Effect of cardiac rehabilitation care after coronary intervention on cardiac function recovery and negative mood in patients with myocardial infarction

BACKGROUND Cardiovascular disease,particularly myocardial infarction(MI)profound impact on patients'quality of life and places a substantial burden on the healthcare and economy systems.Developments in medical technology have led to the emer-gence of coronary intervention as an essential method for treating MI.AIM To assess the effects of cardiac rehabilitation care on cardiac function recovery and negative emotions in MI after coronary intervention.METHODS This study included a total of 180 patients with MI during the period from June 2022 to July 2023.Selected patients were divided into two groups:An observation group,which receiving cardiac rehabilitation care;a control group,which re-ceiving conventional care.By comparing multiple observation indicators such as cardiac function indicators,blood pressure,exercise tolerance,occurrence of adverse cardiac events,and negative emotion scores between the two groups of patients.All the data were analyzed and compared between two groups.RESULTS There were 44 males and 46 females in the observation group with an average age of 36.26±9.88 yr;there were 43 males and 47 females in the control group,with an average age of 40.87±10.5 yr.After receiving the appropriate postoperative nursing measures,the results of the observation group showed significant improvement in several indicators compared with the control group.Indicators of cardiac function,such as left ventricular end-diastolic internal diameter and left ventricular ejection fraction were significantly better in the observation group than in the control group(P<0.05).Exercise endurance assessment showed that the 6-minute walking test distance was significantly increased in the patients of the observation group(P<0.01).In addition,the incidence of adverse cardiac events was significantly lower in the observation group,and negative mood scores were significantly reduced(P<0.05).CONCLUSION Cardiac rehabilitation care after coronary intervention has a significant positive impact on functional recovery.This emphasizes the importance of cardiac rehabilitation care to improve patient recovery.

Effects of systematic cardiac rehabilitation training in elderly patients with unstable angina following cardiac stent implantation

BACKGROUND Coronary stent implantation is usually used to treat unstable angina to alleviate stenosis or occlusion,promoting blood flow restoration and alleviating symptoms such as myocardial ischemia.And postoperative cardiac rehabilitation is essential for enhancing recovery and prognosis.Nevertheless,conventional rehabilitation lacks specificity,particularly for elderly patients with multiple comorbidities and poor compliance,rendering it less effective.AIM To investigate the effects of systematic cardiac rehabilitation training in elderly patients with unstable angina following coronary stenting intervention.METHODS A retrospective enrollment was conducted comprising fifty-four elderly patients with unstable angina pectoris who underwent systematic cardiac rehabilitation training after receiving coronary intervention as the rehabilitation group,while fifty-three elderly patients who received basic nursing and rehabilitation guidance measures after coronary intervention were assigned to the control group.Differences in Seattle Angina Questionnaire scores,survival quality(SF-36)scores,cardiopulmonary exercise function assessment index,echocardiographic cardiac function index,and adverse cardiovascular events were compared between the two groups.RESULTS After intervention,the rehabilitation group observed greater VO2 Max,maximum metabolic equivalent,eft ventricular ejection fraction,left ventricular end-diastolic diameter and smaller left ventricular end-systolic diameter.And the rehabilitation group observed greater scores of physical activity limitation,stable angina pectoris,treatment satisfaction,and SF-36 score.The incidence of adverse cardiovascular events in the two groups,showed no significant difference.CONCLUSION Systematic cardiac rehabilitation following coronary stenting in elderly patients with unstable angina pectoris can enhance cardiac function recovery,consequently enhancing both quality of life and cardiopulmonary exercise tolerance.

Comprehensive and personalized approach is a critical area for developing remote cardiac rehabilitation programs

