阶段性功能锻炼对老年冠心病PCI术后心功能恢复的影响

目的分析阶段性功能锻炼对老年冠心病经皮冠状动脉介入治疗(PCI)术后心功能恢复的影响。方法选取2018年4月至2019年4月我院接收的152例老年冠心病患者作为研究对象,根据随机数字法将其分为对照组和研究组,各76例。对照组行常规护理,研究组在对照组基础上行阶段性功能锻炼干预。比较两组患者心功能指标、不良心脏事件发生情况及生活质量评分。结果护理后,两组患者LVEDD均减小,LVEF及6 min步行距离均升高,且研究组优于对照组,差异具有统计学意义(P<0.05)。随访6个月,研究组的不良心脏事件总发生率明显低于对照组,差异具有统计学意义(P<0.05)。研究组护理后的SF-36各维度评分及总分均明显高于对照组,差异具有统计学意义(P<0.05)。结论阶段性功能锻炼可有效改善老年冠心病患者PCI术后心功能,预防不良心血管事件发生,提高生活质量,值得临床推广应用。

Effect of staged functional exercise on cardiac function recovery in elderly patients with coronary heart disease after PCI

Objective To analyze the effect of staged functional exercise on cardiac function recovery in elderly patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 152 elderly patients with coronary heart disease who underwent PCI in our hospital from April 2018 to April 2019 were selected as the study objects.According to the random number method,the patients were divided into control group and study group,with 76 cases in each group.The control group received routine nursing,and the study group received staged functional exercise intervention on the basis of the control group.The cardiac function indexes,incidence of adverse cardiac events and quality of life scores were compared between the two groups.Results After nursing,LVEDD decreased,LVEF and 6-min walking distance increased in both groups,and those in the study group were better than the control group,and the differences were statistically significant(P<0.05).After 6 months follow-up,the total incidence of adverse cardiac events in the study group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of all dimension of SF-36 and total score in the study group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Staged functional exercise can effectively improve cardiac function in elderly patients with coronary heart disease after PCI,prevent adverse cardiovascular events and improve quality of life,which is worthy of clinical promotion and application.