抗阻训练联合有氧运动在急性心肌梗死患者PCI术后康复中的应用效果

目的：探讨抗阻训练联合有氧运动在急性心肌梗死患者PCI术后康复中的应用效果。方法：回顾性分析2019年1月至2021年1月在该院行PCI术治疗的80例急性心肌梗死患者的临床资料，按术后康复锻炼方法不同将其分为对照组与观察组各40例。两组均于PCI术后给予常规康复训练指导，在此基础上对照组采用有氧运动训练，观察组采用抗阻训练联合有氧运动训练，比较两组训练前后的心功能指标左室舒张末期内径（LVEDD）、左室收缩末期内径（LVESD）和左室射血分数（LVEF）]水平，血清可溶性细胞间黏附因子-1(sICAM-1)、核因子κB(NF-κB)水平，中国心血管病人生活质量问卷（CQQC）评分及6 min步行距离（6MWD）。结果：训练后，观察组LVEDD、LVESD、sICAM-1、NF-κB水平低于对照组，LVEF水平、CQQC评分高于对照组，且6MWD长于对照组，差异均有统计学意义（P<0.05）。结论：在常规康复训练基础上，对急性心肌梗死PCI术后患者开展抗阻训练联合有氧运动，可提高患者心功能、活动耐力和生命质量，降低sICAM-1、NF-κB水平，效果优于单用有氧运动。

Effects of resistance training combined with aerobic exercise in rehabilitation of patients with acute myocardial infarction after PCI

Objective:To explore effects of resistance training combined with aerobic exercise in rehabilitation of patients with acute myocardial infarction after PCI.Methods:The clinical data of 80 patients with acute myocardial infarction who underwent PCI in our hospital from January 2019 to January 2021 were retrospectively analyzed.According to different postoperative rehabilitation exercise methods,they were divided into control group and observation group,40 cases in each group.Both groups were given routine rehabilitation training after PCI.On this basis,the control group was given the aerobic exercise training,while the observation group was given the resistance training combined with the aerobic exercise training.The cardiac function index levelsleft ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD)and left ventricular ejection fraction(LVEF)],the serum sICAM-1 and NF-κB levels,the China questionnaire of quality of life in patients with cardiovascular diseases(CQQC)score and the 6 min walking distance(6MWD)were compared between the two groups before and after the training.Results:After the training,the levels of LVEDD,LVESD,sICAM-1 and NF-κB in the observation group were lower than those in the control group;the levels of LVEF and CQQC were higher than those in the control group;the 6MWD value was higher than that in the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine rehabilitation training,the resistance training combined with the aerobic exercise for the patients with acute myocardial infarction after PCI can improve the cardiac function,activity endurance and quality of life,and reduce the levels of sICAM-1 and NF-κB.Moreover,it is superior to single aerobic exercise.