In the evolving landscape of cardiac rehabilitation(CR),adopting digital technologies,including synchronous/real-time digital interventions and smart applications,has emerged as a transformative approach.These technologies offer realtime health data access,continuous vital sign monitoring,and personalized educational enhanced patient self-management and engagement.Despite their potential benefits,challenges and limitations exist,necessitating careful consideration.Synchronous/real-time digital CR involves remote,two-way audiovisual communication,addressing issues of accessibility and promoting home-based interventions.Smart applications extend beyond traditional healthcare,providing real-time health data and fostering patient empowerment.Wearable devices and mobile apps enable continuous monitoring,tracking of rehabilitation outcomes,and facilitate lifestyle modifications crucial for cardiac health maintenance.As digital CR progresses,ensuring patient access,equitable implementation,and addressing the digital divide becomes paramount.Artificial intelligence holds promise in the early detection of cardiac events and tailoring patient-specific CR programs.However,challenges such as digital literacy,data privacy,and security must be addressed to ensure inclusive implementation.Moreover,the shift toward digital CR raises concerns about cost,safety,and potential depersonalization of therapeutic relationships.A transformative shift towards technologically enabled CR necessitates further research,focusing not only on technological advancements but also on customization to meet diverse patient needs.Overcoming challenges related to cost,safety,data security,and potential depersonalization is crucial for the widespread adoption of digital CR.Future studies should explore integrating moral values into digital therapeutic relationships and ensure that digital CR is accessible,equitable,and seamlessly integrated into routine cardiac care.Theoretical frameworks that accommodate the dynamic quality of real-time monitoring and feedback feature of digital CR interventions should be considered to guide intervention development.

Progress in the Early Mobilization of Patients after Cardiac Intervention

Early activity has a positive effect on the rehabilitation process of patients after cardiac intervention. This paper summarizes the concept and significance of early activity after cardiac intervention, the best time and mode of different types of early activity after cardiac intervention, and the factors affecting early activity, aiming to provide a basis for clinical medical staff to provide safe and effective guidance of early activity after cardiac intervention.

Application progress of nursing intervention in cardiac surgery

As a stressor,cardiac surgery affects the physiology and psychology of patients,as well as their postoperative recovery.Patients tend to worry about cognitive deficiency,pain,discomfort,the risk of death,sleep,complications,and other factors,resulting in stress and anxiety.Moreover,serious adverse events,such as circulatory and respiratory dysfunction and infection,tend to occur after cardiac surgery and increase the economic burden on patients.Therefore,appropriate nursing interventions should be selected to strengthen patients’cognitive levels,compliance,and postoperative practices to accelerate their recovery,reduce complications,and shorten hospital stays so as to contribute to patients’lives and health.

Physical activity levels and predictors in patients following percutaneous coronary intervention: a cross-sectional study

Objective: To examine physical activity(PA) of post-percutaneous coronary intervention(PCI) patients and explore the demographic, clinical, and social psychological characteristics associated with PA levels. Methods: A total of 246 post-PCI patients from the Peking University Third Hospital in Beijing, China, were included in this crosssectional study through convenience sampling. Data were collected from a self-repor ted questionnaire. PA was categorized into low, moderate, or high levels. The ordinal multinomial logistic regression model was used to estimate the relationship among demographic, medical, and psychosocial characteristics. Results: The overall prevalence of low, moderate, and high PA was 20%, 70%, and 10%, respectively. For the domain-specific PA patterns, most par ticipants took par t in leisure-time PA(84.5%);walking was the most common PA. Increased motivation and selfefficacy, lower monthly income, and unemployment were predictors of high PA. Conclusions: PA levels in post-PCI patients was not optimal, and leisure-time PA had the highest par ticipation rate. Analyses of influencing factors can provide medical staff and health workers information to focus on high-risk groups and introduce more tailored interventions. Future studies can explore more regions, and ecological models can be introduced to study more influencing factors.

Effect of Exercise-Based Cardiac Rehabilitation on Cardiorespiratory Fitness in Adults with Congenital Heart Disease

Background:The purpose of this study was to investigate whether patients with adult congenital heart disease(ACHD)benefit from exercise-based cardiac rehabilitation(CR)short-and long-term with regard to improvement of cardiorespiratory fitness.Methods:Cardiopulmonary exercise tests(CPET)completed by ACHD patients between January 2000 and October 2019 were analysed retrospectively.Linear mixed models were performed for peak oxygen consumption(VO_(2))with patients as random effect and age,sex,disease classification,preceding surgery(≤3 months)and preceding CR(≤4 weeks for short term and>4 weeks for long term)as fixed effects.Results:1056 CPETs of 311 ACHD patients with simple(7),moderate(188)or great(116)complexity heart defects were analysed.The 59 patients who completed a CR(median age 27 yrs,38%females)increased peak VO_(2)from before to after CR by a median of 2.7(IQR–0.6 to 5.5)ml/kg/min.However,in the multivariate mixed model,peak VO_(2)was non-significantly increased short-term after CR(β0.8,95%CI–0.7 to 2.4),not maintained long-term after CR(β0.0,95%CI–1.7 to 1.6)but significantly reduced after surgery(β–5.1,95%CI–7.1 to–3.1).The 20 CR patients after surgery increased their peak VO_(2)by 6.2(IQR 3.6–9.5)ml/kg/min,while the 39 CR patients without preceding surgery increased it by 0.9(IQR–1.5 to 3.1)ml/kg/min.Conclusions:The increase in peak VO_(2)with CR was mainly due to recovery from surgical intervention.The small independent benefit from CR was not maintained long-term,highlighting the potential to improve current CR concepts in ACHD populations.

