Clinical value of a new mode of early cardiac rehabilitation after percutaneous coronary intervention in patients with acute myocardial infarction
10.3760/cma.j.issn.0254-9026.2019.04.006
- VernacularTitle:不同心脏康复模式在急性心肌梗死患者经皮冠状动脉介入治疗术后早期临床价值
- Author:
Zhaoqin LUO
1
;
Yuanlun ZHONG
Author Information
1. 宜宾市一医院门诊部
- Keywords:
Myocardial infarction;
Angioplasty,transluminal,percutaneous coronary;
Rehabilitation
- From:
Chinese Journal of Geriatrics
2019;38(4):375-377
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of a new mode of early cardiac rehabilitation after percutaneous coronary intervention (PCI)on the cardiac function recovery,quality of life and incidence of endpoint events in patients with acute myocardial infarction(AMI).Methods A total of 110 AMI patients undergoing PCI at our hospital from August 2016 to July 2017 were selected.The patients were randomly divided into the conventional group(n =55)receiving the conventional cardiac rehabilitation,and the rehabilitation group (n=55)undergoing a new mode of early cardiac rehabilitation after PCI.The cardiac function,health-related quality-of-life score(by SF-36 quality-of-life evaluation scale),and incidence of endpoint events were compared between the two groups before and after cardiac rehabilitation.Results After rehabilitation,the left ventricular ejection fraction (LVEF) and left ventricular end-diastolic volume (LVEDV)were significantly lower in the rehabilitation group than in the conventional group(P＜0.01).The health-related quality-of-life scores including societal function,physiological function,physical pain and overall health were significantly higher in the rehabilitation group than in the conventional group(P＜0.05).The incidence of endpoint events was lower in the rehabilitation group than in the conventional group(14.5％ vs.32.7％,x2 =5.037,P=0.025).Conclusions The new model of early cardiac rehabilitation after PCI has a good early nursing effects on AMI patients after PCI,which can not only improve the cardiac function of patients and benefit the prognosis and quality of life,but also reduce the incidence of endpoint events.
