Objective To investigate the influence of early home-based exercises for cardiac rehabilitation on ventricular function in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). Methods AMI patients (n=50) were chosen from the Provincial Hospital of Anhui Province from Jan. 2015 to June 2016, and divided randomly into cardiac rehabilitation group (n=25, male 21 and female 4) received early home-based exercises for cardiac rehabilitation, and control group (n=25, male 19 and female 6) received only education and nursing of routine exercise rehabilitation. The examination of echocardiography was given 2 groups within 48 h after PCI and after PCI for 4 weeks, and global and segmental strain values of baseline and at the end of 4-week follow-up were analyzed by using Echo Pac-120 software. Results There were 2 cases missed in cardiac rehabilitation group, and 1 missed and 1 died in control group at the end of 4-week follow-up. The global and segmental strain values and left ventricular ejection fraction (LVEF) were significantly improved in cardiac rehabilitation group compared with control group (all P<0.05). Conclusion The early home-based exercises for cardiac rehabilitation can improve the ventricular function in AMI patients after PCI.%目的 探讨早期家庭运动心脏康复对急性心肌梗死(AMI)经皮冠状动脉介入(PCI)术后患者心室功能的影响.方法 选取2015年1月~2016年6月于安徽省省立医院就诊AMI并行PCI治疗的50例患者随机分为2组:心脏康复组25例(男性21例,女性4例),予以早期家庭心脏康复运动训练;对照组25例(男性19例,女性6例),仅接受常规运动康复教育及护理.两组均在PCI后48 h内和术后4周行超声心动图检查,并通过Echo Pac-120软件分析基线与4周随访结束时整体和局部应变值.结果 4周随访结束时心脏康复组失访2例,对照组失访及死亡各1例.心脏康复组整体和局部应变值和左心室射血分数,较对照组均有显著改善(P均<0.05).结论 早期家庭运动心脏康复可改善急性心肌梗死PCI后患者的心室功能.
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