Retrospective analysis of exercise capacity in patients with coronary artery disease after percutaneous coronary intervention or coronary artery bypass graft

Objectives:To describe the current state of exercise capacity as well as to identify its predictors in patients with coronary artery disease (CAD) following percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) in the mainland of China.Methods:A retrospective study design was employed.We evaluated 230 CAD patients following PCI or CABG in a cardiac rehabilitation center from January 2019 to October 2019.The patients were referred to undergo incremental cardiopulmonary exercise testing with a cycle ergometer.The Zung Self-Rating Anxiety Scale and the Zung Self-Rating Depression Scale were used to evaluate patients' mental health.Statistical analysis was performed using the chi-square test,Fisher's exact test,t-test,Mann-Whitney U test,and binary logistic regression.Results:Among the 230 patients,223 patients demonstrated reduced exercise capacity.Resutlts of the logistic regression analysis showed that anxiety (OR =1.13,95% CI 1.01-1.32,P =0.029) was an independent risk factor for reduced exercise capacity in patients following the PCI or CABG.Conclusions:Exercise capacity of Chinese CAD patients after PCI or CABG was relatively poor.Alleviating symptoms of anxiety and making exercise prescriptions according to the results of the cardiopulmonary exercise test should be considered during the intervention to improve CAD patients' exercise capacity.

心脏康复运动治疗对急性心肌梗死经皮冠状动脉介入术病人心功能及健康相关体适能的影响

目的观察心脏康复运动治疗对急性心肌梗死(AMI)经皮冠状动脉介入术(PCI)治疗病人心功能及健康相关体适能的影响。方法选择2021年6月至2022年3月在邯郸市第一医院行PCI治疗的AMI病人96例,按随机数字表法分为两组,对照组(n=48)给予常规护理,研究组(n=48)在对照组基础上给予心脏康复运动治疗。比较两组的心功能、健康相关体适能、6 min步行距离、干预期间不良心血管事件(MACE)发生情况。结果干预后,两组的左室射血分数(LVEF)、6 min步行距离均大于干预前(P<0.05),左室舒张末期容积(LVEDV)小于干预前(P<0.05),且研究组的LVEF(57.79±5.86)%、6 min步行距离(386.22±48.49)m大于对照组[(53.14±6.42)%、(357.63±45.51)m](P<0.05),LVEDV小于对照组(P<0.05)。干预后,研究组的峰值摄氧量(VO_(2)max)、氧脉搏、摄氧量对应功率的递增斜率(△VO_(2)/△WR)、代谢当量、握力指数、30 s连续椅子站立试验(30-CS)均大于干预前(P<0.05),体脂肪、内脏脂肪面积(VFA)均小于干预前(P<0.05),且研究组的VO_(2)max(20.32±1.64)mL·min^(-1)·kg-1、氧脉搏(12.93±2.45)mL/次、△VO_(2)/△WR(10.14±1.63)mL·min^(-1)·W^(-1)、代谢当量6.12±0.73、握力指数(53.91±5.62)%、30-CS(19.21±6.39)次均大于对照组[(19.47±1.76)mL·min^(-1)·kg-1、(11.74±2.66)mL/次、(9.43±1.78)mL·min^(-1)·W^(-1)、5.73±0.77、(50.18±8.83)%、(16.43±6.04)次](P<0.05),体脂肪(25.88±5.23)%、VFA(94.14±27.32)cm^(2)均小于对照组[(28.52±7.04)%、(105.64±28.11)cm^(2)](P<0.05)。研究组的干预期间MACE总发生率低于对照组(P<0.05)。结论行PCI治疗的AMI病人接受心脏康复运动治疗,利于改善心功能,提高健康相关体适能,增大6 min步行距离,减少干预期间MACE发生。

