文章摘要

经皮冠状动脉介入治疗患者的早期活动

作者: 1,2陈可涵, 2,3张娟, 1,2曾宁, 2,3王雅莉, 1,2刘祚燕
1 四川大学华西医院心脏内科，成都 610041
2 四川大学华西护理学院，成都 610041
3 四川大学华西医院康复科，成都 610041
通讯: 王雅莉 Email: wangyali2542@163.com
DOI: 10.3978/j.issn.2095-6959.2022.07.036
基金: 四川省科技计划项目(2018SZ0245)。

摘要

经皮冠状动脉介入治疗(percutaneous coronary intervention，PCI)是治疗冠心病的主要方法之一，研究表明早期活动可减少术后冠状动脉支架内再狭窄的风险，但目前患者的临床参与率较低，因此需要促进PCI术后患者早期活动。早期活动开始的时间一般为术后12~24 h，内容包括有氧运动(太极、八段锦、步行、踏车、康复操、瑜伽、慢跑)和抗阻力运动(弹力球、弹力带)，将二者相结合、采用多种活动方式能够发挥更大的优势。早期活动不仅对患者的运动耐力、结局指标、住院时间、生活质量有积极影响，还能改善患者的心理状态，建议在临床积极推广。
关键词： 冠心病；经皮冠状动脉介入治疗；早期活动

Early exercise in patients undergoing percutaneous coronary intervention

Authors: 1,2CHEN Kehan, 2,3ZHANG Juan, 1,2ZENG Ning, 2,3WANG Yali, 1,2LIU Zuoyan
1 Department of Cardiac Medicine, West China Hospital, Sichuan University, Chengdu 610041,China
2 West China School of Nursing, Sichuan University, Chengdu 610041, China
3 Department of Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China

CorrespondingAuthor: WANG Yali Email: wangyali2542@163.com

DOI: 10.3978/j.issn.2095-6959.2022.07.036

Foundation: This work was supported by the Science and Technology Project of Sichuan Province, China (2018SZ0245).

Abstract

Percutaneous coronary intervention (PCI) is one of  the main methods for the treatment of coronary heart disease. Studies have demonstrated that early exercise can lower the risk of postoperative restenosis in coronary artery stents. However, the current clinical participation rate is low. Thus, it is necessary to promote early exercise after PCI. The early exercise generally starts at 12 to 24 h after surgery, including aerobic exercise (Tai Chi, Baduanjin, walking, cycling, rehabilitation exercise, yoga, and jogging) and resistance exercise (bouncing ball and elastic band). These 2 kinds of early exercise should be combined in various activities to maximize their advantages. Early exercise can not only positively influence patients’ exercise endurance, outcome index, length of stay, and quality of life but also improve their psychological state. Thus, it should be actively promoted in clinical practice.

Keywords： coronary heart disease; percutaneous coronary intervention; early exercise

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