心脏康复综合干预对AMI患者PCI术后运动耐力、抗氧化能力和心脏功能的影响
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摘要
目的分析心脏康复综合干预对AMI患者PCI术后运动耐力、抗氧化能力和心脏功能的影响。方法选取2017年1月-2017年12月我院收治的急性心肌梗死患者80例,按照信封法分为观察组与对照组,每组40例,对照组进行心内科常规干预,观察组进行心脏康复综合干预。观察干预前、干预3个月后两组患者的运动耐力、抗氧化能力、心脏功能,并随访记录患者干预前后生活质量情况。结果干预后观察组ED、VO_2峰值、AT均高于对照组(P<0.05)。干预后观察组SOD、T-AOC高于对照组,MAD低于对照组(P<0.05)。干预后观察组LVEF(%)、PP、6MWD高于对照组(P<0.05)。干预后观察组生活质量各维度评分高于对照组(P<0.05)。结论心脏康复综合干预能有效提高AMI患者PCI术后运动耐力及抗氧化能力,改善患者心脏功能,促进康复,值得推广应用。
Objective To analyze the effects of comprehensive cardiac rehabilitation interventions on exercise tolerance,antioxidant capacity and cardiac function in patients with AMI after PCI.Methods A total of 80 patients with acute myocardial infarction treated in our hospital between January 2017 and December 2017 were selected,who were divided into the observation group and the control group using the envelope method,with 40 cases in each group. The control group was given routine intervention in the department of cardiology,while the observation group was given comprehensive intervention during cardiac rehabilitation. The exercise tolerance,antioxidant capacity and cardiac function of the two groups were observed before intervention and 3 months after intervention. The quality of life of patients before and after intervention was recorded.Results After intervention,ED,VO_2 peak and AT were higher in the observation group than those in the control group(P<0.05). After intervention,SOD and T-AOC in the observation group were higher than those in the control group,while MAD was lower than that in the control group(P<0.05). After intervention,LVEF(%),PP,and 6MWD in the observation group were higher than those in the control group(P<0.05),so were the scores of quality of life in each dimension of the observation group(P<0.05).Conclusion Comprehensive intervention during cardiac rehabilitation can effectively enhance exercise tolerance and anti-oxidation ability after PCI in patients with AMI,improve cardiac function and promote rehabilitation,and it is worthy of popularization and application.
Objective To analyze the effects of comprehensive cardiac rehabilitation interventions on exercise tolerance,antioxidant capacity and cardiac function in patients with AMI after PCI.Methods A total of 80 patients with acute myocardial infarction treated in our hospital between January 2017 and December 2017 were selected,who were divided into the observation group and the control group using the envelope method,with 40 cases in each group. The control group was given routine intervention in the department of cardiology,while the observation group was given comprehensive intervention during cardiac rehabilitation. The exercise tolerance,antioxidant capacity and cardiac function of the two groups were observed before intervention and 3 months after intervention. The quality of life of patients before and after intervention was recorded.Results After intervention,ED,VO_2 peak and AT were higher in the observation group than those in the control group(P<0.05). After intervention,SOD and T-AOC in the observation group were higher than those in the control group,while MAD was lower than that in the control group(P<0.05). After intervention,LVEF(%),PP,and 6MWD in the observation group were higher than those in the control group(P<0.05),so were the scores of quality of life in each dimension of the observation group(P<0.05).Conclusion Comprehensive intervention during cardiac rehabilitation can effectively enhance exercise tolerance and anti-oxidation ability after PCI in patients with AMI,improve cardiac function and promote rehabilitation,and it is worthy of popularization and application.
引文
[1]李璐璐,李银花,刘梅颜.中西医结合治疗急性心肌梗死的研究进展[J].中国循证心血管医学杂志,2016,8(1):115.
[2]李向明,傅向华.比较溶栓结合经皮冠状动脉介入治疗与直接经皮冠状动脉介入治疗对前壁急性ST段抬高型心肌梗死患者冠状动脉微循环的影响[J].中国循环杂志,2017,32(z1):93.
