Department of Cardiology, Luzhou People's Hospital, Luzhou 646000, Sichuan, China.
Department of Electrocardiogram, Luzhou People's Hospital, Luzhou 646000, Sichuan, China.
J Healthc Eng. 2022 Mar 7;2022:7253631. doi: 10.1155/2022/7253631. eCollection 2022.
The aim of this study is to explore the effect of cardiac rehabilitation therapy combined with WeChat platform education on patients with unstable angina pectoris (UAP) after percutaneous coronary intervention (PCI).
Eighty-eight UAP patients undergoing PCI in our hospital from June 2018 to June 2021 were chosen as the study subjects and were grouped according to the intervention methods. Specifically, patients receiving routine treatment only were included as the control group (CG) and those receiving cardiac rehabilitation therapy combined with WeChat platform education based on the routine treatment were included as the study group (SG), with 44 cases in each group. The clinical efficacy was compared between the two groups after intervention.
Compared with CG, SG achieved notably better biochemical indexes of TC, TG, FBG, FIB, LDL-c, and HDL-c after 12 months of intervention ( < 0.05), lower systolic pressure (SBP), and diastolic pressure (DBP) after intervention ( < 0.05), and higher scores of limited mobility, anginal stability, anginal frequency, subjective perception, treatment satisfaction, and total SAQ after 12 months of intervention ( < 0.05). The LVEF levels of both groups increased after intervention ( < 0.05), and the LVEF level was higher in SG than in CG ( < 0.05). The incidence of adverse cardiac events such as heart failure, ventricular arrhythmia, and sudden cardiac death was slightly higher in CG than in SG within 12 months of intervention, with no statistical difference ( > 0.05). The UAP recurrence rate and incidence of myocardial infarction in CG were obviously higher than those in SG ( < 0.05).
Cardiac rehabilitation therapy combined with WeChat platform education intervention measures for UAP patients after PCI can effectively control the biochemical indexes such as blood lipid and blood glucose, improve the cardiac function, stabilize the disease condition, lower the recurrence rate, and reduce the incidence of other cardiac adverse events.
本研究旨在探讨心脏康复治疗联合微信平台教育对经皮冠状动脉介入治疗（PCI）后不稳定型心绞痛（UAP）患者的影响。
选择我院 2018 年 6 月至 2021 年 6 月收治的 88 例 PCI 的 UAP 患者作为研究对象，按干预方法分组，单纯接受常规治疗的患者归入对照组（CG），在常规治疗基础上联合心脏康复治疗联合微信平台教育的患者归入观察组（SG），每组 44 例。比较两组干预后的临床疗效。
与 CG 相比，SG 干预 12 个月后 TC、TG、FBG、FIB、LDL-c、HDL-c 等生化指标明显改善（ < 0.05），干预后 SBP、DBP 较低（ < 0.05），12 个月后受限活动、心绞痛稳定性、心绞痛发作频率、主观感知、治疗满意度、总 SAQ 评分较高（ < 0.05）。两组干预后 LVEF 水平均升高（ < 0.05），SG 高于 CG（ < 0.05）。CG 组心力衰竭、室性心律失常、心源性猝死等不良心脏事件发生率在 12 个月内略高于 SG 组，但无统计学差异（ > 0.05）。CG 组 UAP 复发率和心肌梗死发生率明显高于 SG 组（ < 0.05）。
心脏康复治疗联合微信平台教育干预措施可有效控制 PCI 后 UAP 患者血脂、血糖等生化指标，改善心功能，稳定病情，降低复发率，减少其他心脏不良事件的发生。
