家庭心脏康复治疗对急性冠脉综合征患者PCI术后疗效的观察
|
摘要
目的观察心脏康复治疗对急性冠脉综合征患者PCI术后的疗效。方法选择64例急性冠脉综合征的患者,均行冠脉造影及支架植入术,分为试验组与对照组,各32例。两组均给予常规的药物治疗,试验组进行2～4周院内心脏康复和6个月的家庭心脏康复,包括生活方式干预、危险因素管理、个体化运动训练及心理指导。于术前及术后6个月对两组患者危险因素控制率、心功能、6MWT、再住院率进行评估。结果治疗后6个月,试验组危险因素控制率、心功能、6MWT均高于对照组(P <0.05),再住院率明显低于对照组(P <0.05)。结论心脏康复训练对急性冠脉综合征PCI术后危险因素控制、心功能的改善均有积极意义,降低再住院率。
Objective To observe the effect of cardiac rehabilitation on patients with acute coronary syndrome after PCI. Methods 64 patients with acute coronary syndrome were treated with coronary angiography and stent implantation, which were divided into experimental group and control group, 32 cases in each group. The two groups were given conventional medicine treatment. The experimental group was treated for 2-4 weeks in hospital heart rehabilitation and 6 months of family heart rehabilitation, including lifestyle intervention, risk factor management, Individualized exercise training and psychological guidance. The risk factors control rate, cardiac function, 6 MWT and rehospitalization rate of the two groups were evaluated before and 6 months after operation. Results 6 months after treatment, the control rate of risk factors, cardiac function and 6 MWT in the experimental group were higher than those of the control group(P < 0.05), and the rate of rehospitalization was significantly lower than that of the control group(P < 0.05). Conclusion Cardiac rehabilitation training has positive significance in controlling risk factors and improving cardiac function in patients with acute coronary syndrome after PCI, and reducing rehospitalization rate.
Objective To observe the effect of cardiac rehabilitation on patients with acute coronary syndrome after PCI. Methods 64 patients with acute coronary syndrome were treated with coronary angiography and stent implantation, which were divided into experimental group and control group, 32 cases in each group. The two groups were given conventional medicine treatment. The experimental group was treated for 2-4 weeks in hospital heart rehabilitation and 6 months of family heart rehabilitation, including lifestyle intervention, risk factor management, Individualized exercise training and psychological guidance. The risk factors control rate, cardiac function, 6 MWT and rehospitalization rate of the two groups were evaluated before and 6 months after operation. Results 6 months after treatment, the control rate of risk factors, cardiac function and 6 MWT in the experimental group were higher than those of the control group(P < 0.05), and the rate of rehospitalization was significantly lower than that of the control group(P < 0.05). Conclusion Cardiac rehabilitation training has positive significance in controlling risk factors and improving cardiac function in patients with acute coronary syndrome after PCI, and reducing rehospitalization rate.
引文
[1]郑淑梅,杨秀兰,吕烨辉,等.延续性自我管理教育在冠心病介入治疗患者心脏康复中的应用.中华护理学杂志,2012,47(4):297-300.
[2]左辉华,刘强,王丽丽,等.血流储备分数与冠状动脉造影在稳定型冠心病患者介入治疗中的应用比较.岭南心血管病杂志,2015,21(4):462-5,469.
[3]何翠芳.康复护理干预对冠心病冠脉介入治疗患者生活质量的影响,辽宁医学院学报,2013,34(1):91-93.
[4]葛均波,徐永健.内科学.8版.北京:人民卫生出版社,2013:236-255.
[5] Brawner CA,Abdul-Nour K,lewis B,et al.Relationship between exercise workload during cardic rehabilitation and outcomes in patients with coronry heart disease.Am J Cardoil,2016,117(8):1236-1241.
[6]刘江生.冠心病人心脏康复危险分层法.心血管康复医学杂志,2002,11(3):195-197.
[7]郜玉珍,李素梅,王瑞英,等健康教育干预对冠心病介入治疗术后冠心病危险因素影响的效果评价.国际心血管与相关疾病,2009,1(7):60-62.
[8] Armstrong MJ, Sigal RJ, Arena R, et al. Cardiac Relationship completion is associated with reduced mortality in patients with diabetes and coronary artery disease.Diabetologia,2015,58(4):691-8.
[9] Braverman DL. Cardiac rehabilitation:a contemporary review. Am J Phys Med Rehabil,2011,90(7):599-611.
[10] Smith SC Jr,Benjamin EJ,bonow RO,et al. AHA/ACCF secondary prevention and risk reduction:therapy for petients with coronary and other atherosclerotic vascular disease:2011 updte. Circulation, 2011, 124(22):2458-2473.
[2]左辉华,刘强,王丽丽,等.血流储备分数与冠状动脉造影在稳定型冠心病患者介入治疗中的应用比较.岭南心血管病杂志,2015,21(4):462-5,469.
[3]何翠芳.康复护理干预对冠心病冠脉介入治疗患者生活质量的影响,辽宁医学院学报,2013,34(1):91-93.
[4]葛均波,徐永健.内科学.8版.北京:人民卫生出版社,2013:236-255.
[5] Brawner CA,Abdul-Nour K,lewis B,et al.Relationship between exercise workload during cardic rehabilitation and outcomes in patients with coronry heart disease.Am J Cardoil,2016,117(8):1236-1241.
[6]刘江生.冠心病人心脏康复危险分层法.心血管康复医学杂志,2002,11(3):195-197.
[7]郜玉珍,李素梅,王瑞英,等健康教育干预对冠心病介入治疗术后冠心病危险因素影响的效果评价.国际心血管与相关疾病,2009,1(7):60-62.
[8] Armstrong MJ, Sigal RJ, Arena R, et al. Cardiac Relationship completion is associated with reduced mortality in patients with diabetes and coronary artery disease.Diabetologia,2015,58(4):691-8.
[9] Braverman DL. Cardiac rehabilitation:a contemporary review. Am J Phys Med Rehabil,2011,90(7):599-611.
[10] Smith SC Jr,Benjamin EJ,bonow RO,et al. AHA/ACCF secondary prevention and risk reduction:therapy for petients with coronary and other atherosclerotic vascular disease:2011 updte. Circulation, 2011, 124(22):2458-2473.