Effect Of Exercise Rehabilitation In Patients With Coronary Heart Disease And Type 2 Diabetes Mellitus After PCI

Objective:Explore the effect of exercise rehabilitation in patients with coronary heart disease combined with type 2 diabetes after PCI.Methods:A total of 70 patients were enrolled,including 35 in the rehabilitation group and 35 in the control group.All patients were given standardized drug treatment,psychological guidance,nutritional guidance,smoking cessation and other treatments.They were randomly assigned,35 in the rehabilitation group and 35 in the control group.Patients in the control group were given routine drug treatment for coronary heart disease after PCI and performed general physical labor outside the hospital(including housework,walking,light physical work,etc.).In the rehabilitation group,cardiac rehabilitation was initiated24 hours after PCI,and the family rehabilitation program was started after discharge.All patients were followed up for an average of 90 days by telephone,outpatient,and re-admission.Compare two groups of patients with general information collection[including age,sex,body mass index(BMI),hyperlipidemia,hypertension,smoking,drug usage,PCI intervention blood vessels,such as hemoglobin,platelet count],rehabilitation and follow-up of 90 d before fasting glucose,glycosylated hemoglobin,cardiac function index [including left ventricular end-diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD),left ventricular ejection fraction(LVEF)] and blood lipids index [including total cholesterol,low-density lipoprotein cholesterol],renal function index(including creatinine,uric acid)Results:(1)3 patients lost follow-up,including 2 in the control group and 1 in the rehabilitation group;(2)there was no statistically significant difference between the two groups in gender,age,BMI,history of hypertension,history of hyperlipidemia,proportion of smoking,medication use,blood vessel intervention,hemoglobin,platelet count,anaerobic threshold and peak exercise equivalent(P < 0.05).(3)before the recovery,fasting blood glucose and hba1 c in the two groups were not up to the standard,with no statistically significant difference.After the intervention,fasting blood glucose and hba1 c in the two groups were reduced,with statistically significant difference(P <0.05).(4)there was no statistically significant difference in creatinine,uric acid and cardiac function between the two groups before recovery and during follow-up for 90 days,while there was a statistically significant difference in total cholesterol and LDL(P< 0.05).(5)the incidence of end-point events in the two groups was lower in the rehabilitation group than in the control group,and the difference was statistically significant(P < 0.05).Conclusion:Exercise rehabilitation can effectively improve blood glucose,total cholesterol and low-density lipoprotein in patients with coronary heart disease complicated with diabetes undergoing PCI,without affecting renal function,reducing the incidence of end-point events and improving the prognosis of patients.