| 宗 帅,曹 佳,孙卫楠,赵 鹏,海 霞.八段锦联合心脏运动康复对急性心肌梗死急诊PCI术后患者心功能、运动耐力和生活质量的影响[J].,2022,(21):4081-4085 |
| 八段锦联合心脏运动康复对急性心肌梗死急诊PCI术后患者心功能、运动耐力和生活质量的影响 |
| Effects of Baduanjin Combined with Cardiac Exercise Rehabilitation on Cardiac Function, Exercise Endurance and Quality of Life in Patients with Acute Myocardial Infarction after Emergency PCI |
| 投稿时间：2022-05-27 修订日期：2022-06-23 |
| DOI：10.13241/j.cnki.pmb.2022.21.014 |
| 中文关键词: 八段锦 心脏运动康复 急性心肌梗死 急诊PCI术 心功能 运动耐力 生活质量 |
| 英文关键词: Baduanjin Cardiac exercise rehabilitation Acute myocardial infarction Emergency PCI Cardiac function Exercise endurance Quality of life |
| 基金项目:北京市自然科学基金项目（71620712） |
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| 中文摘要: |
| 摘要 目的：观察八段锦联合心脏运动康复对急性心肌梗死（AMI）急诊经皮冠状动脉介入术（PCI）后患者心功能、运动耐力和生活质量的影响。方法：选择2019年6月~2021年6月期间我院收治的AMI急诊PCI术后患者100例，根据随机数字表法分为对照组（心脏运动康复干预，50例）和观察组（八段锦联合心脏运动康复干预，50例），观察两组患者心功能、运动耐力及生活质量改善情况，对比两组心脏不良事件发生率。结果：干预后，两组左心室射血分数（LVEF）较干预前升高，且观察组高于对照组（P<0.05）。干预后，两组左室舒张末期内径（LVDD）、左室收缩末期内径（LVDS）、B型脑利钠肽（BNP）较干预前下降，且观察组低于对照组（P<0.05）。干预后，两组运动持续时间（ED）、峰值摄氧量（VO2peak）及无氧阈值（AT）较干预前升高，且观察组高于对照组（P<0.05）。干预后，两组健康调查简表（SF-36）各维度评分较干预前升高，且观察组高于对照组（P<0.05）。观察组的心脏不良事件发生率低于对照组（P<0.05）。结论：八段锦联合心脏运动康复用于AMI急诊PCI患者的术后干预中，可促进心功能恢复，改善患者的运动耐力及生活质量，同时还可降低心脏不良事件发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effects of Baduanjin combined with cardiac exercise rehabilitation on cardiac function, exercise endurance and quality of life in patients with acute myocardial infarction (AMI) after emergency percutaneous coronary intervention (PCI). Methods: 100 patients with AMI after emergency PCI from June 2019 to June 2021 were selected, and they were randomly divided into control group (cardiac exercise rehabilitation intervention, 50 cases) and observation group (Baduanjin combined cardiac exercise rehabilitation intervention, 50 cases) according to random number table method. The cardiac function, exercise endurance and quality of life improvement of the two groups were observed, and the incidence of adverse cardiac events was compared between the two groups. Results: After intervention, the left ventricular ejection fraction (LVEF) in the two groups was higher than that before intervention, and the observation group was higher than the control group (P<0.05). After intervention, the left ventricular end-diastolic diameter (LVDD), left ventricular end-systolic diameter (LVDS), B-type brain natriuretic peptide (BNP) decreased in two groups compared with those before intervention, and the observation group was lower than the control group (P<0.05). After intervention, the exercise duration (ED), peak oxygen uptake (VO2peak) and anaerobic threshold (AT) in the two groups were higher than those before intervention, and the observation group was higher than the control group(P<0.05). After intervention, the scores of each dimension in the short form of Health Survey (SF-36) in the two groups were higher than those before intervention, and the observation group was higher than the control group (P<0.05). The incidence of adverse cardiac events in the observation group was lower than that in the control group(P<0.05). Conclusion: Baduanjin combined with cardiac exercise rehabilitation can promote the recovery of cardiac function, improve the exercise endurance and quality of life of patients, and reduce the incidence of adverse cardiac events in postoperative intervention of AMI patients with emergency PCI. |
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