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| Influence of cardiac rehabilitation program based on weight theory on prognosis of patients with acute coronary syndrome after percutaneous coronary intervention |
| LONG Huiping1 LI Gang2▲ GAO Songtao2 |
1.Department of Nursing, Dingzhou People’s Hospital, Hebei Province, Dingzhou 073000, China;
2.Ward Two, Department of Cardiology, Dingzhou People’s Hospital, Hebei Province, Dingzhou 073000, China |
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Abstract Objective To explore the influence of cardiac rehabilitation program based on weight theory on prognosis of patients with acute coronary syndrome (ACS) after percutaneous coronary intervention (PCI). Methods A total of 110 patients with ACS admitted to the Dingzhou People’s Hospital, Hebei Province from August 2019 to July 2020, according to random number table method, they were divided into control group and observation group, with 55 cases in each group. The control group received routine care, while the observation group received cardiac rehabilitation based on weight theory. The cardiac function and motor function of the two groups were observed before and after intervention, and the levels of serum N-terminal brain natriuretic peptide precursor (NT-proBNP), soluble CD40 ligand (sCD40L); and inflammatory factors were compared between the two groups; self-care ability and quality of life before and after intervention were compared. Results After three months of intervention, left ventricular end diastolic dimension (LVEDD) and left ventricular end systolic diameter (LVESD) in both groups were lower than before intervention, and E/A value was higher than those before intervention; LVEDD and LVESD in observation group were lower than the control group, and E/A value in observation group was higher than that control group, and the differences were statistically significant (P＜0.05). The 6 min walking distance (6-MWD) of the two groups was longer than that before intervention, and the ten-sitting-stereo-position tests (STS-10) was shorter than before intervention, the 30 s arm curt test (30-ACT) was longer than before intervention, and the 6-MWD of the observation group was longer than that of the control group, the STS-10 of the observation group was shorter than that of the control group, and the 30-ACT of the observation group was longer than that of the control group, and the differences were statistically significant (P＜0.05). The levels of serum NT-proBNP, sCD40L, and C-reactive protein in two groups were lower than those before intervention, and the observation group was lower than the control group, the differences were statistically significant (P＜0.05). The scores of China questionnaire of Quality of life in cardiovascular patients and positivity activation measure scores in two groups were higher than before intervention, and the observation group was higher than the control group, the differences were statistically significant (P＜0.05). Conclusion The cardiac rehabilitation program based on weighted theory can effectively improve cardiac and motor function of patients with ACS after PCI, and improve its prognosis.
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[1] 吴岳，李庆印，赵冬云，等.重症冠心病患者心脏康复分级护理方案的制订与应用[J].中华护理杂志，2022，57（4）：395-400.
[2] 吴珂，向兵，周后强，等.NT-proBNP水平对非ST抬高型急性冠脉综合征患者冠脉闭塞病变的诊断价值[J].中国临床医学，2021，28（1）：85-89.
[3] 刘佟，孙王乐贤，韩超，等.主动脉瓣钙化对急性冠状动脉综合征PCI术后患者预后的影响[J].中国动脉硬化杂志，2019，27（2）：131-135.
[4] 周阳，林少芒，萧剑彬，等.普通球囊、裸金属支架、药物洗脱球囊及药物洗脱支架治疗膝下动脉闭塞症的网络Meta分析[J].中华血管外科杂志，2019，4（4）：238-246.
[5] Liu WC，Qi Q，Geng W，et al. Percutaneous coronary intervention for congenital absence of the right coronary artery with acute myocardial infarction：A case report and literature review [J]. Medicine，2020，99（5）：e18981.
[6] 于学忠，张新超，朱华栋.急性冠脉综合征急诊快速诊疗指南[J].中国急救医学，2016，36（3）：207-214.
[7] 张继华，张丽琼，杨耀鹏，等.营养和心理干预联合肺康复训练操对慢阻肺患者的疗效[J].中华医学杂志，2020， 100（2）：110-115.
[8] 张云，蒋文珍，李红，等.社区运动康复指导联合家庭赋权方案在冠心病PCI术后患者心脏康复中的应用效果[J].检验医学与临床，2022，19（8）：1096-1099.
[9] 刘飒，刘元，张文亮，等.有氧联合阻抗运动对重度和极重度慢性阻塞性肺疾病患者运动能力及生活质量的影响[J].华西医学，2018，33（10）：1252-1256.
[10] 陈士巧，程培霞，李振香，等.中文版患者积极度量表在慢性心力衰竭患者中的信效度分析[J].护士进修杂志，2020，35（3）：198-203.
[11] 王琳，张亚铮，袁媛.基于CSMS量表和CQQC的5E康复护理在冠心病PCI术后患者康复中的应用效果[J].河北医药，2022，44（14）：2228-2231.
[12] Shafir G，Beigel R，Iakobishvili Z，et al. Distress among hospitalized patients with acute coronary syndrome [J]. Nurs Criti Care，2022，27（2）：165-171.
[13] Taylor A. ACS invests $50 million in 4 strategic initiatives [J]. Chemical and engineering news：“news edition” of the Amer- ican Chemical Society，2022（6）：100.
[14] 刘汝刚，孙庆华，庞佼佼，等.动态学习赋能心电图评估急性冠脉综合征患者经皮冠脉介入术疗效的研究[J].中华急诊医学杂志，2022，31（7）：922-929.
[15] 代新春，于芃，韩东，等.血浆NT-IGFBP-4对急性冠状动脉综合征患者冠状动脉病变及预后的预测价值[J].中国心血管杂志，2021，26（2）：127-130.
[16] 苏畅，边云飞，程琳.调节性T细胞与急性冠状动脉综合征关系的研究进展[J].中国动脉硬化杂志，2021，29（5）：456-460.
[17] 那堃，李萌雅，裘淼涵，等.老年ACS患者PCI术后使用替格瑞洛和氯吡格雷的有效性和安全性分析[J].中华心血管病杂志，2021，49（11）：1117-1123.
[18] 李泽华，蒋路平，叶国红，等.ACS患者PCI术后血清S1P、补体C3水平及其预后评估的价值分析[J].中国循证心血管医学杂志，2022，14（6）：689-692.
[19] 刘爽，武国东.急性冠脉综合征患者PCI术后非梗死相关冠脉病变快速进展[J].中国老年学杂志，2021，41（22）： 4881-4883.
[20] 王映亮，周静，包明威.赋能理论对高血压伴颈动脉粥样斑块患者血压管理的效果[J].河北医药，2020，42（11）： 1677-1680.
[21] 张辉，张爽，宋菲，等.赋能理论指导下的自我护理管理在癌痛患者中的应用[J].中华现代护理杂志，2022，28（5）：660-662.
[22] 刘有慧，鲜文.NT-proBNP联合hsCRP对老年冠心病患者PCI后造影剂肾病的预测价值[J].心血管康复医学杂志，2021，30（5）：567-571.
[23] 周奕，薛青，李玥.HEART评分联合NT-proBNP对非ST段抬高型急性冠脉综合征患者心血管不良事件的预测价值[J].中华急诊医学杂志，2022，31（3）：374-378.
[24] 王小溪，赵红丽，张晓丹，等.冠状动脉慢血流型心绞痛患者血清sCD40L，endocan水平及临床意义[J].检验医学与临床，2022，19（3）：385-388.
[25] 尹锐，贾国渠，陈巍，等.ACS患者PCI术前后血管内皮功能及炎症因子变化的临床意义[J].中国实验诊断学，2021，25（2）：304-307. |
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