PDF(Pubmed)
Abstract：
UNASSIGNED: The respiratory rehabilitation technique is a crucial component of early cardiac recovery in geriatric patients with acute myocardial infarction (AMI). This study primarily investigated the effectiveness of a novel respiratory rehabilitation technique, metronomic breathing (MB), on geriatric patients after percutaneous coronary intervention for AMI and compliance with home-based rehabilitation compared to traditional respiratory rehabilitation.
UNASSIGNED: From June 2022 to March 2023, 75 acute myocardial infarction (AMI) patients admitted to the Shanghai Tenth People\'s Hospital Cardiovascular Department were consecutively enrolled. Ultimately, 46 patients completed the follow-up in this study-26 in the MB group and 20 in the control group-who underwent the novel MB technique and conventional abdominal breathing training. The primary endpoint of the study was left ventricular function measured by noninvasive hemodynamics three months after discharge. The secondary endpoints were compliance and quality of life after three months of home rehabilitation.
UNASSIGNED: After the intervention, several cardiac functional parameters (SV, SVI, CO, CI, LCW, and LCWI), myocardial contractility parameters (VI), and systemic vascular resistance parameters (SVR and SVRI) were significantly greater in the MB group than in the preintervention group (P < 0.05). Furthermore, post-treatment, the MB group exhibited greater SV, SVI, CO, CI, and VI; lower SVR, SVRI, and SBP; and a lower readmission rate three months later than did the control group. The SF-36 scores after three months of MB intervention, PE, BP, GH, VT, SF, RE, and MH, were all significantly greater than those before treatment (P < 0.05). Moreover, the MB group displayed greater compliance with home-based cardiac rehabilitation (P < 0.05).
UNASSIGNED: Compared to conventional respiratory rehabilitation training methods, short-term metronomic respiratory therapy is more effective for reducing systemic vascular resistance, enhancing left ventricular ejection function, enhancing quality of life, and increasing home-based rehabilitation compliance in geriatric patients following AMI with PCI.
UNASSIGNED: From June 2022 to March 2023, 75 acute myocardial infarction (AMI) patients admitted to the Shanghai Tenth People\'s Hospital Cardiovascular Department were consecutively enrolled. Ultimately, 46 patients completed the follow-up in this study-26 in the MB group and 20 in the control group-who underwent the novel MB technique and conventional abdominal breathing training. The primary endpoint of the study was left ventricular function measured by noninvasive hemodynamics three months after discharge. The secondary endpoints were compliance and quality of life after three months of home rehabilitation.
UNASSIGNED: After the intervention, several cardiac functional parameters (SV, SVI, CO, CI, LCW, and LCWI), myocardial contractility parameters (VI), and systemic vascular resistance parameters (SVR and SVRI) were significantly greater in the MB group than in the preintervention group (P < 0.05). Furthermore, post-treatment, the MB group exhibited greater SV, SVI, CO, CI, and VI; lower SVR, SVRI, and SBP; and a lower readmission rate three months later than did the control group. The SF-36 scores after three months of MB intervention, PE, BP, GH, VT, SF, RE, and MH, were all significantly greater than those before treatment (P < 0.05). Moreover, the MB group displayed greater compliance with home-based cardiac rehabilitation (P < 0.05).
UNASSIGNED: Compared to conventional respiratory rehabilitation training methods, short-term metronomic respiratory therapy is more effective for reducing systemic vascular resistance, enhancing left ventricular ejection function, enhancing quality of life, and increasing home-based rehabilitation compliance in geriatric patients following AMI with PCI.
摘要：
■呼吸康复技术是老年急性心肌梗死（AMI）患者早期心脏恢复的重要组成部分。这项研究主要调查了一种新型呼吸康复技术的有效性，节拍呼吸（MB），与传统呼吸康复相比，老年患者在AMI经皮冠状动脉介入治疗后以及家庭康复的依从性。
■2022年6月至2023年3月，连续纳入上海市第十人民医院心内科收治的75例急性心肌梗死（AMI）患者。最终,在这项研究中，有46例患者完成了随访-MB组26例，对照组20例，他们接受了新的MB技术和常规的腹式呼吸训练。研究的主要终点是出院后三个月通过无创血流动力学测量左心室功能。次要终点是家庭康复三个月后的依从性和生活质量。
■干预后，几个心脏功能参数(SV，SVI,CO,CI、LCW、和LCWI)，心肌收缩性参数（VI），和全身血管阻力参数（SVR和SVRI）在MB组明显大于干预前（P<0.05）。此外，治疗后,MB组表现出更大的SV，SVI,CO,CI和VI；较低的SVR，SVRI,和SBP；三个月后再入院率低于对照组。MB干预三个月后的SF-36评分，PE,BP,GH,VT,SF,RE,MH,均显著大于治疗前(P<0.05)。此外，MB组对家庭心脏康复的依从性更高(P<0.05)。
■与传统的呼吸康复训练方法相比，短期节拍呼吸治疗对降低全身血管阻力更有效，增强左心室射血功能，提高生活质量，并提高老年患者PCI后的家庭康复依从性。
■2022年6月至2023年3月，连续纳入上海市第十人民医院心内科收治的75例急性心肌梗死（AMI）患者。最终,在这项研究中，有46例患者完成了随访-MB组26例，对照组20例，他们接受了新的MB技术和常规的腹式呼吸训练。研究的主要终点是出院后三个月通过无创血流动力学测量左心室功能。次要终点是家庭康复三个月后的依从性和生活质量。
■干预后，几个心脏功能参数(SV，SVI,CO,CI、LCW、和LCWI)，心肌收缩性参数（VI），和全身血管阻力参数（SVR和SVRI）在MB组明显大于干预前（P<0.05）。此外，治疗后,MB组表现出更大的SV，SVI,CO,CI和VI；较低的SVR，SVRI,和SBP；三个月后再入院率低于对照组。MB干预三个月后的SF-36评分，PE,BP,GH,VT,SF,RE,MH,均显著大于治疗前(P<0.05)。此外，MB组对家庭心脏康复的依从性更高(P<0.05)。
■与传统的呼吸康复训练方法相比，短期节拍呼吸治疗对降低全身血管阻力更有效，增强左心室射血功能，提高生活质量，并提高老年患者PCI后的家庭康复依从性。
