综合心脏康复治疗在冠状动脉粥样硬化性心脏病患者经皮冠脉介入术后的应用效果

Effects of comprehensive cardiac rehabilitation on patients with coronary arteriosclerotic heart disease after percutaneous coronary intervention

目的观察综合心脏康复治疗在冠状动脉粥样硬化性心脏病患者经皮冠脉介入术(PCI)后的应用效果。方法选取2016年8月至2018年12月于潞安集团总医院接受PCI治疗的120例冠状动脉粥样硬化性心脏病患者为研究对象。采用随机数表法将患者分为研究组和对照组,每组60例。对照组患者接受常规模式护理,研究组在此基础上,接受综合心脏康复治疗。比较两组患者的心功能指标、心脏缺血事件发生情况,以及生活质量。结果治疗后,研究组患者各项心功能指标均较对照组好,差异有统计学意义(均P<0.05)。研究组出现心脏缺血事件4例(6.67%),对照组出现15例(25.00%),研究组心脏缺血事件发生率低于对照组,差异有统计学意义(P<0.05)。治疗后,研究组SF-36量表各项目评分均高于对照组,差异有统计学意义(均P<0.05)。结论冠状动脉粥样硬化性心脏病患者在PCI术后接受综合心脏康复治疗,可有效改善患者心功能,减少心脏缺血性事件的发生,有利于提高患者生活质量。

Objective To observe and explore the effects of comprehensive cardiac rehabilitation on patients with coronary arteriosclerotic heart disease after percutaneous coronary intervention(PCI).Methods A total of 120 patients with coronary atherosclerotic heart disease who underwent PCI in Lu’an Group General Hospital from August 2016 to December 2018 were enrolled.Patients were divided into study group and control group by random number table,60 cases in each group.Control group received routine mode of care,and study group received comprehensive cardiac rehabilitation on this basis.Cardiac function indicators,cardiac ischemic events,and quality of life were compared between the two groups.Results After treatment,the cardiac function indexes of study group were all better than those of control group,and the differences were statistically significant(all P<0.05).There were 4 cases of cardiac ischemia(6.67%)in study group and 15 cases(25.00%)in control group.The incidence of cardiac ischemic events in study group was lower than that in control group,and the difference was statistically significant(P<0.05).After treatment,the score of each item in the MOS 36-item short form health survey(SF-36)scale in study group was higher than that in control group,and the differences were statistically significant(all P<0.05).Conclusion Patients with coronary atherosclerotic heart disease undergoing comprehensive cardiac rehabilitation after PCI could effectively improve cardiac function,reduce the incidence of cardiac ischemic events,and improve the quality of life.