运动康复对经皮腔内冠状动脉介入治疗患者心功能及主要不良心脏事件发生率的影响
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摘要
目的探讨运动康复对经皮腔内冠状动脉介入治疗术(PCI)后主要不良心脏事件(MACE)的影响。方法在笔者所在医院行PCI的冠心病患者256例随机分为观察组和对照组,对照组出院后接受常规随访管理及进行日常活动,观察组患者在此基础上给予运动康复指导,随访观察1年内患者的心功能状态及MACE发生情况。结果出院后6、9和12个月观察组LVEF值明显高于对照组,两组分别比较差异具有统计学意义(P<0.05)。观察组MACE发生率明显低于对照组,两组比较差异具有统计学意义(P<0.05)。结论运动康复能明显减少PCI术后MACE发生率,改善心功能,值得重视。
Objective To investigate the effect of the exercise rehabilitation on major adverse cardiac events after percutaneous coronary intervention(PCI). Methods In author's hospital,the 256 cases with PCI were divided into the observation group and the control group;the patients discharged from the hospital in the control group received the routine follow-up management and the daily activities,meanwhile the patients in the observation group received the exercise rehabilitation guidance;then the patients of two groups were followed for their heart function and MACE within a year. Results At 6,9 and 12 months after discharged,the LVEF level of the observation group was significantly higher than that of the control group(P<0.05). The incidence of MACE in the observation group was significantly lower than that in the control group(P <0.05). Conclusion The exercise rehabilitation can significantly reduce the incidence of MACE and improve the heart function,so it is worth to be pay attention.
Objective To investigate the effect of the exercise rehabilitation on major adverse cardiac events after percutaneous coronary intervention(PCI). Methods In author's hospital,the 256 cases with PCI were divided into the observation group and the control group;the patients discharged from the hospital in the control group received the routine follow-up management and the daily activities,meanwhile the patients in the observation group received the exercise rehabilitation guidance;then the patients of two groups were followed for their heart function and MACE within a year. Results At 6,9 and 12 months after discharged,the LVEF level of the observation group was significantly higher than that of the control group(P<0.05). The incidence of MACE in the observation group was significantly lower than that in the control group(P <0.05). Conclusion The exercise rehabilitation can significantly reduce the incidence of MACE and improve the heart function,so it is worth to be pay attention.
引文
[1]王雅明,金海,许卓.心脏康复的最新进展[J].中国老年学杂志,2016,36(8):2021-2023.
[2]中华医学会心血管病学分会介入心脏病学组.中国经皮冠状动脉介入治疗指南2012(简本)[J].中华危重症医学杂志:电子版,2012,5(3):169-180.
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[5]Anderson L,Thompson DR,Oldridge N,et al.Exercise-based cardiac rehabilitation for coronary heart disease[J].Cochrane Database Syst Rev,2016,1:CD001800.DOI:10.1002/14651858.CD001800.pub3.
[6]Neubeck L,Freedman B,Clark AM,et al.Participating in cardiac rehabilitation:a systematic review and meta-synthesis of qualitative data[J].Eur J Prev Cardiol,2012,19(3):494-503.
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[2]中华医学会心血管病学分会介入心脏病学组.中国经皮冠状动脉介入治疗指南2012(简本)[J].中华危重症医学杂志:电子版,2012,5(3):169-180.
[3]中国康复医学会心血管病专业委员会.中国心肌梗塞康复程序参考方案:第四版试行稿[J].心血管康复医学杂志,2006,15(S1):89-119.
[4]中华医学会心血管病学分会介入心脏病学组.中国经皮冠状动脉介入治疗指南:2016[J].中华心血管病杂志,2016,44(5):382-400.
[5]Anderson L,Thompson DR,Oldridge N,et al.Exercise-based cardiac rehabilitation for coronary heart disease[J].Cochrane Database Syst Rev,2016,1:CD001800.DOI:10.1002/14651858.CD001800.pub3.
[6]Neubeck L,Freedman B,Clark AM,et al.Participating in cardiac rehabilitation:a systematic review and meta-synthesis of qualitative data[J].Eur J Prev Cardiol,2012,19(3):494-503.
[7]原玉晶,陈凤英.经皮冠状动脉介入治疗术后康复运动治疗机制的研究进展[J].实用心脑肺血管病杂志,2013,21(8):7-9.