早期心脏康复方案在经皮冠状动脉介入治疗术后患者中的应用 [中文引用][英文引用]

目的 初步探讨早期心脏康复方案在经皮冠状动脉介入治疗（percutaneous coronary intervention，PCI）术后患者的干预效果。方法 采用随机对照试验，选取 2024 年 6 月至 2025 年 2 月本院 CCU 收治的 162 例首次接受 PCI 的冠心病患者为研究对象，采用随机数字表法将其分为对照组和试验组各 81 例，对照组采用常规护理方法，试验组采用早期心脏康复方案进行干预。于出院后 7d，比较两组心脏康复量表（cardiac rehabilitation inventory，CRI）得分与运动不良事件发生率。结果 对照组患者 78 例、试验组患者 75 例完成研究。试验组患者 CRI 得分高于对照组，运动不良事件发生率低于对照组，两组患者比较，差异具有统计学意义（均 P<0.001）。结论 早期心脏康复方案可提高 PCI 术后患者康复运动参与意愿，具有安全性与可行性。

Objective To preliminarily explore the application effects of an early cardiac rehabilitation program on patients after percutaneous coronary intervention（PCI），thereby provide a reference for developing a scientific and standardised early cardiac rehabilitation protocol. Methods A randomised controlled trial was conducted on162 patients who had coronary heart disease and underwent the first percutaneous coronary intervention（PCI）at the coronary care unit（CCU）of our hospital between June 2024 and February 2025. The patients were randomly divided into a control group and an experimental group using a random table，with 81 patients per group. Patients in control group received routine nursing care，while those in the experimental group received an early cardiac rehabilitation program. Seven days after discharge，the two groups were compared with cardiac rehabilitation inventory（CRI）scores and the incidence of adverse exercise events. Results A total of 78 patients in the control group and 75 patients in the experimental group completed the study. CRI score of the experimental group was significantly higher than that of the control group（P<0.001）and the incidence of adverse exercise events was significantly lower than that of the control group（P<0.001）. Conclusion The early cardiac rehabilitation program can improve the willingness of PCI patients to participate in rehabilitation and it is safe and feasible.