椭圆机应用于不稳定型心绞痛 PCI 患者术后的效果

Effect of Elliptical Machine on PCI Patients with Unstable Angina Pectoris

摘要:

〔摘 要〕 目的：观察椭圆机应用于不稳定型心绞痛（UAP）经皮冠状动脉介入治疗（PCI）患者术后的效果。 方法：选取 2020 年 1 月至 2022 年 3 月在郑州大学第二附属医院接受 PCI 的 98 例 UAP 患者，依据随机数字表法将入 选患者分为对照组与观察组，每组各 49 例。对照组采用常规 PCI 术后治疗，观察组在对照组治疗的同时应用椭圆机 治疗。治疗 6 个月后，比较两组患者心功能指标、血清氧化反应指标及病情程度。 结果：治疗后，观察组患者纽约心 脏病协会（NYHA）评分低于对照组，左室射血分数（LVEF）、6 min 步行试验（6MWT）距离均高于对照组，差异 具有统计学意义（P ＜ 0.05）；治疗后，观察组患者内皮素（ET）、丙二醛（MDA）水平均低于对照组，超氧化物 歧化酶（SOD）、一氧化氮（NO）水平均高于对照组，差异具有统计学意义（P ＜ 0.05）；治疗后，观察组患者西 雅图心绞痛调查量表（SAQ）各项目得分均高于对照组，差异具有统计学意义（P ＜ 0.05）；观察组患者肌肉酸痛、 膝关节不适发生率均低于对照组，差异具有统计学意义（P ＜ 0.05）。 结论：椭圆机应用于 UAP 患者 PCI 术后治疗 中可进一步改善患者心功能，调节患者氧化反应指标，减轻心绞痛预后病情程度，且可降低不良反应发生率。

Abstract:

〔Abstract〕 Objective To observe the effect of elliptical machine in patients with unstable angina pectoris (UAP) after percutaneous coronary intervention (PCI). Methods A total of 98 UAP patients receiving PCI in the Second Affiliated Hospital of Zhengzhou University from January 2020 to March 2022 were selected and divided into a control group and an observation group according to random number table method, with 49 cases in each group. The control group was treated with conventional PCI postoperative treatment, and the observation group was treated with elliptical machine at the same time. After 6 months of treatment, cardiac function indexes, serum oxidation response indexes and disease severity were compared between the two groups. Results After treatment, New York Heart Association (NYHA) score of the observation group was lower than that of the control group, left ventricular ejection fraction (LVEF) and 6-min walking distance (6MWT) were higher than those of the control group, the differences were statistically significant (P < 0.05). After treatment, the levels of endothelin (ET) and malondialdehyde (MDA) in the observation group were lower than those in the control group, while the levels of superoxide dismutase (SOD) and nitric oxide (NO) were higher than those in the control group, the differences were statistically significant (P < 0.05). After treatment, the scores of Seattle angina questionnaiire (SAQ) in the observation group were higher than those in the control group, and the differences were statistically significant (P < 0.05). The incidence of muscle soreness and knee discomfort in the observation group was lower than that of the control group, and the differences were statistically significant (P < 0.05). Conclusion The application of the elliptical machine in the treatment of UAP patients after PCI can further improve the cardiac function of patients, adjust the oxidation reaction index of patients, reduce the prognosis of angina pectoris, and reduce the incidence of adverse reactions.