观察 7 天渐进式早期功能锻炼方案对中青年急性心肌梗死经皮冠状动脉介入治疗后患者的影响。

Observation of the effect of a 7-day gradual early functional exercise program in middle-aged and young patients with acute myocardial infarction after percutaneous coronary intervention.

机构信息

Department of Cardiology, the Affiliated Hospital of Jiangnan University, Wuxi, China.

Department of Neurology, the Affiliated Hospital of Jiangnan University, Wuxi, China.

出版信息

Ann Palliat Med. 2021 Jan;10(1):258-265. doi: 10.21037/apm-20-2243.

DOI:10.21037/apm-20-2243

PMID:33545763

Abstract

BACKGROUND

Acute myocardial infarction (AMI) is characterized by a critical condition, rapid progression, and a high fatality rate. Percutaneous coronary intervention (PCI) is the treatment of choice for AMI. The purpose of this study was to investigate the efficacy of a 7-day gradual early functional exercise program after PCI in young and middle-aged patients with AMI.

METHODS

A total of 106 young and middle-aged patients with AMI at the Affiliated Hospital of Jiangnan University from May 2018 to May 2019 were selected and divided into 2 groups according to the random number table method (n=53 per group). Both groups were treated with PCI, and the control group then received routine functional exercises after surgery, whilst the observation group received a 7-day gradual early functional exercise program after surgery. Functional exercise compliance, daily life ability before and after intervention, changes in quality of life, and postoperative complications after 1 year were compared between the 2 groups.

RESULTS

The functional exercise compliance of the observation group was significantly higher than that of the control group (P<0.05). The daily living ability of the observation group was also significantly better than that of the control group after the intervention (PP<0.05). The physical activity, emotional response, diet, adverse drug reactions, and anxiety medication scores of the observation group after the intervention were lower than those of the control group (PP<0.05). Furthermore, the postoperative complications and total complication rate after 1 year in the observation group was lower than the control group (PP<0.05).

CONCLUSIONS

The application of a 7-day gradual early functional exercise program in young and middle-aged patients with AMI after PCI can improve functional exercise compliance, daily life ability, quality of life, and reduce the incidence of complications.

摘要

背景

急性心肌梗死（AMI）的特点是病情危急、进展迅速、死亡率高。经皮冠状动脉介入治疗（PCI）是 AMI 的首选治疗方法。本研究旨在探讨 7 天渐进早期功能锻炼方案在中青年 AMI 患者 PCI 术后的疗效。

方法

选择 2018 年 5 月至 2019 年 5 月江南大学附属医院收治的中青年 AMI 患者 106 例，采用随机数字表法分为两组（每组 53 例）。两组均采用 PCI 治疗，对照组术后常规功能锻炼，观察组术后采用 7 天渐进早期功能锻炼方案。比较两组患者的功能锻炼依从性、干预前后日常生活能力、生活质量变化及术后 1 年并发症发生情况。