CAJ | 학술논문

目的观察老年患者在经皮冠脉介入(PCI)术后早期康复训练的疗效和安全性.方法入选高龄老年PCI术后患者96人,随机分为康复组和对照组各48例.在康复组,患者按临床训练路径行早期康复训练计划,对照组按常规治疗,比较两组行超声心电图指标和并发症发生情况.结果住院期间,两组的超声心动图指标包括左室舒张末内径(P＝0.090)、左室收缩末内径(P ＝0.765)、左室射血分数(P ＝0.957)等参数差异无统计学意义,但术后并发症发生率康复组明显低于对照组,其中烦躁(8.33％比27.08％),失眠(14.58％比39.58％),腹胀(6.25％比33.33％),腰背酸痛(4.17％比29.17％),穿刺点出血(2.08％比16.67％),差异均有统计学意义(x2值分别为5.790,7.596,11.090,10.800,6.008；P均＜0.05).结论高龄老年患者在PCI术后早期行康复锻炼是安全的,可以明显减少术后并发症发生.
목적 관찰노년환자재경피관맥개입(PCI)술후조기강복훈련적료효화안전성.방법 입선고령노년PCI술후환자96인,수궤분위강복조화대조조각48례.재강복조,환자안림상훈련로경행조기강복훈련계화,대조조안상규치료,비교량조행초성심전도지표화병발증발생정황.결과 주원기간,량조적초성심동도지표포괄좌실서장말내경(P＝0.090)、좌실수축말내경(P ＝0.765)、좌실사혈분수(P ＝0.957)등삼수차이무통계학의의,단술후병발증발생솔강복조명현저우대조조,기중번조(8.33％비27.08％),실면(14.58％비39.58％),복창(6.25％비33.33％),요배산통(4.17％비29.17％),천자점출혈(2.08％비16.67％),차이균유통계학의의(x2치분별위5.790,7.596,11.090,10.800,6.008；P균＜0.05).결론 고령노년환자재PCI술후조기행강복단련시안전적,가이명현감소술후병발증발생.
Objective To investigate the efficacy and safety of early rehabilitation programme in elderly patients after percutaneous coronary intervention (PCI).Methods A total of 96 elderly patients treated by PCI were randomly divided into rehabilitation group and control group.In rehabilitation group,the patients received the early cardiac rehabilitation programs,while the control group received the traditional rehabilitation therapy.The echocardiography and complications of two groups were observed and compared.Results During hospitalization,the left ventricular end diastolic diameter,left ventricular end systolic diameter,left ventricular posterior wall thickness and left ventricular ejection fraction in the two groups were no significant difference (P ＞ 0.05).While the complications incidence of rehabilitation group such as irritability (8.33％ vs 27.08％),insomnia (14.58％ vs 39.58％),abdominal distension (6.25％ vs 33.33％),low back pain(4.17％ vs 29.17％),point-pricking bleeding (2.08％ vs 16.67％) were significantly lower than that in the control group (x2 ＝ 5.790,7.596,11.090,10.800,6.008,respectively;P ＜0.05).Conclusions Early postoperative cardiac rehabilitation program in elderly patients with PCI is safe and helpful,which can significantly reduce the incidence of complications.