Theeffect Of The Early Cardiac Rehabilitation Exercise Treatment In Patients With Acute Non STsegmentelevation Myocardial Infarctionwhohave Accepted Percutaneous Coronary Intervention

Objective:1.To retrospective analysis related guidelines and documents,build the early cardiac rehabilitation exercise treatment to PCI of NSTEMI,in order to promote rehabilitation nursing's schematizations and normalizations.2.To determine the effect of cardiac rehabilitation exercise treatment though observing the impact with early exercise rehabilitation nursing for cardiac patients' rehabilitation efficacy and quality of life,and to provide a reference for the clinical treatment of such patients.Methods:86 cases standard acute NSTEMI patients with 24h postoperation were selected in the center of Xuzhou city hospital of cardiology from March 2016 to November 2016.these patients were randomly divided into control group and rehabilitation group.The patients in the control group were given routine nursing intervention,and the patients in the rehabilitation group were treated with cardiac rehabilitation on the basis of the control group.The levels of serum cardiac cTnI and Brain Natriuretic Peptide(BNP)were observed at the first day and a week after PCI;The LVEF values and SF-36 quality of life scale score at the time of one month afterPCI,while compared the two groups of patients' hospitalization time and incidence of cardiac events one month after PCI.Result:1.There was no significant difference in cTnI and BNP levels between the experimental group and the control group in the serum of the two groups postoperative day and PCI postoperative week(P>0.05).2.The difference of LVEF between the experimental group and the control group was statistically significant at the time of one month after PCI(P<0.05).3.The scores of somatosensory pain in each group were significantly higher than those before the intervention at the time of one month after PCI(P<0.05),other dimension score were lower than those before the intervention.The experimental group's cores of Physiology,health,energy,social function,mental health,health changes and so on were significantly higher than those in the control group(P<0.05).There was no significant difference in the score of physiological function,body pain,emotional functions(P>0.05).4.The hospitalization time of the experimental group was(8.05 ± 0.785)d,it was significantly lower than that in the control group(10.12 ± 0.662)d,the difference between the two groups was significant(P<0.05).5.There was no significant difference in the incidence of cardiac events between the experimental group and the control group in the serum of the PCI postoperative week and at the time of one month after PCI(P>0.05).Conclusion:It is safe and feasible to carry out the early cardiac rehabilitation exercise treatment after PCI in patients with acute Non-ST-Elevation Myocardial Infarction,which will improve the patient's cardiac function,improve the quality of life,and shorten the hospitalization time and the incidence of cardiovascular complications.