were better than those in the control group(all P<0.05).During the intervention,the overall incidence of adverse cardiovascular events in the observation group was lower than that in the control group(P<0.05).Conclusion Moxibustion paste combined with early rehabilitation exercises can effectively improve the cardiac function and coagulation function of AMI patients,improve their self-care ability,and reduce the incidence of adverse cardiovascular events.