太极云手对经皮冠状动脉介入治疗术后患者心脏康复效果的影响

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摘要目的探究太极云手对经皮冠状动脉介入治疗（PCI）术后患者心脏康复效果的影响。方法选取2018年12月～2019年12月南昌大学第二附属医院收治的行PCI术的86例患者作为研究对象，根据随机数字表法将其分为对照组与研究组，每组各43例。对照组患者采用常规干预，研究组患者采用常规干预+太极云手。比较两组患者的生活质量、临床症状评分及心脏功能。结果干预前，两组患者的生活质量量表（SF-36）评分比较，差异无统计学意义（P＞0.05）；干预后，两组患者的SF-36 评分均高于干预前，差异有统计学意义（P＜0.05）；干预后，研究组患者的SF-36 评分均高于对照组，差异有统计学意义（P＜0.05）。干预前，两组患者的各项临床症状评分比较，差异无统计学意义（P＞0.05）；干预后，两组患者的各项临床症状评分均低于干预前，差异有统计学意义（P＜0.05）；干预后，研究组患者的各项临床症状评分均低于对照组，差异有统计学意义（P＜0.05）。干预前，两组患者的左心室舒张末容积（LVEDV）、左心室射血分数（LVEF）比较，差异无统计学意义（P＞0.05）；干预后，两组患者的LVEDV 均低于干预前，LVEF 均高于干预前，差异有统计学意义（P＜0.05）；干预后，研究组患者的LVEDV 低于对照组，LVEF 高于对照组，差异有统计学意义（P＜0.05）。结论 PCI术后患者采用常规干预+太极云手能改善患者的心脏功能指标，提升生活质量，降低临床症状评分，具有重要意义，具有一定的推广价值。

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	樊秋燕
	丁美舟

关键词 ：太极云手, 经皮冠状动脉介入治疗, 心脏康复效果, 生活质量, 心脏功能, 临床症状

Abstract：Objective To investigate the effect of Tai Chi cloud hands on cardiac rehabilitation after percutaneous coronary intervention.Methods A total of 86 patients who admitted to the Second Affiliated Hospital of Nanchang University for percutaneous coronary intervention (PCI) from December 2018 to December 2019 were selected as the research objects and divided into the control group and the study group according to the random number table method,with 43 cases in each group.The patients in the control group were treated with routine intervention,and the patients in the study group were treated with routine intervention and Tai Chi cloud hands.The quality of life,clinical symptom scores and cardiac function were compared between the two groups.Results There were no statistically significant differences in quality of life scale (SF-36) scores between the two groups before intervention (P ＞0.05).After intervention,the SF-36 scores of the two groups were higher than those before intervention,and the differences were statistically significant (P＜0.05).After intervention,the SF-36 scores of the study group were higher than those of the control group,and the differences were statistically significant (P ＜0.05).There were no statistically significant differences in clinical symptom scores between the two groups before intervention (P＞0.05).After intervention,the clinical symptom scores of the two groups were lower than those before intervention,and the differences were statistically significant (P＜0.05).After intervention,the clinical symptom scores of the study group were lower than those of the control group,and the differences were statistically significant (P ＜0.05).There were no statistically significant differences in levels of left ventricular end-diastolic volume (LVEDV) and left ventricular ejection fraction(LVEF) between the two groups before intervention (P＞0.05).After intervention,the levels of LVEDV of the two groups were lower than those before intervention,the levels of LVEF were higher than those before intervention,and the differences were statistically significant (P ＜0.05).After intervention,the level of LVEDV in the study group was lower than that in the control group,the level of LVEF was higher than that in the control group,and the differences were statistically significant (P＞0.05).Conclusion Tai Chi cloud hands on patients after PCI can improve the cardiac function index,improve the quality of life and reduce the clinical symptom score,it has the important significance and certain promotion value.

Key words： Tai Chi cloud hands Percutaneous coronary intervention Cardiac rehabilitation effect Quality of life Cardiac function Clinical symptoms

基金资助:江西省卫生计生委科技计划项目（20195266）

引用本文:

樊秋燕；丁美舟 . 太极云手对经皮冠状动脉介入治疗术后患者心脏康复效果的影响[J]. 中国当代医药, 2020, 27(34): 38-41转45.
FAN Qiu-yan ；DING Mei-zhou. Effect of Tai Chi cloud hands on cardiac rehabilitation after percutaneous coronary intervention. 中国当代医药, 2020, 27(34): 38-41转45.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I34/38

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