李绪洪

【摘要】 目的：研究优化路径心脏康复训练对急性心肌梗死介入术后患者的影响。方法：临床纳入108例笔者所在医院2014年6月-2015年6月行介入手术治疗的急性心肌梗死患者作为研究对象，按随机排列表法分为两组，各54例。其中对照组采用传统心脏康复训练，观察组患者采用优化路径心脏康复训练。观察两组患者心功能情况、生活质量、心理状态及并发症情况。结果：观察组LVEF和心功能分级情况明显优于对照组，差异均有统计学意义（字2=13.977、11.111，P<0.05）。康复前两组患者ADL、SAS及SDS评分比较，差异均无统计学意义（P>0.05）；康复后观察组ADL、SAS及SDS评分均优于对照组，差异均有统计学意义（t=3.936、7.159、5.742，P<0.05）。观察组、对照组并发症发生率分别为7.41%、12.96%，两组比较，差异无统计学意义（字2=1.684，P>0.05）。结论：优化路径心脏康复训练对急性心肌梗死介入治疗后患者心功能恢复效果更佳，可提高患者生活质量，改善心理状态，减少并发症的发生，值得临床应用及推广。

【关键词】 心肌梗死； 介入治疗； 心脏康复

doi：10.14033/j.cnki.cfmr.2018.4.004 文献标识码 A 文章编号 1674-6805（2018）04-0008-02

Comparative Study of Clinical Effect for Cardiac Rehabilitation Exercises in Patients with AMI after PCI/LI Xuhong.//Chinese and Foreign Medical Research，2018，16（4）：8-9

【Abstract】 Objective：To study the clinical effect of cardiac rehabilitation exercises in AMI（acute myocardial infarction） patients after PCI（percutaneous coronary intervention）.Method：A total of 108 AMI patients treated from June 2014 to June 2015 in our hospital were selected and randomly divided into two groups，54 cases each group.The control group adopted the conventional rehabilitation exercises；the observation group adopted the improved cardiac rehabilitation exercises.The cardiac function，life quality，psychological sate and complications for two groups were observed.Result：The LVEF points and NYHA points of observation group were better than those of control group，the differences were statistically significant（字2=13.977，11.111，P<0.05）.Before exercises，the ADL，SAS and SDS points of two groups were not statistically significant differences（P>0.05）；after exercises，the ADL，SAS and SDS points of observation group were significantly better than those of control group （t=3.936，7.159，5.742，P<0.05）.The incidence rate of complications in observation group and control group was 7.41% and 12.96% the difference was statistically significant（字2=1.684，P>0.05）.Conclusion：For AMI patients，the improved cardiac rehabilitation exercises can promote the recovery of cardiac function，improve the life quality and psychological sate and reduce the incidence rate of complications.It is worthy of clinical application and promotion.

【Key words】 Myocardial infarction； Intervention therapy； Cardiac rehabilitation

First-authors address：The Peoples Hospital of Puning City，Puning 515300，China

急性心肌梗死是临床常见的心血管疾病之一，发病率和死亡率均较高，近年来呈明显上升趋势，引起人们的关注和重视[1]。经皮冠状动脉介入（PCI）治療是近年来兴起的治疗方式，术后创伤小，患者恢复快，明显改善心肌缺血状况，达到良好治疗效果[2]。目前普遍认为PCI治疗后给予患者心脏康复训练，对术后心脏功能的恢复具有促进作用，提高患者生存质量[3-4]。因此本文对笔者所在医院急性心肌梗死PCI治疗患者术后行不同心脏康复程序治疗，观察对患者心脏康复的影响，现报道如下。

1 资料与方法

1.1 一般资料

本次选取108例笔者所在医院2014年6月-2015年6月行介入手术治疗的急性心肌梗死患者作为研究对象，所有患者经检查和诊断均符合急性心肌梗死诊断标准[5]。……