早期心脏康复运动对老年急性心肌梗死经皮冠状动脉介入术后心功能及日常生活能力的影响

Effect of early cardiac rehabilitation exercise on cardiac function and daily living ability in elderly patients with acute myocardial infarction after percutaneous coronary intervention

目的探讨早期心脏康复对老年急性心肌梗死(AMI)患者经皮冠状动脉介入术(PCI)后心功能和日常生活能力的影响。方法选取2020年5月至2021年6月广西壮族自治区江滨医院收治的60例老年AMI患者作为研究对象,按照随机数字表法分为对照组和康复组,每组30例。患者均进行PCI治疗,术后对照组接受常规药物干预,康复组在对照组基础上接受早期心脏康复训练处方。比较两组的左室射血分数(LVEF)、6 min步行距离、生活质量评分和主要心血管不良事件(MACE)(心肌梗死、心绞痛、心力衰竭)发生率。结果两组治疗后的LVEF比较,差异无统计学意义(P>0.05);康复组治疗后的6 min步行距离长于对照组,差异有统计学意义(P<0.05);康复组的MACE总发生率低于对照组,差异有统计学意义(P<0.05);康复组治疗后的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论早期心脏康复训练有利于改善老年心肌梗死患者的心功能和生活质量,减少MACE事件的发生。

Objective To investigate the effect of early cardiac rehabilitation on cardiac function and daily living ability in elderly patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods Sixty elderly AMI patients admitted to Jiangbin Hospital of Guangxi Zhuang Autonomous Region from May 2020 to June 2021 were selected as the study objects,and were divided into control group and rehabilitation group according to random number table method,with 30 cases in each group.All patients underwent PCI treatment,the control group received conventional drug intervention after surgery,and the rehabilitation group received early cardiac rehabilitation training prescription based on the control group.Left ventricular ejection fraction(LVEF),6 min walking distance,quality of life score and incidence of major cardiovascular adverse events(MACE)(myocardial infarction,angina pectoris,heart failure)were compared between the two groups.Results There was no significant difference in LVEF between the two groups after treatment(P>0.05).The walking distance of 6 min after treatment in rehabilitation group was longer than that in control group,and the difference was statistically significant(P<0.05).The total incidence of MACE in rehabilitation group was lower than that in control group,and the difference was statistically significant(P<0.05).The quality of life score of rehabilitation group was higher than that of control group after treatment,and the difference was statistically significant(P<0.05).Conclusion Early cardiac rehabilitation training is beneficial for improving cardiac function and quality of life in elderly patients with myocardial infarction,and reducing the occurrence of MACE events.