太极球联合八段锦运动对急性心肌梗死PCI术后患者的心脏康复作用

The Effect of Taijiball Combined with Eight Infantile Finger Loops and Whorls on Cardiac Rehabilitation of Patients with Acute Myocardial Infarction after PCI

目的:观察太极球联合八段锦运动在急性心肌梗死经皮冠状动脉介入(percutaneous coronary intervention,PCI)术后患者心脏康复中的作用。方法:将120例PCI术后患者按照随机数字表法分为对照组和观察组,每组各60例。对照组行冠状动脉粥样硬化性心脏病(冠心病)二级预防药物治疗和健康教育,观察组在上述基础上行太极球联合八段锦运动。比较两组患者治疗前后脑自然肽氨基端前体蛋白(brain natural peptide amino terminal proprotein,NT-pro BNP)及左心室舒张末容积(left ventricular end-diastolic volume,LVEDV)、左心室射血分数(left ventricular ejection fraction,LVEF)、6分钟步行距离(6MWD),记录治疗前后两组患者西雅图心绞痛量表评分、临床症状积分、汉密尔顿抑郁量表(HAMA)评分,记录随访1年内再狭窄发生情况。结果:两组患者治疗后NT-pro BNP、LVEDV低于治疗前,LVEF、6MWD高于治疗前,且观察组各项指标改善情况优于对照组,差异具有统计学意义(P <0. 05)。两组患者治疗后西雅图心绞痛量表评分高于治疗前,且观察组高于对照组,差异具有统计学意义(P <0. 05)。两组患者治疗后临床症状积分、HAMA评分低于治疗前,且观察组低于对照组,差异具有统计学意义(P <0. 05)。观察组再狭窄率低于对照组,差异具有统计学意义(P <0. 05)。结论:太极球联合八段锦运动能改善急性心肌梗死PCI术后患者心功能指标,提高运动耐力,缓解临床症状和焦虑情绪,提高患者的生存质量。

Objective:To observe the effect of Taijiball combined with eight infantile finger loops and whorls on cardiac rehabilitation of patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:A total of 120 patients after PCI were randomly divided into the control group and the observation group,with 60 cases in each group.The ones in the control group received secondary preventive drug therapy and health education for coronary atherosclerotic heart disease(CHD),while the ones in the observation group received Taijiball combined with eight infantile finger loops and whorls on the basis of the above.The brain natural peptide amino terminal proprotein(NT-proBNP)and left ventricular end-diastolic volume(LVED),left ventricular ejection fraction(LVEF)and 6-minute walking distance(6 MWD)were compared between the two groups before and after the treatment.Seattle Angina Scale score,clinical symptom score and Hamilton Depression Scale(HAMA)score,and the occurrence of restenosis within one year of follow-up were recorded.Results:After the treatment,NT-proBNP and LVEDV in the two groups were lower than those before the treatment,while LVEF and 6 MWD were higher than those before the treatment,and the improvement of each index in the observation group was better than that in the control group,and all the differences were statistically significant(P<0.05).After the treatment,the score of Seattle Angina Scale in either of two groups was higher than that before the treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The clinical symptom score and HAMA score of the two groups after the treatment were lower than those before the treatment,and the observation group was lower than the control group,all the differences were statistically significant(P<0.05).The restenosis rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Taijiball combined with eight infantile finger loops and whorls can improve cardiac function index,exercise endurance,alleviate clinical symptoms and anxiety,and improve the quality of life of patients with acute myocardial infarction after PCI.