宋晓培, 徐重萍, 朱正芳, 张爱华. 基于康复风险评估的心脏康复训练对急性冠状动脉综合征PCI术后病人心功能和心血管事件发生率的影响[J]. 蚌埠医学院学报, 2023, 48(4): 530-533. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.026
    引用本文: 宋晓培, 徐重萍, 朱正芳, 张爱华. 基于康复风险评估的心脏康复训练对急性冠状动脉综合征PCI术后病人心功能和心血管事件发生率的影响[J]. 蚌埠医学院学报, 2023, 48(4): 530-533. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.026
    SONG Xiao-pei, XU Zhong-ping, ZHU Zheng-fang, ZHANG Ai-hua. Effect of cardiac rehabilitation training based on rehabilitation risk assessment on cardiac function and incidence of MACE in patients with acute coronary syndrome after PCI[J]. Journal of Bengbu Medical College, 2023, 48(4): 530-533. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.026
    Citation: SONG Xiao-pei, XU Zhong-ping, ZHU Zheng-fang, ZHANG Ai-hua. Effect of cardiac rehabilitation training based on rehabilitation risk assessment on cardiac function and incidence of MACE in patients with acute coronary syndrome after PCI[J]. Journal of Bengbu Medical College, 2023, 48(4): 530-533. DOI: 10.13898/j.cnki.issn.1000-2200.2023.04.026

    基于康复风险评估的心脏康复训练对急性冠状动脉综合征PCI术后病人心功能和心血管事件发生率的影响

    Effect of cardiac rehabilitation training based on rehabilitation risk assessment on cardiac function and incidence of MACE in patients with acute coronary syndrome after PCI

    • 摘要:
      目的探讨基于康复风险评估的心脏康复训练对急性冠状动脉综合征(ACS)行经皮冠状动脉介入(PCI)术后病人心功能和主要心血管事件(MACE)发生率的影响。
      方法选取ACS行PCI病人149例, 随机分为对照组(74例)和观察组(75例), 对照组实施PCI术后常规心脏康复训练, 观察组实施基于康复风险评估的心脏康复训练。3个月后比较2组病人的心功能、MACE发生率以及护理满意度。
      结果康复训练3个月后, 观察组左心室射血分数、左心室舒张末内径、N末端脑肽钠以及6 min步行试验均明显优于对照组(P < 0.01);观察组的MACE发生率低于对照组, 但差异无统计学意义(P>0.05);观察组护理满意度明显高于对照组(P < 0.01)。
      结论基于康复风险评估的心脏康复训练用于ACS行PCI术后病人, 有助于改善病人心功能, 降低MACE发生率, 促进病人心脏康复和护理满意度的提高。

       

      Abstract:
      ObjectiveTo investigate the effect of cardiac rehabilitation training based on rehabilitation risk assessment on cardiac function and major adverse cardiac events (MACE) in patients with acute coronary syndrome (ACS) after percutaneous coronary intervention (PCI).
      MethodsA total of 149 cases of ACS patients undergoing PCI were selected and randomly divided into control group (74 cases) and observation group (75 cases).The control group performed routine cardiac rehabilitation training after PCI, the observation group performed cardiac rehabilitation training based on rehabilitation risk assessment.The cardiac function, incidence of MACE and nursing satisfaction were compared after 3 months.
      ResultsAfter 3 months of rehabilitation training, the left ventricular ejection fraction, left ventricular diastolic end diameter, N-terminal brain peptide sodium, and 6-minute walking test in the observation group were significantly better than those in the control group (P < 0.01).The incidence of MACE in the observation group was lower than that in the control group, but the difference was not statistically significant (P>0.05);The nursing satisfaction of the observation group was significantly higher than that of the control group (P < 0.01).
      ConclusionsCardiac rehabilitation training based on rehabilitation risk assessment is used for ACS patients undergoing PCI, helping to improve patient cardiac function, reduce the incidence of MACE, and promote patient cardiac rehabilitation and nursing satisfaction.

       

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