个性化运动康复对冠状动脉介入术后患者心脏功能及心血管不良事件的影响

Effect of personalized exercise rehabilitation on cardiac function and adverse cardiovascular events in patients after coronary intervention

目的探讨个性化运动康复对冠状动脉介入术后患者的应用效果。方法选择2022年1月至2023年1月南京医科大学第一附属医院收治的130例冠状动脉介入术后患者为研究对象,将患者随机分为对照组(n=65)和观察组(n=65)。对照组给予常规康复干预,观察组给予个性化运动康复干预,比较两组患者干预前及术后3个月心脏功能、运动耐力、肌力及平衡功能、生活质量及主要心血管不良事件(MACE)发生情况。采用SPSS 22.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ^(2)检验进行组间比较。结果观察组左心射血分数(LVEF)、每分钟心脏搏出量(LVEDV)、心输出量(CO)、6分钟步行试验(6MWT)、1次可重复最大肌力(1-RM)、Berg平衡量表(BBS)、健康调查简表(SF-36)及日常生活能力(ADL)高于对照组;左心室舒张末期内径(LVEDD)、后室间隔舒张末期厚度(IVST)低于对照组,差异均有统计学意义(P<0.05)。观察组MACE发生率低于对照组(7.69%和20.00%),差异有统计学意义(P<0.05)。结论个体化运动康复可改善冠状动脉介入术后患者心脏功能,增强运动耐力、肌力及平衡功能,提高生活质量,降低MACE发生率。

Objective To explore the application efficacy of personalized exercise rehabilitation on patients after coronary intervention.Methods A total of 130 patients who underwent coronary intervention in our hospital from January 2022 to January 2023 were recruited in this study.They were randomly divided into control group(n=65,routine rehabilitation intervention)and observation group(n=65,personalized exercise rehabilitation intervention).Cardiac function,exercise endurance,muscle strength and balance function,quality of life and major adverse cardiovascular events(MACE)before intervention and in three months after surgery were compared between the two groups.SPSS statistics 22.0 was used for data analysis.Data comparison between two groups was performed using student′s t test or Chi-square test depending on data type.Results The observation group had significantly higher left ventricular ejection fraction(LVEF),left ventricular end-diastolic volume(LVEDV),cardiac output(CO),6-minute walk test(6MWT),one-repetition maximum(1-RM),Berg balance scale(BBS)score,scores of short form 36-item health survey(SF-36),and activities of daily living(ADL),and lower left ventricular end-diastolic diameter(LVEDD)and interventricular septum thickness(IVST)when compared with the control group(P<0.05).The incidence of MACE was statistically lower in the observation group than the control group(7.69%vs 20.00%,P<0.05).Conclusion Personalized exercise prescription can improve cardiac function,enhance exercise endurance,muscle strength and balance function,promote quality of life,and reduce the incidence of MACE in patients after coronary intervention.