四阶段式早期康复训练对急性心肌梗死PCI术后患者心肺功能的影响

Effect of Four Stage Early Rehabilitation Training on Cardiopulmonary Function in Patients with Acute Myocardial Infarction after PCI

目的 探讨四阶段式早期康复训练对急性心肌梗死PCI术后患者心肺功能的影响。方法 选取2020年7月—2022年7月本院收治的76例急性心肌梗死PCI术后患者,遵循随机抽签分组原则将其分为对照组和试验组,每组38例。对照组实施传统康复护理干预,试验组实施四阶段式早期康复训练干预。对比两组心功能、肺功能、护理满意率和心血管不良事件发生率。结果 干预前,两组的心功能指标比较差异无统计学意义(P>0.05);干预后,试验组的心功能指标优于对照组(P<0.05)。干预前,两组肺功能状态比较差异无统计学意义(P>0.05);干预后,试验组患者肺功能状态优于对照组(P<0.05)。试验组患者护理满意率(97.37%)高于对照组(78.95%)(P<0.05),试验组患者心血管不良事件发生率(5.26%)低于对照组(26.31%)(P<0.05)。结论 急性心肌梗死PCI术后患者采取四阶段式早期康复训练,可改善患者心功能指标,增强肺功能,提高护理满意率,减少心血管不良事件发生风险。

Objective To investigate the effect of four stage early rehabilitation training on cardiopulmonary function in patients with acute myocardial infarction after PCI.Methods 76 patients with acute myocardial infarction after PCI in our hospital from July 2020 to July 2022 were selected and randomly divided into the control group and the test group,38 cases/group.The control group was given traditional rehabilitation nursing intervention,and the test group was given four stage early rehabilitation training intervention.The cardiac function,pulmonary function,satisfaction rate of nursing care and incidence of adverse cardiovascular events were compared between the two groups.Results Before intervention,there was no significant difference in cardiac function between the two groups(P>0.05).After intervention,the indexes of cardiac function in the test group were better than those in the control group(P<0.05).Before intervention,there was no significant difference in pulmonary function between the two groups(P>0.05).After intervention,the pulmonary function of patients in the test group was better than that in the control group(P<0.05).The satisfaction rate of patients in the test group was 97.37%higher than that in the control group(78.95%,P<0.05),and the incidence rate of adverse cardiovascular events in the test group was 5.26%lower than that in the control group(26.31%,P<0.05).Conclusion Four stage early rehabilitation training for patients with acute myocardial infarction after PCI can improve their cardiac function,enhance their pulmonary function,improve their satisfaction rate of nursing,and reduce the risk of adverse cardiovascular events.