早期心脏康复训练对行PCI术急性心肌梗死患者康复效果、心功能、运动耐力的影响

Effect of early cardiac rehabilitation training on rehabilitation effect,cardiac function,and exercise tolerance in patients with acute myocardial infarction undergoing percutaneous coronary intervention

目的探讨早期心脏康复训练对行经皮冠状动脉介入术(PCI)的急性心肌梗死(AMI)患者康复效果、心功能、运动耐力、心血管不良事件(MACE)的影响。方法收集驻马店市中心医院2019年1月—2021年12月收治的行PCI术治疗的108例AMI患者,分为常规干预组(n=54)和早期康复训练组(n=54)。常规干预组在PCI术后给予常规的康复措施;早期康复训练组在常规干预的基础上进行早期心脏康复训练。比较两组康复效果、心功能指标、运动耐力及MACE的发生率。结果PCI术后6个月,早期康复训练组的康复有效率(94.44%)高于常规干预组(81.48%)(P<0.05),早期康复训练组LVESD、LVEDD低于常规干预组,LVEF高于常规干预组(P<0.05);术后7 d和术后6个月,两组6MWT均不断增长,且早期康复训练组6MWT增长更显著(P<0.05);早期康复训练组MACE的发生率(7.41%)低于常规干预组(22.22%)(P<0.05)。结论AMI患者PCI术后早期进行心脏康复训练可有效改善患者的心功能和运动耐力,减少MACE的发生,进而改善患者的康复效果和预后。

Objective To investigate the effect of early cardiac rehabilitation training on the rehabilitation,cardiac function,exercise tolerance and major adverse cardiovascular events(MACE)of patients with acute myocardial infarction(AMI)undergoing percutaneous coronary intervention(PCI).Methods Totally 108 AMI patients treated by PCI from January 2019 to December 2021 in our hospital were collected and divided into routine intervention group(n=54)and early rehabilitation training group(n=54).The routine intervention group was given routine intervention after PCI;the early rehabilitation training group received early cardiac rehabilitation training on the basis of routine intervention.The rehabilitation effect,cardiac function index,exercise endurance and the incidence of MACE were compared between routine intervention group and early rehabilitation training group.Results After 6 months of PCI,the effective rate of early rehabilitation training group(94.44%)was higher than that of routine intervention group(81.48%)(P0.05).After 7 days and 6 months of operation,the 6MWT of the two groups was increased continuously,and the 6MWT of the early rehabilitation training group was increased more significantly(P<0.05).The incidence of MACE in early rehabilitation training group(7.41%)was lower than that in routine intervention group(22.22%)(P<0.05).Conclusion Early cardiac rehabilitation training for AMI patients after PCI can effectively improve their cardiac function and exercise tolerance,reduce the occurrence of MACE,and improve their rehabilitation effect and prognosis.