八段锦在急性心肌梗死经皮冠脉介入术后患者Ⅰ期心脏康复中的应用效果

Application effect of baduanjin in stage Ⅰ cardiac rehabilitation of patients with acute myocardial infarction after percutaneous coronary intervention

目的探讨八段锦对急性心肌梗死经皮冠脉介入术(PCI)后患者Ⅰ期心脏康复效果的影响。方法选择2020年6月至2021年6月南京医科大学附属苏州科技城医院收治的急性心肌梗死PCI后患者90例,采用随机数字表法将其分为试验组、对照组,各45例。对照组给予常规护理干预及心脏康复训练,观察组给予常规护理干预及八段锦康复训练。训练3个月后,比较两组血清生化指标、影像学指标、心肺运动试验及主要心脏事件发生率。结果干预后,两组心肌肌钙蛋白I(cTnI)、脑利尿钠肽(BNP)、左室舒张末期直径(LVED)均低于干预前,左室射血分数(LVEF)高于干预前,试验组cTnI、BNP、LVED低于对照组,LVEF高于对照组,差异有统计学意义(P<0.05)。干预后,两组无氧阈、最大摄氧量、能量消耗水平高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。两组3个月内主要心脏事件发生率比较,差异无统计学意义(P>0.05)。结论八段锦有助于改善急性心肌梗死PCI后Ⅰ期心脏康复患者的心脏功能,且安全性良好。

Objective To investigate the effect of baduanjin on stageⅠcardiac rehabilitation in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 90 patients with acute myocardial infarction after PCI admitted to Suzhou Science and Technology City Hospital,Nanjing Medical University from June 2020 to June 2021 were selected and divided into experimental group and control group by random number table method,with 45 cases in each group.The control group was given routine nursing intervention and cardiac rehabilitation training,and the observation group was given routine nursing intervention and baduanjin rehabilitation training.After three months of training,serum biochemical indexes,imaging indexes,cardiopulmonary exercise test,and incidence of major cardiac events were compared between the two groups.Results After intervention,cardiac troponin I(cTnI),brain natriuretic peptide(BNP),and left ventricular end-diastolic diameter(LVED)in both groups were lower than those before intervention,and left ventricular ejection fraction(LVEF)was higher than that before intervention,and cTnI,BNP,LVED in experimental group were lower than those in control group,and LVEF in experimental groups was higher than that in control group,the differences were statistically significant(P<0.05).After intervention,anaerobic threshold,maximal oxygen uptake,and energy consumption level in two groups were higher than those before intervention,and those of experimental group were higher than those of control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of major cardiac events in three months between the two groups(P>0.05).Conclusion Baduanjin can improve the cardiac function of patients with stageⅠcardiac rehabilitation after PCI,and its safety is good.