| 积腾飞,王若兰,刘 苏,李 丽,秦曙光.个性化床旁踏车对心肌梗死急诊PCI术后伴高危运动风险患者I期康复效果的影响研究[J].,2024,(21):4093-4098 |
| 个性化床旁踏车对心肌梗死急诊PCI术后伴高危运动风险患者I期康复效果的影响研究 |
| A Research on the Effect of Personalised Bedside Treadmill in Phase I Rehabilitation of Patients with High Risk of Exercise Risk after Emergency PCI for Myocardial Infarction |
| 投稿时间：2024-04-28 修订日期：2024-05-20 |
| DOI：10.13241/j.cnki.pmb.2024.21.017 |
| 中文关键词: 个性化床旁踏车 心肌梗死 运动风险分层 Ⅰ期康复 负性情绪 |
| 英文关键词: Personalised bedside treadmill Myocardial infarction Exercise risk stratification Phase I rehabilitation Negative emotion |
| 基金项目:陕西省重点研发计划项目（2024SF-YBXM-015） |
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| 中文摘要: |
| 摘要 目的：评估个性化床旁踏车应用于心肌梗死血运重建后伴高危运动风险患者的I期心脏康复效果。方法：选择西安交通大学第二附属医院心内科自2022年4月至2023年12月收治的500例心肌梗死急诊PCI术后行I期心脏康复的患者，根据运动危险分层选取200例高危并完成术后一月门诊随访患者为研究对象。依据患者运动康复模式将其分为床旁踏车组和一般康复治疗组，各100例。记录并比较两组患者基线资料及随访1月时的心肺功能、情绪、生活质量、运动耐力及临床不良事件。结果：两组患者在运动康复中心率及血氧饱和度异常、运动中收缩压下降≥10 mmHg、运动中心电图ST段压低、心律失常及运动中不适症状的发生率无显著差异（P＞0.05）。踏车组6分钟步行距离、焦虑程度、运动恐惧程度、SF-36中生理机能及一般健康状况评分均显著优于一般组（P＜0.05）。结论：早期个性化床旁踏车运动促进心肌梗死PCI术后且伴有高危运动风险患者的心功能改善，并有效缓解负性情绪。 |
| 英文摘要: |
| ABSTRACT Objective: To evaluate the effect of personalised bedside treadmill applied to phase I cardiac rehabilitation in patients with high-risk exercise risk after myocardial infarction haemodilution reconstruction. Methods: 500 MI patients who undergoing phase I cardiac rehabilitation after emergency PCI were selected from the department of cardiology in the Second Affiliated Hospital of Xi'an Jiaotong University from April 2022 to December 2023, 200 high-risk patients were selected according to the stratification of exercise risk and completed one-month outpatient follow-up. The patients were divided into the bedside treadmill group and the general rehabilitation therapy group, 100 cases each, according to whether they performed personalised treadmill rehabilitation training or not. Cardiorespiratory function, emotion, quality of life, exercise tolerance and clinical adverse events were recorded and compared between the two groups at baseline and at 1 month follow-up. Results: There was no significant difference in the incidence of abnormal heart rate and oxygen saturation, systolic blood pressure drop of ≥10 mmHg as well as ST-segment depression of electrocardiogram, cardiac arrhythmia and uncomfortable symptoms due to exercise during rehabilitation between the two groups (P>0.05). The 6-minute walking distance, anxiety level, fear of exercise, physiological function in SF-36 and general health status score of the treadmill group were significantly better than those of the general group (P＜0.05). Conclusion: Early personalised bedside treadmill exercise promotes improvement of cardiac function and effectively alleviates negative emotions in myocardial infarction patients with high exercise risk after PCI. |
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