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[4]田国芳,宋玉勤,程宇彤,等.急性心肌梗死介入治疗术后的康复运动疗法研究进展[J].心脏杂志,2016,28(4):492.
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[7]黄爱华,李磊,马丽芬,等.微信随访实施二级预防对冠心病经皮冠状动脉介入治疗术后患者自我效能及生活质量的影响[J].山西医药杂志,2016,45(13):1590.
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[9]刘智,陈贤元,陈冬燕,等.先天性心脏病患儿术后早期综合干预康复模式效果评价[J].岭南心血管病杂志,2017,23(4):448.
[10]谢岩,范国颖.康复运动训练联合心理治疗对冠心病PCI术后患者的影响[J].中国循证心血管医学杂志,2016,8(2):226.
[11]安莹波,张新颜,高屹,等.B型乳酸酸中毒的急诊救治及文献复习[J].中国临床医生杂志,2016,44(1):52.
[12]赵爱纯,褚福永,刘巍,等.早期运动联合中医综合康复对急性心肌梗死急诊经皮冠状动脉介入术后心脏功能及生活质量的影响[J].世界中西医结合杂志,2017(12):1695.
[13]肖利,殷明刚,肖勇强.急性冠脉综合征患者血清游离脂肪酸含量与脂代谢紊乱、炎症反应激活的相关性[J].海南医学院学报,2018,24(8):821.
[14]WEI L F,ZHANG H M,WANG S S,et al.Changes of MDA and SOD in brain tissue after secondary brain injury with seawater immersion in rats[J].Turkish Neurosurg,2016,26(3):384.
[2]李向明,傅向华.比较溶栓结合经皮冠状动脉介入治疗与直接经皮冠状动脉介入治疗对前壁急性ST段抬高型心肌梗死患者冠状动脉微循环的影响[J].中国循环杂志,2017,32(z1):93.
[3]余正春,马小静.急性心肌梗死并发心源性休克的治疗进展[J].心血管病学进展,2016,37(4):441.
[4]田国芳,宋玉勤,程宇彤,等.急性心肌梗死介入治疗术后的康复运动疗法研究进展[J].心脏杂志,2016,28(4):492.
[5]葛均波,戴宇翔.急性心肌梗死的早期诊断和优化治疗[J].天津医药,2017,45(11):1121.
[6]丁军侠,张宇梅,郑立春.规范化二级预防对冠心病患者预后结局的影响[J].心血管康复医学杂志,2015,24(4):362.
[7]黄爱华,李磊,马丽芬,等.微信随访实施二级预防对冠心病经皮冠状动脉介入治疗术后患者自我效能及生活质量的影响[J].山西医药杂志,2016,45(13):1590.
[8]郝世杰,毕鸿雁,刘西花,等.中西医结合心脏康复的现状及研究进展[J].中西医结合心脑血管病杂志,2017,15(23):2989.
[9]刘智,陈贤元,陈冬燕,等.先天性心脏病患儿术后早期综合干预康复模式效果评价[J].岭南心血管病杂志,2017,23(4):448.
[10]谢岩,范国颖.康复运动训练联合心理治疗对冠心病PCI术后患者的影响[J].中国循证心血管医学杂志,2016,8(2):226.
[11]安莹波,张新颜,高屹,等.B型乳酸酸中毒的急诊救治及文献复习[J].中国临床医生杂志,2016,44(1):52.
[12]赵爱纯,褚福永,刘巍,等.早期运动联合中医综合康复对急性心肌梗死急诊经皮冠状动脉介入术后心脏功能及生活质量的影响[J].世界中西医结合杂志,2017(12):1695.
[13]肖利,殷明刚,肖勇强.急性冠脉综合征患者血清游离脂肪酸含量与脂代谢紊乱、炎症反应激活的相关性[J].海南医学院学报,2018,24(8):821.
[14]WEI L F,ZHANG H M,WANG S S,et al.Changes of MDA and SOD in brain tissue after secondary brain injury with seawater immersion in rats[J].Turkish Neurosurg,2016,26(3):384.
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