运动康复在冠心病合并2型糖尿病患者经皮冠状动脉介入治疗术后的应用

Application of Exercise Rehabilitation After Percutaneous Coronary Intervention in Patients with Coronary Heart Disease and Type 2 Diabetes Mellitus

目的:探究对冠心病合并2型糖尿病患者实施经皮冠状动脉介入治疗(PCI)术后运动康复的作用。方法:选取2021年4月—2022年4月上海市徐汇区龙华街道社区卫生服务中心收治的冠心病合并2型糖尿病PCI术后患者93例作为研究对象,根据随机数字表法分成两组。对照组实施常规康复治疗,试验组在对照组基础上开展运动康复治疗。比较两组血糖、血脂水平及心功能、运动能力、康复满意度。结果:干预后,试验组空腹血糖、餐后2 h血糖、糖化血红蛋白、低密度脂蛋白胆固醇及总胆固醇水平低于对照组,差异有统计学意义(P<0.05)。试验组左室射血分数高于对照组,左室收缩末期内径及左室舒张末期内径低于对照组,差异有统计学意义(P<0.0001)。试验组6 min步行试验及最大摄氧量均高于对照组,差异有统计学意义(P<0.0001)。试验组康复总满意度高于对照组,差异有统计学意义(P=0.0173)。结论:冠心病合并2型糖尿病患者实施PCI术后进行运动康复,能有效控制血糖、血脂水平,改善心功能,提高运动能力及康复满意度。

Objective:To explore the effect of exercise rehabilitation after percutaneous coronary intervention(PCI)in patients with coronary heart disease complicated with type 2 diabetes mellitus.Methods:A total of 93 patients with coronary heart disease complicated with type 2 diabetes mellitus after PCI who were admitted to Shanghai Xuhui District Longhua Street Community Health Service Center from April 2021 to April 2022 were selected as the study subjects.They were divided into two groups by random number table method.The control group received routine rehabilitation treatment and the experimental group received exercise rehabilitation therapy on the basis of control group.The blood glucose level,blood lipid level,heart function,exercise ability and rehabilitation satisfaction of the two groups were compared.Results:After the intervention,the fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin,low density lipoprotein cholesterol and total cholesterol levels in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).The left ventricular ejection fraction in the experimental group was higher than that in the control group,and the left ventricular end-systolic diameter and left ventricular end-diastolic diameter in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.0001).The 6 min walking test and maximal oxygen uptake in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.0001).The total rehabilitation satisfaction in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.0173).Conclusion:Exercise rehabilitation after PCI in patients with coronary heart disease and type 2 diabetes mellitus can effectively control blood glucose and blood lipid levels,improve cardiac function,improve exercise ability and rehabilitation satisfaction.