多角度心脏康复干预的效果及对AMI患者运动耐力和心血管不良事件的影响

Effect of multi-angle cardiac rehabilitation intervention in patients with acute myocardial infarction and its influence on exercise endurance and incidence of cardiovasculaRadverse events

目的研究急性心肌梗死(AMI)患者应用多角度心脏康复干预的效果。方法选取2020年3月至2022年3月收治的86例AMI患者,按随机数字表法分组,对照组(43例)行常规干预,试验组(43例)行多角度心脏康复干预,比较2组运动耐力、心功能、生活质量及心血管不良事件。结果试验组干预后ED、VO 2peak、AT及6MWT水平较对照组更高(P<0.05);试验组干预后LEVDV、LEVSV水平较对照组更低,LEVDV、LEVSV水平对照组更高(P<0.05);试验组干预后SF-36各维度评分较对照组更高(P<0.05);试验组心血管不良事件发生率[4.65%(2/43)]较对照组[25.58%(11/43)]更低(P<0.05)。结论AMI患者应用多角度心脏康复干预,可减少心血管不良事件,促进心功能改善,提高患者生活质量,有利于运动耐力提高。

Objective To study the effect of multi-angle cardiac rehabilitation intervention in patients with acute myocardial infarction(AMI).Methods From March 2020 to March 2022,eighty-six AMI patients were recruited and randomly allocated to control group(n=43)and experimental group(n=43)according to the random numbeRtable method.Patients in the control group and experimental group were managed by conventional intervention,and multi-angle cardiac rehabilitation intervention,respectively.The exercise endurance,cardiac function,quality of life and cardiovasculaRadverse events were compared between the two groups.Results AfteRintervention,exercise duration(ED),peak oxygen uptake(VO 2peak),anaerobic threshold(AT)and 6-meteRwalking distance(6MWD)in the experimental group were significantly higher/longeRthan those in the control group(P<0.05).The left ventriculaRend-diastolic volume(LVEDV)and left ventriculaRend-systolic volume(LVESV)in the experimental group were significantly loweRthan those in the control group(P<0.05).The scores of each dimension of the 36-Item Short Form Survey(SF-36)in the experimental group were significantly higheRthan those in the control group(P<0.05).The incidence of cardiovasculaRadverse events in the experimental group was significantly loweRthan that in control group(4.65%[2/43]vs 25.58%[11/43],P<0.05).Conclusion The application of multi-angle cardiac rehabilitation intervention in AMI patients can reduce cardiovasculaRadverse events,promote the improvement of cardiac function,improve the quality of life and exercise endurance.