经皮冠状动脉介入术患者心脏康复锻炼自我效能现状及影响因素分析

目的 :评估经皮冠状动脉介入术(PCI)患者心脏康复锻炼自我效能水平并分析影响因素,为制定PCI患者心脏康复锻炼计划提供参考。方法 :采用便利抽样法,于2022年1月—10月选取北京市某三级甲等医院心内科收治的241例住院患者为研究对象,采用一般资料调查表、心脏康复锻炼自我效能量表、急性心肌梗死患者心脏康复知识和态度问卷、家庭复原力评估量表收集数据。结果 :PCI患者心脏康复锻炼自我效能得分为(41.16±8.41)分。回归分析结果显示,心脏康复知识和态度总分、家庭复原力、冠心病病程、吸烟史、受教育程度、家庭月收入、直系亲属心肌梗死史是患者心脏康复锻炼自我效能的影响因素(P<0.05),可解释心脏康复锻炼自我效能变异的54.1%。结论 :PCI患者心脏康复锻炼自我效能欠佳,尤其是心脏康复知识和态度较差、家庭复原力水平较低、冠心病病程短、家庭人均月收入低、受教育程度较低、无吸烟史及无直系亲属心肌梗死史的患者,医护人员应重视对这类患者的心脏康复自我效能的干预。

早期心脏康复护理对急诊PCI术后患者心功能及生活质量的影响

目的探讨早期心脏康复护理在急诊经皮冠状动脉介入治疗术(PCI)术后患者中的应用效果。方法选取2020年4月至2021年2月在商丘市第一人民医院接受经桡动脉行急诊PCI治疗的急性心肌梗死(AMI)患者139例为研究对象,并将其分为对照组(70例)、干预组(69例)。给予对照组常规护理,干预组在此基础上接受早期心脏康复护理干预。比较两组患者心功能及生活质量评分。结果接受早期心脏康复护理干预的急诊PCI术后患者心功能评估(左心室射血分数、左心室舒张末期内径、心输出量、每搏心输出量)结果与对照组比较,差异无统计学意义(P>0.05)。接受早期心脏康复护理干预的急诊PCI术后患者,出院1个月后生活质量4个维度(一般健康状况、生理职能、社会功能、生理机能)评分均高于对照组(P<0.05)。结论早期心脏康复护理干预能提高急诊PCI术后患者生活质量,建议临床推广应用。

心功能等级化康复护理在心肌梗死介入术后患者中的应用

目的:探讨心功能等级化康复护理在心肌梗死介入术后患者中的应用效果。方法:选取2021年4月1日~2022年11月30日心血管科收治的120例心肌梗死介入术后患者作为研究对象,按照随机数字表法分为参照组和干预组各60例,对照组实施常规康复护理,干预组实施心功能等级化康复护理措施。比较两组心功能指标、肢体功能[采用简式Fugl-Meyer评定量表(FMA)]、心绞痛发作频次、首次下床时间、平均住院时间、心脏不良事件发生情况。结果:干预4周后,两组凝血酶原时间(PT)、左室舒张末期内径(LVEDD)、左室射血分数(LVEF)指标水平均优于入院1 d(P<0.05),且干预组优于参照组(P<0.01);干预4周后,两组FMA中下肢评分、上肢评分、总得分均高于入院1 d(P<0.05),且干预组高于参照组(P<0.01);干预组心绞痛发作频次、心脏不良事件发生例数均少于参照组(P<0.05),首次下床时间、平均住院时间均短于参照组(P<0.05)。结论:对心肌梗死介入术后患者采取心功能等级化康复护理,有利于提高心脏、肢体功能水平,减少心绞痛发作频次,缩短首次下床时间和住院时间,降低心脏不良事件发生率。

双心护理结合早期康复策略在急性心肌梗死患者中的应用价值

目的研究双心护理结合早期康复策略在行经皮冠脉介入术(PCI)后的急性心肌梗死患者中的应用价值。方法以随机数字表法将2021年3月至2022年7月在东南大学附属中大医院行PCI的90例急性心肌梗死患者分为2组,各45例。对照组接受早期康复结合常规护理,观察组在对照组干预方法的基础上接受双心护理。比较2组的心功能指标、不良情绪、生活质量和心血管不良事件发生情况。结果术后1个月和3个月,2组的N末端脑钠肽前体水平均较术前降低,且观察组均比同期对照组更低;2组的左室射血分数均较术前增大,且观察组均比同期对照组更大;2组的6分钟步行试验距离均较术前增长,且观察组均比同期对照组更长,上述比较均有统计学差异(P均<0.05)。术后1个月和3个月,观察组的不良情绪评分(汉密尔顿焦虑/抑郁量表)均低于同期对照组(P均<0.05),且2组均低于术前(P均<0.05)。术后3个月,2组的生存质量精简量表各项评分均较术前高(P均<0.05),且观察组均高于对照组(P均<0.05)。观察组的心血管不良事件总发生率低于对照组(P<0.05)。结论双心护理结合早期康复策略可改善行PCI后的急性心肌梗死患者的心功能、不良情绪和生活质量,也可预防心血管不良事件的发生。

