心脏康复训练在不稳定型心绞痛经皮冠脉介入术治疗患者护理中的应用
| 作者: |
1陈静,
2颜博
1 重庆大学附属三峡医院(重庆三峡中心医院)心血管内科，重庆 404000 2 重庆大学附属三峡医院(重庆三峡中心医院)I期临床研究中心，重庆 404000 |
| 通讯: |
颜博
Email: 2501800465@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.01.027 |
摘要
目的：分析心脏康复训练在不稳定型心绞痛经皮冠脉介入术(percutaneous coronary intervention，PCI)治疗患者护理中的应用效果。方法：选取2018年11月至2019年10月重庆大学附属三峡医院收治的110例不稳定型心绞痛经PCI治疗患者，按就诊顺序进行分组，单序号的55例为观察组，双序号的55例为对照组。对照组实施常规护理，观察组在常规护理的基础上实施心脏康复训练。对比两组PCI治疗前后心功能、运动耐量、生活质量及心血管不良事件发生率。结果：两组PCI治疗前左室射血分数(left ventricular ejection fraction，LVEF)，左室舒张末期内径(left ventricular end-diastolic diameter，LVEDD)，左室收缩末期内径(left ventricular end-systolic dimension，LVESD)及6 min步行试验(6-minute walk test，6MWT)均差异无统计学意义(P>0.05)；治疗后与对照组比较，观察组LVEF更高(P<0.05)，LVEDD，LVESD更低(P<0.05)，6MWT值更大(P<0.05)。两组治疗前生活质量各维度得分差异无统计学意义(P>0.05)，治疗后与对照组比较，观察组生活质量各维度得分均更高(P<0.05)。观察组心血管不良事件发生率明显低于对照组(P<0.05)。结论：心脏康复训练能有效促进不稳定型心绞痛经PCI治疗患者心功能的恢复，并改善患者生活质量及减少心血管不良事件。
关键词：
心脏康复训练；不稳定型心绞痛；经皮冠脉介入术
Application of cardiac rehabilitation training in nursing care of patients with unstable angina pectoris dysmenorrhea treated by percutaneous coronary intervention
CorrespondingAuthor: YAN Bo Email: 2501800465@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.01.027
Abstract
Objective: To analyze the effect of cardiac rehabilitation training in nursing care of patients with unstable angina pectoris treated by percutaneous coronary intervention (PCI). Methods: One hundred and ten patients with unstable angina pectoris dysmenorrhea treated with PCI from November 2018 to October 2019 in Three Gorges Hospital Affiliated to Chongqing University were selected. Numbering from the earliest to the latest by the time these patients came for a doctor in our hospital, 55 patients with single serial number were selected into the observation group and 55 patients with double serial number were selected into the control group. The control group carried out routine nursing, and the observation group carried out cardiac rehabilitation training on the basis of routine nursing. Cardiac function, exercise tolerance, quality of life before and after treatment of PCI, and adverse cardiovascular events in the two groups were compared. Results: There was no significant difference in left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic dimension (LVESD) and 6-minute walk test (6MWT) between the two groups (P>0.05) before treatment. The LVEF in the observation group was higher (P<0.05), LVEDD, LVESD significantly lower (P<0.05), 6MWT significantly greater (P<0.05) than those in control group after treatment. Before treatment, there was no significant difference in quality of life scores between the two groups (P>0.05). Compared with the control group after treatment, the scores of each dimension of quality of life in the observation group were significantly higher (P<0.05). Incidence of cardiovascular adverse events in the observation group was significantly lower than that in the control group (P<0.05). Conclusion: Cardiac rehabilitation training can effectively promote the recovery of cardiac function in patients with unstable angina pectoris dysmenorrhea treated by PCI. Meanwhile, improve the quality of life and reduce cardiovascular adverse events.
Keywords：
cardiac rehabilitation training; unstable angina pectoris; percutaneous coronary intervention