| Purpose:With the improvement of medical standards,percutaneous coronary intervention(PCI)has been widely used in clinical practice.The time for recanalization of coronary artery is shortened,and the mortality of acute myocardial infarction(AMI)is effectively reduced.The recovery after PCI is very important.Important,but the clinical is not yet universal.The current study suggests that phase I cardiac rehabilitation can improve the prognosis of patients with AMI after interventional therapy and improve their quality of life.We selected patients with AMI who underwent PCI and monitored their blood lipid levels,cardiac function,cardiovascular adverse events and left ventricular ejection fraction(LVEF)at 6 months after surgery by instructing them to perform phase I exercise rehabilitation.Finally,the effect of Phase I exercise rehabilitation on the clinical outcomes and prognosis of patients with acute myocardial infarction after PCI was assessed and the patients were guided to return to society.MethodsFrom September 2016 to September 2017,a total of 259 patients with PCI were enrolled in the Department of Cardiology,Subei People's Hospital of Jiangsu Province.For patients meeting the inclusion criteria,randomized numbers were randomly divided into two groups:1.Conventional postoperative treatment + routine care + personalized exercise group(test group);2.Conventional postoperative treatment + conventional care group(control group).Record the general condition of all enrolled patients.The specialists were followed up at 1 month,3 months,and 6 months after PCI for specialist outpatient follow-up review,telephone follow-up recorded the occurrence of adverse events in each group.At the time of discharge,PCI and postoperative months of January and June,6-minute walking test and echocardiography were performed on all patients in the two groups.The results were statistically analyzed.Results1.Comparison of basic data between two groups of patients:Among the 259 patients enrolled,AMI was definitely diagnosed,including 212 males,47 females(81.9%and 18.1%of the total),192 STEMI patients,67 NSTEMI patients,and age range:26-80 years old.(60.75±10.97)years old.Routine postoperative treatment and close follow-up of general exercise group(test group n = 136),conventional postoperative treatment and general follow-up group(control group,n = 123),gender,smoking history,drinking between the two groups of patients There was no statistical difference in history,hypertension,diabetes,or dyslipidemia.2.Comparison of cTnI?NT-ProBNP and hs-CRP before intervention between the two groupsThere was no significant difference in plasma cTnI?NT-ProBNP and hs-CRP levels between the two groups before and after intervention.3.Comparison of blood lipid levels before and after intervention in both groups:Before treatment,there was no significant difference in serum lipids between the two groups(P>0.05).After treatment,the levels of TC,TG and LDL-C in the two groups decreased,and the level of HDL-C increased.The changes in the indicators of the experimental group were more obvious(P>0.05).P<0.05).It shows that long-term exercise rehabilitation can improve the blood lipid level and delay the occurrence of coronary atherosclerosis.4.Diseased vessels,number of stent placement and intraoperative complications in both groupsThere was no significant difference in the diseased vessels,number of stent placement and intraoperative complications between the two groups.The two groups of patients achieved complete revascularization,so there was no statistical difference.5.Comparison of Left Ventricular Echocardiography Results with 6-Minute Walk Test Results:Echocardiography was performed within 24 hours after admission:There was no significant difference in LVEF and LVDD between the experimental group and the control group(P>0.05).At 1 week,1 month,and 6 months after discharge,echocardiography was performed.The results showed that in patients with LVEF and LVDD,there was no statistical difference between the experimental group and the control group(P>0.05).The walking distance 6 minutes before discharge from the rehabilitation group was significantly longer than that of the control group(P<0.05)6.Comparison of the incidence of cardiovascular adverse events in the two groups:Two groups of patients experienced adverse events including one angina,arrhythmia,and heart at one month after surgery(5 in the experimental group and 12 in the control group)and 6 months after the operation(9 in the experimental group and 18 in the control group).Decline,etc.,the incidence of patients in the experimental group was significantly lower than the control group,the difference was statistically significant(P<0.05).7.Comparison of hospitalization time between two groups of patients:The length of stay in patients in the trial group was(9.8±3.2)days compared with 10.2±3.5 days in the control group.There was no statistical difference between the two groups using the independent sample t test.Conclusion:Phase ? cardiac rehabilitation exercise can alleviate the adverse effects of absolute bed rest after operation,improve cardiac function and exercise tolerance.The early recovery involved in current studies is actually the sum of stage ? and ?.In this study,the time nodes of stage ?rehabilitation and stage ? rehabilitation were distinguished,and the contents,objectives and significance of phase ? rehabilitation were highlighted. |
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