Effect of Ba Duan Jin sequential therapy on quality of life in patients with ST-segment elevation myocardial infarction after percutaneous coronary intervention
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摘要:目的 探讨八段锦序贯疗法对ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入治疗(PCI)术后生活质量的影响。方法 将82例STEMI患者随机分为实验组和对照组, 对照组给予标准治疗，实验组在标准治疗基础上给予八段锦序贯疗法干预，分别在入组后第1天以及干预后3个月、6个月采用冠心病中西医结合量表进行评价。结果 干预后6个月，实验组冠心病中西医结合量表各维度分数显著高于对照组(P < 0.05); 实验组患者的康复效果显著优于对照组(P < 0.05)。结论 八段锦序贯疗法可有效提升STEMI患者再灌注术后的生活质量。
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关键词:
- 八段锦序贯疗法 /
- ST段抬高型心肌梗死 /
- 再灌注 /
- 经皮冠状动脉介入治疗 /
- 生活质量
Abstract:Objective To investigate the effect of Ba Duan Jin sequential therapy on quality of life in patients with ST-segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI).Methods Eighty-two patients with STEMI were randomly divided into experimental group and control group. The control group received standard treatment, while the experimental group was given Ba Duan Jin sequential therapy on the basis of standard treatment. The clinical efficacy was evaluated at 1 d, 3 months, 6 months after intervention by Integrated Chinese and Western Medicine Scale for coronary disease.Results After six months of intervention, the item score of Chinese and Western Medicine Scale of the coronary heart disease in the experimental group was significantly higher, and rehabilitative efficacy was better than that in the control group (P < 0.05).Conclusion Ba Duan Jin sequential therapy can effectively improve the postoperative quality of life of patients with STEMI after re-perfusion. -
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表 1 2组患者冠心病中西医结合量表维度评分比较(x±s)
分 组别 时点 症候维度 生理维度 心理维度 社会维度 对照组(n=39) 入组时 28.82±5.29 16.43±4.11 16.84±3.06 10.89±3.14 出院后3个月时 34.53±3.51 15.82±4.29 19.56±3.36 12.46±2.61 出院后6个月时 34.53±3.51 17.02±4.30 19.69±2.98 13.23±2.87 实验组(n=43) 入组时 27.39±5.73 15.02±3.85 16.20±3.50 10.18±2.43 出院后3个月时 34.41±3.83 18.02±3.81 20.48±3.20* 13.41±1.99 出院后6个月时 37.60±3.17* 21.04±3.29* 22.41±2.65* 14.79±1.24* 与对照组比较, *P < 0.05。 
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表 2 2组患者康复效果比较[n(%)]
组别 n 生活良好 睡眠优良 心绞痛 对照组 39 24(61.54) 25(64.10) 10(25.64) 实验组 43 35(81.40)* 37(86.05)* 1(2.33)* 与对照组比较, *P < 0.05。
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