人工智能技术在PCI术后患者随访中的应用

目的探讨基于人工智能技术的经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者随访方案的应用效果。方法通过文献回顾、专家函询构建PCI术后人工智能随访方案。选取2022年10月至2023年11月于南昌大学第二附属医院行PCI的冠心病患者82例,根据随机数字表法将其分为干预组和对照组,每组41例。对照组给予常规护理方案,干预组在对照组基础上增加基于人工智能的随访方案。比较两组患者干预6个月内的主要心血管不良事件(major adverse cardiovascular event,MACE)发生率、30d再入院率、服药依从性和满意度评分。结果干预组患者6个月内的MACE发生率及30d再入院率均显著低于对照组(P<0.05)。干预6个月后,两组患者的Morisky量表评分和满意度评分均显著高于本组干预前(P<0.05),干预组患者的Morisky量表评分和满意度评分均显著高于对照组(P<0.05)。结论基于人工智能技术的随访方案可降低PCI术后患者的MACE发生率及30d再入院率。

经皮冠状动脉介入治疗术后病人心脏康复行为管理的研究进展

对经皮冠状动脉介入治疗(PCI)术后病人心脏康复的概念及健康行为方式进行综述,为临床工作者提高PCI术后病人心脏康复期的健康行为提供参考依据。

基于时机理论的心脏康复护理对PCI后心肌梗死患者的影响

目的:探讨基于时机理论的心脏康复护理(TBCRN)对经皮冠状动脉介入术(PCI)后心肌梗死(MI)患者的影响。方法:选取2020年2月—2023年2月盐城市中医院收治的102例MI患者。根据随机数表法将其分为观察组及对照组,各51例。对照组采用常规护理,观察组采用TBCRN。比较两组护理前后心脏功能、应对方式、生活质量及不良心血管事件。结果:护理后,观察组心肌做功指数、左心室舒张末期内径(LVEDD)均降低,左心室射血分数(LVEF)上升,观察组心肌做功指数及LVEDD均低于对照组,LVEF高于对照组,差异有统计学意义(P<0.05)。护理后,两组应对方式问卷(CSQ)评分升高,观察组CSQ评分高于对照组,差异有统计学意义(P<0.05)。护理后,两组疾病认知程度、治疗满意度、心绞痛发作情况、心绞痛稳定性、躯体受限程度评分均升高,观察组疾病认知程度、治疗满意度、心绞痛发作情况、心绞痛稳定性、躯体受限程度评分均高于对照组,差异有统计学意义(P<0.05)。两组不良心血管事件发生率比较,差异无统计学意义(P>0.05)。结论:TBCRN可显著改善MI患者心脏功能、应对方式及生活质量。

新型心脏康复训练在老年急性心肌梗死患者术后的应用

目的 分析新型心脏康复训练在老年急性心肌梗死术后患者的应用效果。方法 选取2021年8月至2022年8月河南省胸科医院行经皮冠状动脉介入(PCI)术治疗的100例老年急性心肌梗死患者,随机分为研究组和常规组,各组50例。常规组接受常规康复训练,研究组接受新型心脏康复训练。对比两组围手术期情况(下床活动时间、住院时间)、心绞痛发作频率、心功能[左心室射血分数(LVEF)、左室舒张末内径(LVEDD)、心输出量(CO)]、6分钟步行试验(6MWT)、不良事件及健康状况调查简表-36(SF-36)评分。结果 研究组下床活动时间、住院时间较常规组短(P<0.05);干预后,研究组心绞痛发作频率较常规组低(P<0.05);干预后,研究组LVEF、CO较常规组高,LVEDD较常规组低(P<0.05);干预后,研究组6MWT较常规组远(P<0.05);研究组不良事件发生率[6.00%(3/50)]较常规组[20.00%(10/50)]低(P<0.05);干预后,研究组生理功能、躯体疼痛、社会功能、总体健康评分较常规组高(P<0.05)。结论 对老年急性心肌梗死行PCI术患者给予新型心脏康复训练可缩短下床活动及住院时间,减少心绞痛发作次数,改善心功能,提高运动耐力,并可减少不良事件,提高生活质量。

