基于八段锦运动的Ⅱ期心脏康复运动处方对STEMI行PCI术后患者的影响

Effect of Phase II cardiac rehabilitation exercise prescription based on Baduanjin exercise on STEMI patients after PCI

目的研究基于八段锦运动的Ⅱ期心脏康复运动处方对急性ST段抬高心肌梗死(STEMI)经皮冠状动脉介入术(PCI)后患者心功能、运动耐力及动脉僵硬度的影响。方法选取郑州市第七人民医院2020年2月至2023年2月122例STEMI行PCI术后患者采用随机数字表分组,对照组61例给予常规心脏康复,观察组61例应用基于八段锦运动的Ⅱ期心脏康复运动处方,3个月后,对比两组患者心功能、运动耐力、动脉僵硬度和不良心脏事件。结果观察组干预后,6 min步行距离(6MWD)、左心室射血分数(LVEF)水平分别为(387.69±10.53)m、(61.01±5.44)%,均高于对照组(367.55±9.18)m、(57.45±6.06)%,左心室舒张末期内径(LVEDD)水平为(58.70±0.97)mm低于对照组(59.59±1.05)mm(P<0.05);观察组干预后,踝肱指数(ABI)水平为(0.94±0.09)高于对照组(0.89±0.10),臂踝脉搏波传导速度(baPWV)、颈股脉搏波传导速度(cfPWV)水平分别为(1.75±0.27)m/s、(7.59±0.53)m/s,均低于对照组(1.94±0.35)m/s、(8.01±0.68)m/s(P<0.05);观察组干预后,峰值功率(PP)、运动持续时间(ED)、峰值摄氧量(peak VO2)和无氧阈值(AT)水平分别为(93.01±9.44)W、(449.30±22.87)s、(19.69±3.73)mL/(kg·min)、(14.20±1.86)mL/(kg·min),均高于对照组(83.45±9.06)W、(412.59±23.45)s、(17.55±3.58)mL/(kg·min)、(13.15±2.05)mL/(kg·min)(P<0.05);观察组心脏不良事件发生率3.28%(2/61)低于对照组4.92%(3/61),差异无统计学意义(P>0.05)。结论基于八段锦运动的Ⅱ期心脏康复运动处方对STEMI行PCI术后患者效果显著,能够有效增强患者心功能和运动耐力,降低动脉僵硬度,安全性高。

Objective To investigate the effects of phaseⅡcardiac rehabilitation exercise prescription based on Baduanjin exercise on cardiac function,exercise endurance and arterial stiffness in patients with acute ST segment elevation myocardial infarction(STEMI)after percutaneous coronary intervention(PCI).Methods A total of 122 STEMI patients who underwent PCI in the Seventh People's Hospital of Zhengzhou from February 2020 to February 2023 were selected and divided by the random number table.61 patients in the control group were given routine cardiac rehabilitation,and 61 patients in the observation group were given phaseⅡcardiac rehabilitation exercise prescription based on Baduanjin exercise.Cardiac function,exercise endurance,arterial stiffness and adverse cardiac events were compared between the two groups.Results After intervention,the 6-minute walking distance(6MWD)and left ventricular ejection fraction(LVEF)levels in the observation group were(387.69±10.53)m and(61.01±5.44)%,respectively,higher than those in the control group(367.55±9.18)m and(57.45±6.06)%.The left ventricular end diastolic diameter(LVEDD)level was(58.70±0.97)mm,which was lower than that in the control group(59.59±1.05)mm(P<0.05);After intervention,the ankle brachial index(ABI)level in the observation group was(0.94±0.09)higher than that in the control group(0.89±0.10).The brachial ankle pulse wave conduction velocity(baPWV)and cervical femoral pulse wave conduction velocity(cfPWV)levels were(1.75±0.27)m/s and(7.59±0.53)m/s,respectively,which were lower than those in the control group(1.94±0.35)m/s and(8.01±0.68)m/s(P<0.05);After intervention in the observation group,the levels of peak power(PP),exercise duration(ED),peak oxygen uptake(peak VO2),and anaerobic threshold(AT)were(93.01±9.44)W,(449.30±22.87)s,(19.69±3.73)mL/(kg·min),and(14.20±1.86)mL/(kg·min),respectively,higher than those in the control group(83.45±9.06)W,(412.59±23.45)s,(17.55±3.58)mL/(kg·min),and(13.15±2.05)mL/(kg·min)(P<0.05);The incidence of adverse cardiac events in the observation group was 3.28%(2/61)lower than that in the control group 4.92%(3/61),with no statistically significant difference(P>0.05).Conclusion The phaseⅡcardiac rehabilitation exercise prescription based on the Baduanjin exercise has a significant effect on STEMI patients undergoing PCI,effectively enhancing their cardiac function and exercise endurance,reducing arterial stiffness,and ensuring high safety.