摘要
目的 探讨经皮冠状动脉介入术(PCI)治疗急性心肌梗死(AMI)患者术后实施早期心脏康复护理的方法及效果。方法选择在我院给予PCI治疗的AMI患者76例作为研究对象,采用随机数表法分为两组,每组38例。对照组实施常规护理,观察组则加用早期心脏康复护理。比较两组干预效果。结果 (1)观察组患者对护理满意率明显高于对照组(P <0.05)。(2)干预后观察组CO、MAP、LVEF、6MWT明显优于对照组(P <0.05)。(3)观察组生活质量评分明显高于对照组(P <0.05)。(4)随访半年,观察组心脏不良事件率明显低于对照组(P <0.05)。(5)观察组心绞痛发作次数、心绞痛发作持续时间均低于对照组(P <0.05)。(6)观察组SAS评分以及SDS评分均低于对照组(P <0.05)。(7)观察组左室整体应变参数均优于对照组(P <0.05)。结论 PCI治疗AMI患者术后实施早期心脏康复护理,可以更好地改善心功能,增强运动耐量,同时改善生活质量,减少心脏不良事件发生。
Objective To explore the method and effect of early cardiac rehabilitation nursing after percutaneous coronary intervention(PCI)for patients with acute myocardial infarction(AMI).Methods Seventy-six AMI patients who were treated with PCI in our hospital were selected as the study objects,randomly divided into two groups,38 cases in each group.The control group was given routine nursing,The observation group was given early cardiac rehabilitation care on this basis.The intervention effect of the two groups was compared.Results(1)The nursing satisfaction rate of patients in the observation group was significantly higher than that in the control group(P<0.05).(2)CO,MAP,LVEF and 6MWT in the observation group were significantly better than those in the control group after intervention(P<0.05).(3)The score of quality of life in the observation group was significantly higher than that in the control group(P<0.05).(4)After half a year's follow-up,the rate of adverse cardiac events in the observation group was significantly lower than that in the control group(P<0.05).(5)The number and duration of angina attacks in the observation group were lower than those in the control group(P<0.05).(6)SAS score and SDS score in observation group were lower than those in control group(P<0.05).(7)The left ventricular global strain parameters in the observation group were better than those in the control group(P<0.05).Conclusion PCI can improve heart function better by early cardiac rehabilitation nursing after AMI,Increase exercise tolerance and improve quality of life,reduce adverse cardiac events.
作者
于颖
YU Ying(Department of Internal Medicine Cardiovascular,Central Hospital of Beipiao City,Beipiao 122100,China)
出处
《中国医药指南》
2022年第24期165-168,共4页
Guide of China Medicine
关键词
经皮冠状动脉介入术
急性心肌梗死
早期心脏康复护理
效果
心功能
Percutaneous coronary intervention
Acute myocardial infarction
Early cardiac rehabilitation nursing
Effect
Cardiac function
