彭利芳, 黄蔚萍, 朱芳, 李佳, 鲍克娜, 杜晓伟. 穴位按摩联合心脏康复操在冠状动脉支架植入患者中的应用效果[J]. 心脏杂志, 2020, 32(1): 60-64. DOI: 10.12125/j.chj.201909033
    引用本文: 彭利芳, 黄蔚萍, 朱芳, 李佳, 鲍克娜, 杜晓伟. 穴位按摩联合心脏康复操在冠状动脉支架植入患者中的应用效果[J]. 心脏杂志, 2020, 32(1): 60-64. DOI: 10.12125/j.chj.201909033
    Li-fang PENG, Wei-ping HUANG, Fang ZHU, Jia LI, Ke-na BAO, Xiao-wei DU. Effect of acupoint massage combined with cardiac rehabilitation exercise in patients with coronary artery stent implantation[J]. Chinese Heart Journal, 2020, 32(1): 60-64. DOI: 10.12125/j.chj.201909033
    Citation: Li-fang PENG, Wei-ping HUANG, Fang ZHU, Jia LI, Ke-na BAO, Xiao-wei DU. Effect of acupoint massage combined with cardiac rehabilitation exercise in patients with coronary artery stent implantation[J]. Chinese Heart Journal, 2020, 32(1): 60-64. DOI: 10.12125/j.chj.201909033

    穴位按摩联合心脏康复操在冠状动脉支架植入患者中的应用效果

    Effect of acupoint massage combined with cardiac rehabilitation exercise in patients with coronary artery stent implantation

    • 摘要:
        目的  探讨穴位按摩联合心脏康复操对冠状动脉支架植入术(PCI)患者血脂水平、心功能、情绪状态、睡眠及生活质量的影响。
        方法  选择我院2017年1月~2019年12月收治的冠心病PCI患者120例,采用随机数字法将其分为对照组和干预组(每组60例)。对照组PCI术后采取常规运动康复治疗,干预组在常规运动康复治疗基础上,采取穴位按摩联合心脏康复操治疗。比较两组治疗前后血脂指标总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、心功能指标左室射血分数(LVEF)、氨基末端脑钠尿肽前体(NT-proBNP)、6分钟步行距离(6MWT)、焦虑抑郁汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、睡眠质量匹兹堡睡眠质量指数(PSQI)及生活质量采用西雅图生活质量量表(SAQ),包括躯体活动受限程度(PL)、心绞痛稳定情况(AS)、心绞痛发作情况(AF)、治疗满意程度(TS)、疾病认识程度(DS)评分情况。
        结果  两组治疗前血脂指标、心功能指标、焦虑抑郁、睡眠质量及生活质量评分比较差异均无统计学意义;干预组治疗后TC、TG、LDL-C、HDL-C、NT-proBNP、HAMA、HAMD、PSQI均较本组治疗前和对照组治疗后显著下降,LVEF、6MWT、PL、AS、AF、TS、DS均较本组治疗前和对照组治疗后显著升高(均P<0.05)。
        结论  穴位按摩联合心脏康复操可显著改善PCI术后患者血脂水平,提高心功能,缓解焦虑、抑郁等不良情绪,提高睡眠及生活质量,临床疗效满意。

       

      Abstract:
        AIM  To explore the effects of acupoint massage combined with cardiac rehabilitation exercise on blood lipid levels, cardiac function, emotional state, sleep and quality of life in patients undergoing coronary artery stent implantation (PCI).
        METHODS  120 patients with PCI of coronary heart disease admitted from January 2017 to June 2019 were randomly divided into a control group and an intervention group (60 cases in each group). The control group was treated with routine exercise rehabilitation after PCI, and the intervention group was treated with acupoint massage combined with cardiac rehabilitation exercise on the basis of routine exercise rehabilitation. The blood lipid index total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C), high sensitivity lipoprotein cholesterol (HDL-C), cardiac function index left ventricular ejection fraction (LVEF), amino-terminal brain natriuretic peptide precursor (NT-proBNP), 6-minute walking distance (6MWT), coke were compared between the two groups before and after treatment. Depression Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), sleep quality Pittsburgh Sleep Quality Index (PSQI) and quality of life using Seattle Quality of Life Scale (SAQ), including physical activity limitation (PL), angina stability (AS), angina attack (AF) Treatment satisfaction (TS) and disease awareness (DS) scores.
        Results  There were no significant differences in blood lipid index, cardiac function index, anxiety and depression, sleep quality, and quality of life between the two groups before treatment. TC, TG, LDL-C, HDL-C, NT-proBNP, HAMA, HAMD, PSQI in the intervention group were significantly lower than those before treatment and after treatment in the control group. LVEF, 6MWT, PL, AS, AF, TS, DS were significantly lower than those before treatment and after treatment in the control group. There was a significant increase before treatment and after treatment in the control group (P < 0.05).
        Conclusion  Acupoint massage combined with cardiac rehabilitation exercises can significantly improve blood lipid levels, improve cardiac function, alleviate anxiety, depression and other adverse emotions, improve sleep, and quality of life after PCI.

       

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