| Objective: At present our country had 290 million patients who is diagnosed cardiovascular disease which is the main cause of death, and it is the first one. The higher and higher level of medical and rescue techniques, the lower and lower number of people who with acute myocardial infarction mortality. Now more people focus on cardiac rehabilitation. It has been proven that is effective, in the clinical curative.The number of acute patients is increases year by year, with the growing number of patients after PCI with myocardial infarction(mi), the style of cardiac rehabilitation of patients with coronary heart disease(CHD) has changed.The traditional way is that rehabilitation starts after myocardial infarction, now the rehabilitation begins after PCI surgery in patients who is diagnosed acute myocardial infarction. But there is little clinical study of PCI in those patients. The aim of this experimental research is analysis and study the clinical effect of cardiac rehabilitation for those people with acute myocardial after PCI, make sure that is effective, and provide clinical basis for the treatment. At the same time, the study can promote the development of cardiac rehabilitation, help cardiovascular patients, improve the function of heart, and make the life of patients better, prevent the cardiovascular disease, make it not happen,no longer.And the patients can pay less for the treatment.More patient will get the benefit !Methods: This study selected the patients who is after PCI and diagnosed acute myocardial infarction.The patients comes from two wards of cardiology of someone of Top three hospitals of Qiqihaer.The time those got treatment in the hospital between January 2014 and June 2015. Collect the patients grouped by ward: the patients after PCI, who is diagnosed acute myocardial infarction, coming from the first ward,is in the treatment group.In the group,there are 32 patients. The patients in another ward of cardiac is as the control group, a there are 30 persons in it. Two groups of patients were given medical conventional treatment and basic health education. The treatment group on the basis of the given system rehabilitation. Respectively to compare two groups patients in hospital, 1 month after discharging, 3 months after discharging, 6 months after hospital discharging of cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, b-type natriuretic titanium, the bull 's-eye rate, metabolic equivalent.Results: In the treatment group(cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, b-type natriuretic titanium, the accuracy, metabolic equivalent discharge 1 month, 3 months, 6 months compared with the hospital are all of statistical significance(P<0.05). The controlling group except the low density lipoprotein cholesterol, and the rest 6 compared with on admission has statistical significance(P<0.05). Treatment group triglycerides, b-type natriuretic titanium, the bull 's-eye rate, metabolic equivalent hospital in 1 month, 3 months, 6 months were statistically significant compared with controls(P<0.05), cholesterol, high-density lipoprotein cholesterol in the hospital for 3 months, 6 months compared with controls(P< 0.05). Low density lipoprotein cholesterol in the hospital for six months(MħQ:1.9ħ1.43)was statistically significant compared with controls(MħQ:2.5ħ1.63).Conclusion:1. Cardiac rehabilitation in patients with acute myocardial infarction PCI after the improvement of blood lipids in patients with acute myocardial infarction after PCI surgery alone to give medical treatment and basic health education.2. Cardiac rehabilitation in patients with acute myocardial infarction after PCI, in improving cardiac function of patients(including 6 minutes of walking ability, B type natriuretic peptide, target heart rate) has better effect than the acute myocardial infarction after PCI treated with conventional medical treatment and health education of patients.3. Cardiac rehabilitation in patients with acute myocardial infarction after PCI exercise tolerance(metabolic equivalent), the efficacy is better than the acute myocardial infarction PCI after the treatment of patients with conventional therapy and basic health education. |
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