心脏康复治疗对冠脉支架术后患者心脏功能的效果研究
|
摘要
冠状动脉支架植入术(PCI)为临床救治冠心病的主要手术治疗方法,具备微创、疗效优良等优势。但PCI无法完全解除诱发冠心病的所有因素,20～30%的患者PCI后3～6个月中可能出产生支架内再狭窄问题,影响预后。优化冠心病PCI术后远期疗效,改善心功能,降低再狭窄发生率,是PCI术后急需处理的问题,心脏康复是心脏病的一级预防、二级预防与三级预防的重要构成部分,本文对心脏康复治疗在改善冠脉支架术后患者心脏功能效果做出综述研究。
Coronary artery stent implantation(PCI) was the main surgical treatment for coronary heart disease,which had the advantages of minimally invasive and good curative effect. However, PCI could not completely relieve all the factors inducing coronary heart disease,20 ～30% of patients may have in-stent restenosis in 3 ～6 months after PCI, which affected the prognosis. To optimize the long-term effect of coronary heart disease after PCI,improved cardiac function and reduce the incidence of restenosis was an urgent problem after PCI. Cardiac rehabilitation was an important part of primary prevention,secondary prevention and tertiary prevention of heart disease. This paper reviewed the effect of cardiac rehabilitation on improving cardiac function of patients after coronary stenting.
Coronary artery stent implantation(PCI) was the main surgical treatment for coronary heart disease,which had the advantages of minimally invasive and good curative effect. However, PCI could not completely relieve all the factors inducing coronary heart disease,20 ～30% of patients may have in-stent restenosis in 3 ～6 months after PCI, which affected the prognosis. To optimize the long-term effect of coronary heart disease after PCI,improved cardiac function and reduce the incidence of restenosis was an urgent problem after PCI. Cardiac rehabilitation was an important part of primary prevention,secondary prevention and tertiary prevention of heart disease. This paper reviewed the effect of cardiac rehabilitation on improving cardiac function of patients after coronary stenting.
引文
[1]蒋埜,陈解忠,孟庆利,等.康复运动对冠脉支架植入术后患者相关因素的影响[J].现代生物医学进展,2015,15(34):6728-6730.
[2]张柯.指导家庭运动对冠状动脉支架植入术后患者Ⅲ期心脏康复的作用分析[J].河南医学研究,2017,26(10):1891-1892.
[3]纪玉沛,刘淑燕,田华.集束化护理干预对冠状动脉支架植入术后患者心脏康复效果的分析[J].中国医药指南,2017,15(17):18-19.
[4]宫秀丽,蒋戈利,刘文红,等..冠心病冠状动脉支架术后35例心脏康复加用中药治疗效果观察[J].解放军医药杂志,2017,29(2):20-23.
[5]吴海云,黄茜雯.冠状动脉支架植入术后患者的心脏康复治疗探究[J].临床医学研究与实践,2016,1(13):48,50.
[6]陈静.冠状动脉支架植入术后患者心脏康复护理的干预效果分析[J].智慧健康,2017,3(10):23-24.
[7]房秀清,尹丽欣.心脏康复治疗对心力衰竭患者运动心肺功能的临床影响[J].世界最新医学信息文摘,2018,18(25):35.
[8]吴张平,朱霞.渐进性康复护理对冠状动脉支架植入术后患者的护理干预效果[J].检验医学与临床,2014,11(6):852-854.
[9]Yeh GY,Wang CC,Wayne PM,et al.Tai Chi exercise for pa-tients with cardiovascular conditions and risk factors:a systematicreview[J].J Cardiopulm Rehabil Prev,2009,29(3):152-160.
[10]刘艳玲,孙兴国,高华,等.心肺运动指导个体化心衰患者康复的初步总结报告[J].中国应用生理学杂志,2015,31(4):374-377.
[11]韦秋宇.冠状动脉支架植入术后患者心脏康复护理的干预研究[J].右江民族医学院学报,2015,37(1):159-160.
[12]施祖芬,王昭昭.心脏康复治疗对心力衰竭患者运动心肺功能的临床影响[J].中国老年保健医学,2017,15(3):97-98.
[13]聂道芳,蒋戈利,刘文红,等.针药结合运动疗法康复治疗冠心病64例[J].解放军医药杂志,2017,29(2):7-12.
[14]Warner M,Mampuya,孙敏,等.心脏康复的过去、现在和未来[J].中国胸心血管外科临床杂志,2015,22(8):709-718.
[15]黄海容,李雪华,黄锡球,等.综合心脏康复治疗对冠状动脉硬化性心脏病介入术后患者的效果[J].解放军护理杂志,2013,30(1):72-74.
[16]朱佳琪,马跃文,谷天祥,等.冠状动脉旁路移植术后患者Ⅰ期心脏康复治疗的临床疗效研究[J].中国全科医学,2015,18(20):2388-2392.
[2]张柯.指导家庭运动对冠状动脉支架植入术后患者Ⅲ期心脏康复的作用分析[J].河南医学研究,2017,26(10):1891-1892.
[3]纪玉沛,刘淑燕,田华.集束化护理干预对冠状动脉支架植入术后患者心脏康复效果的分析[J].中国医药指南,2017,15(17):18-19.
[4]宫秀丽,蒋戈利,刘文红,等..冠心病冠状动脉支架术后35例心脏康复加用中药治疗效果观察[J].解放军医药杂志,2017,29(2):20-23.
[5]吴海云,黄茜雯.冠状动脉支架植入术后患者的心脏康复治疗探究[J].临床医学研究与实践,2016,1(13):48,50.
[6]陈静.冠状动脉支架植入术后患者心脏康复护理的干预效果分析[J].智慧健康,2017,3(10):23-24.
[7]房秀清,尹丽欣.心脏康复治疗对心力衰竭患者运动心肺功能的临床影响[J].世界最新医学信息文摘,2018,18(25):35.
[8]吴张平,朱霞.渐进性康复护理对冠状动脉支架植入术后患者的护理干预效果[J].检验医学与临床,2014,11(6):852-854.
[9]Yeh GY,Wang CC,Wayne PM,et al.Tai Chi exercise for pa-tients with cardiovascular conditions and risk factors:a systematicreview[J].J Cardiopulm Rehabil Prev,2009,29(3):152-160.
[10]刘艳玲,孙兴国,高华,等.心肺运动指导个体化心衰患者康复的初步总结报告[J].中国应用生理学杂志,2015,31(4):374-377.
[11]韦秋宇.冠状动脉支架植入术后患者心脏康复护理的干预研究[J].右江民族医学院学报,2015,37(1):159-160.
[12]施祖芬,王昭昭.心脏康复治疗对心力衰竭患者运动心肺功能的临床影响[J].中国老年保健医学,2017,15(3):97-98.
[13]聂道芳,蒋戈利,刘文红,等.针药结合运动疗法康复治疗冠心病64例[J].解放军医药杂志,2017,29(2):7-12.
[14]Warner M,Mampuya,孙敏,等.心脏康复的过去、现在和未来[J].中国胸心血管外科临床杂志,2015,22(8):709-718.
[15]黄海容,李雪华,黄锡球,等.综合心脏康复治疗对冠状动脉硬化性心脏病介入术后患者的效果[J].解放军护理杂志,2013,30(1):72-74.
[16]朱佳琪,马跃文,谷天祥,等.冠状动脉旁路移植术后患者Ⅰ期心脏康复治疗的临床疗效研究[J].中国全科医学,2015,18(20):2388-2392.