个体化精准运动为核心的康复方案对冠心病PCI术后患者功能恢复的影响

Influence of Individualized Precise Movement-centered Rehabilitation Schemes on the Functional Recovery After PCI for Coronary Heart Disease

目的观察针对冠心病经皮冠状动脉介入手术(PCI)后患者使用以个体化精准运动为核心的康复方案对功能恢复的影响。方法临床研究对象选择郑州大学附属郑州中心医院2021年6月至2022年6月行冠心病PCI术的80例患者,按照随机数字表法分为观察组和对照组,每组各40例。两组患者均进行冠心病PCI术,对照组术后进行常规康复护理方式,观察组在常规康复方案基础上使用以个体化精准运动为核心的康复方案。观察并比较两组患者心功能、运动耐量、术后6个月心脏不良反应发生率及生活质量。结果干预前,两组患者B型脑利钠肽(BNP)、左心室射血分数(LVEF)及左室舒张末期容积(LEVDV)指标比较,差异无统计学意义(P>0.05);干预后,观察组患者BNP和LEVDV指标低于对照组,且观察组LVEF指标高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者6 min步行试验(6MWD)及自觉疲劳量表(Borg)评分基本相同,差异无统计学意义(P>0.05);干预后,观察组6MWD高于对照组,Borg评分低于对照组,差异有统计学意义(P<0.05)。观察组随访6个月内不良反应发生率(10.00%)低于对照组(32.50%),差异有统计学意义(P<0.05)。观察组患者生活质量各项评分均高于对照组,差异有统计学意义(P<0.05)。结论冠心病PCI术后患者使用基于个体化精准运动为核心的康复方案,一方面有利于促进患者心功能恢复、提高患者运动耐量及减少患者随访6个月心脏不良反应发生率,另一方面有利于提高患者生活质量水平,具有临床应用价值。

Objective To study the influence of individualized precise movement-centered rehabilitation schemes on the functional recovery after percutaneous coronary intervention(PCI)for coronary heart disease patients.Methods The clinical research subjects selected 80 patients who underwent PCI for coronary heart disease in our hospital from June 2021 to June 2022.According to the random arrangement table method,and the patients which in both groups were treated with PCI for coronary heart disease were divided into control group(N=40,routine rehabilitation nursing)and observation group(N=40,routine rehabilitation nursing and individualized precise movement-centered rehabilitation schemes).The cardiac function,exercise tolerance,6-month adverse cardiac events and life quality were compared.Results Before intervention,there were no significant between-group differences about B-type brain natriuretic peptide(BNP),left ventricular ejection fraction(LVEF)and left ventricular end-diastolic volume(LEVDV)levels(P>0.05);after intervention,BNP and LEVDV values in the observation group were lower than control group;LVEF values in the observation group were higher than control group,the difference was statistically significant(P<0.05);before intervention,there were no significant between-group differences about 6-minute walk distance(6MWD)and Borg scale scores(P>0.05);after intervention,6MWD scores in the observation group were higher than control group;Borg scale scores were lower than control group,the difference was statistically significant(P<0.05);during 6-month follow-up visit,the adverse cardiac event rates in the observation group(10.00%)were lower than control group(32.50%),the difference was statistically significant(P<0.05);the life quality scores in the observation group were higher than control group,the difference was statistically significant(P<0.05).Conclusion After PCI,the individualized precise movement-centered rehabilitation schemes can not only promote the cardiac function recovery,improve the exercise tolerance and reduce the 6-month adverse cardiac events,but also improve the patient’s life quality.It is worthy of clinical promotion and application.