经皮冠状动脉介入治疗后患者运动处方指导的心功能康复评价.docVIP

经皮冠状动脉介入治疗后患者运动处方指导的心功能康复评价 作者：徐方芳，贾绍斌，纳丽莎，马瑞琴 作者单位：宁夏医学院附属医院心脏中心，银川 750004 【摘要】 目的 通过平板运动试验及超声心动图给经皮冠状动脉介入治疗(PCI术)后患者制定运动处方观察其心功能康复情况。方法 对PCI术后1、3、6个月时48例患者进行平板运动试验并在同期半小时内进行超声心动图测试，给予运动处方指导和未给予运动处方指导的各24例，观察分析运动试验的运动参数指标及超声心动图心功能参数指标的情况。结果 运动指导组随介入手术后时间延长运动耐量、运动级别和左室射血分值增加、舒末内径缩小(P＜0.05)，非运动指导组随介入手术后时间延长舒末、缩末内径缩小(P＜0.05)，运动最大心率增加。运动指导组比非运动指导组3、6个月运动能力指标及超声心动图的心功能指标都有明显提高(P＜0.05)。结论 PCI术后患者给予运动处方指导对心功能尽早康复是非常有益和必要的。 【关键词】 经皮冠状动脉介入治疗；运动处方；心功能康复；超声心动图 　　Evaluation of Cardiac Function of Patients Conducted by Prescription of Rehabilitation Exercise after Percutaneous Coronary Intervention 　　(The Cardiology Department of the Affiliated Hospital to Ningxia Medical College, Yinchuan 750004) 　　Abstract: Objective To evaluate the cardiac function of patients conducted by prescription of rehabilitation exercise after percutaneous coronary intervention(PCI)by treadmill exercise test(EET)and echocardiography(ECHO). Methods 48 patients after PCI were recruited and divided into group A(conducted exercise group, 24 cases )and group B(no conducted exercise group,24 cases). All of them were performed firstly EET and then ECHO at different time(by the end of 1 month, 3 months, and 6 months respectively)so as to analyze the protocol of cardiac function. Results In group A exercise power(METs),exercise grade and LVEF on ECHO were gradually improved（P＜0.05，respectively） and LVDd was gradually lowered（P＜0.05）after PCI with prolongation of time. In group B LVDs and LVDd on ECHO were gradually lowered after PCI with prolongation of time（P＜0.05）. Exercise HRmax gradually increased（P＜0.05）. Compared　between group A and group B, cardiac function of patients in group A was recovered more quickly than that in group B by the end of 3 months and 6 months（respectively P＜0.05）.Conclusion It is beneficail and necessary for patients with after PCI to early improve the cardiac function by prescription of rehabilitation exercise. 　　Key words：PCI