Zhao Shiming, Liu Shaowen, Wen Yuan, Qi Qiuhuan, Huang Peng
Department of Cardiology, Wuhan Hankou Hospital, Wuhan, China.
Intensive Care Unit, Emergency Medical Department, Wuhan Hankou Hospital, WuHan, China.
Front Surg. 2022 Mar 3;9:851113. doi: 10.3389/fsurg.2022.851113. eCollection 2022.
To explore the intervention effect of external counterpulsation (ECP) combined with high-intensity aerobic exercise (HIAT) on patients with coronary heart disease (CHD) after PCI.
124 patients with stable CHD after PCI admitted to our hospital from June 2018 to June 2021 were selected, and all patients were divided into control group and observation group using the random number table method. The control group received conventional treatment, The observation group received ECP combined with HIAT based on the control group. The cardiorespiratory function indexes, exercise endurance indexes, incidence of major cardiovascular adverse events (MACE), Barthel index of the two groups were observed.
After intervention, METs , VO , VO /kg, VO /HR, and PP, ED, AT, and Barthel score in both groups were significantly higher than before intervention, and patients in the observation group were significantly higher than those in the control group ( < 0.05). The incidence of MACE in the observation group (3.23%) was lower than in the control group (12.90%) ( < 0.05).
ECP combined with HIAT can improve the cardiopulmonary function of patients with CHD after PCI, and improve exercise endurance, reduce the incidence of MACE, improve patients' ability of daily living.
探讨体外反搏(ECP)联合高强度有氧运动(HIAT)对冠心病(CHD)患者经皮冠状动脉介入治疗(PCI)术后的干预效果。
选取2018年6月至2021年6月我院收治的124例PCI术后稳定型CHD患者,采用随机数字表法将所有患者分为对照组和观察组。对照组接受常规治疗,观察组在对照组基础上接受ECP联合HIAT。观察两组的心肺功能指标、运动耐力指标、主要心血管不良事件(MACE)发生率、Barthel指数。
干预后,两组的代谢当量(METs)、最大摄氧量(VO )、每千克体重最大摄氧量(VO /kg)、每心率最大摄氧量(VO /HR)以及射血前期(PP)、舒张末期内径(ED)、加速时间(AT)和Barthel评分均显著高于干预前,且观察组患者显著高于对照组(<0.05)。观察组MACE发生率(3.23%)低于对照组(12.90%)(<0.05)。
ECP联合HIAT可改善CHD患者PCI术后的心肺功能,提高运动耐力,降低MACE发生率,提高患者日常生活能力。