Study on the application of integrated traditional Chinese and western medicine cardiac rehabilitation management mode after PCI
中西医结合心脏康复管理模式在PCI术后的应用研究

摘要

目的 中西医结合心脏康复模式:运动处方、药物处方、营养处方、戒烟、心理处方，加中医中药(5+1处方)在心肌梗死PCI术后的应用效果。方法 选取2019年01月至2020年12月经PCI术治疗的急性心肌梗死患者90例，按入院顺序分为对照组与观察组，各45例。对照组实施常规治疗、健康教育，定期随访。观察组按Ⅰ、Ⅱ、Ⅲ期康复实施规律的5+1处方，即中西医结合的心脏康复综合管理模式治疗。记录两组术后心肺运动评估结果、心功能、LVEF、血脂、血糖、生存质量评分（采用QOF量表评估）、精神心理状态评分（采用SAS量表评估）及住院时间。结果 观察组患者通过为期半年的规律的5+1处方心脏康复模式指导，运动耐量、心功能、LVEF、QOF、SAS评分及住院时间优于对照组，差异具有统计学意义（P﹤0.05）。两组患者并发症发生情况比较，差异无统计学意义（P﹥0.05）。结论 心肌梗死PCI术后实施中西医结合5+1处方心脏康复模式效果显著，能有效改善患者心功能和生活质量，缩短患者住院时间，临床价值显著。

Abstract

Objective: To combine the traditional Chinese and Western medicine in the heart rehabilitation mode: exercise prescription, drug prescription, nutrition prescription, smoking cessation and psychological prescription, and the application effect of traditional Chinese medicine(5+1 Prescription)in the postoperative PCI of myocardial infarction.
Methods: 90 patients with acute myocardial infarction treated by PCI from January 2019 to December 2020 were divided into control group and observation group according to the order of admission,45 cases respectively. The control group was given routine treatment and health education, followed up regularly. The observation group was treated according to 5+1 Prescription of the implementation rule of phase I,Ⅱand III rehabilitation, that is, the comprehensive management mode of heart rehabilitation combined with traditional Chinese and Western medicine. The results of cardiopulmonary movement evaluation, cardiac function, LVEF, blood lipid, blood glucose, quality of life score (qof scale),mental and psychological state score(SAS scale)and hospitalization time were recorded.
Results: the exercise tolerance, cardiac function, LVEF, qof, SAS score and hospitalization time were better than those in the control group(P<0.05).The difference between the two groups was not statistically significant (P>0.05).
Conclusion  : the 5+1 Prescription of TCM and Western medicine has a significant effect on the rehabilitation of the patients after PCI, which can effectively improve the heart function and quality of life, shorten the hospitalization time of patients, and have significant clinical value.