早期心脏康复方案在急性心肌梗死经皮冠状动脉介入治疗患者中的作用分析

目的:探讨早期心脏康复方案对急性心肌梗死经皮冠状动脉介入治疗(PCI)患者的应用效果。方法:选取2022年1月至2023年1月期间本院收治的68例急性心肌梗死患者作为研究对象。采用随机数字表法将患者分为对照组和观察组,每组各34例。对照组采用常规术后康复护理,观察组在对照组基础上采用早期心脏康复方案。分析比较两组的运动功能[6 min步行试验(6MWT)]、生活质量及心血管不良事件。结果:护理前,两组的6MWT无显著差异(P>0.05)。护理3m后,两组6MWT均升高,且观察组的6MWT较对照组显著提高(P<0.05)。观察组的心血管不良事件发生率显著低于对照组(P<0.05)。护理前,两组的躯体功能、心理功能、社会功能、物质生活各项生活质量评分均无显著差异(P>0.05)。护理后,两组的各项生活质量评分均比护理前提高,且观察组的各项生活质量评分均显著高于对照组(P<0.05)。结论:早期心脏康复方案能够改善急性心肌梗死患者PCI术后运动功能,减少心血管不良事件发生,提高患者的生活质量。

基于VOSviewer的冠心病病人PCI术后心脏康复相关研究的可视化分析

目的:分析我国冠心病经皮冠状动脉介入治疗(PCI)术后心脏康复研究现状及热点。方法:检索中国知网、万方数据库、维普数据库建库至2023年7月31日收录的冠心病PCI术后心脏康复相关文献,对年发文量、核心作者、期刊、发文机构、关键词等进行文献计量学分析,并应用VOSviewer 1.6.18软件进行可视化分析。结果:最终纳入539篇文献,年发文量总体呈现上升趋势;核心作者149人;载文量最多的期刊是《中西医结合心脑血管病杂志》;发文量最多的机构是广州中医药大学;第一作者地域分布广泛;研究热点为冠心病、心脏康复、经皮冠状动脉介入术、生活质量、心功能。结论:我国冠心病PCI术后心脏康复相关研究不断深入,总体处于分散状态,研究质量有待提高,今后应加强作者间、机构间、地域间的深度交流,开展多中心、多样本、高质量的研究。

针刺夹脊穴联合心脏康复用于冠心病PCI术后患者疗效观察

目的探讨针刺夹脊穴联合心脏康复用于冠心病PCI术后患者的临床疗效。方法采用随机数字表法,将2020年9月—2023年2月上海市浦东新区人民医院收治的100例冠心病PCI术后患者分为针刺组、康复组、联合组、对照组,每组25例。对照组患者采用规范化药物治疗;在药物治疗的基础上,针刺组接受针刺夹脊穴治疗,康复组接受心脏康复治疗,联合组接受针刺夹脊穴联合心脏康复治疗。4组均治疗8周。观察比较4组患者治疗前后6 min步行试验(6MWT)距离、左室射血分数(LVEF)、单手握力、10 s内自主抬高单侧下肢的次数、心律失常人数、生活质量(采用ICF量表进行评估)。结果共有87例患者完成观察,其中针刺组21例、康复组23例、联合组22例、对照组21例。针刺组、康复组及联合组治疗后6MWT、LVEF均明显高于治疗前(P均<0.05),ICF评分均明显低于治疗前(P均<0.05);联合组6MWT、LVEF、ICF评分改善情况均明显优于其他3组(P均<0.05),针刺组与康复组间6MWT、LVEF、ICF评分比较差异均无统计学意义(P均>0.05),康复组6MWT、针刺组LVEF均明显高于对照组(P均<0.05),针刺组和康复组ICF评分均明显低于对照组(P均<0.05)。康复组和联合组治疗后单手握力均较治疗前明显改善(P均<0.05),且联合组改善情况明显优于其他3组(P均<0.05)。康复组和联合组治疗后10 s下肢抬高次数明显多于治疗前及针刺组和对照组(P均<0.05),且联合组明显多于康复组(P<0.05)。针刺组和联合组治疗后心律失常人数明显少于治疗前及康复组和对照组(P均<0.05)。结论针刺夹脊穴联合心脏康复可以明显改善冠心病PCI术后患者的心脏功能、肌肉适能,提高患者的日常生活能力,且作用明显优于单用针刺治疗或心脏康复治疗。