初期心脏康复运动在老年急性心肌梗死患者中的应用效果

The Application Effect of Initial Cardiac Rehabilitation Exercise in Elderly Patients with Acute Myocardial Infarction

目的:分析初期心脏康复运动在老年急性心肌梗死患者中的应用效果。方法:将2023年1—12月就诊于安顺市人民医院心血管内科的60例老年急性心肌梗死患者随机分为观察组(n=30)与对照组(n=30)。对照组接受常规治疗,观察组在对照组基础上接受初期心脏康复运动干预。对比两组心功能指标、运动能力、生活质量及住院时间。结果:治疗后,两组N-末端脑钠肽前体、肌酸激酶同工酶水平降低,肌钙蛋白I、左室射血分数水平升高,观察组N-末端脑钠肽前体水平低于对照组,左室射血分数水平高于对照组(P<0.05);两组治疗后6 min步行距离、Barthel指数高于治疗前,观察组较对照组高(P<0.05);观察组住院时间短于对照组(P<0.05)。结论:对老年急性心肌梗死患者实施初期心脏康复运动干预的效果较好,能够改善心功能,提高生活质量及6 min步行距离水平,缩短住院时间。

Objective:To analyze the application effect of initial cardiac rehabilitation exercise in elderly patients with acute myocardial infarction.Methods:Sixty cases of elderly acute myocardial infarction patients who attended the Department of Cardiovascular Medicine of Anshun People's Hospital from January to December 2023 were randomly divided into the observation group(n=30)and the control group(n=30).The control group received conventional treatment,and the observation group received initial cardiac rehabilitation exercise intervention on the basis of the control group.Compared the cardiac function indexes,exercise ability,quality of life and hospitalization time of the two groups.Results:After treatment,the levels of N-terminal brain natriuretic peptide precursor and creatine kinase isoenzyme decreased and the levels of troponin I and left ventricular ejection fraction increased in the two groups;the level of N-terminal brain natriuretic peptide precursor in the observation group was lower than that of the control group,and the level of left ventricular ejection fraction was higher than that of the control group(P<0.05);the 6 min walking distance and Barthel index after treatment were higher than those before treatment,and compared with the control group,the observation group was higher(P<0.05);compared with the control group,the hospitalization time was shorter in the observation group(P<0.05).Conclusions:Early cardiac rehabilitation exercise is effective in elderly patients with acute myocardial infarction,which can improve heart function,improve quality of life and 6 min walking distance level,shorten hospital stay.