文献类型：期刊文献

中文题名：早期下床活动对经桡动脉行冠状动脉介入术患者应用效果的Meta分析

英文题名：The effects of early ambulation after transradial coronary intervention:a Meta analysis

作者：张丽[1];乔丽娟[2];徐晓东[1];刘明真[1];曾赛堂[1];雷晶[1]

第一作者：张丽

机构：[1]甘肃中医药大学附属医院心血管三科,兰州730000;[2]甘肃省妇幼保健院(甘肃省中心医院)小儿综合内科,兰州730030

第一机构：甘肃中医药大学第二附属医院

年份：2024

卷号：16

期号：7

起止页码：439

中文期刊名：中国临床护理

外文期刊名：Chinese Clinical Nursing

基金：甘肃省卫生健康行业科研资助项目(编号:GSWSHL2020-15);甘肃中医药大学附属医院科研及技术创新基金项目(编号:gzfy-2021-22)。

语种：中文

中文关键词：经桡动脉;经皮冠状动脉介入治疗;早期下床活动;Meta分析

外文关键词：Transradial artery;Percutaneous coronary intervention;Early ambulation;Meta-analysis

摘要：目的系统评价经桡动脉行冠状动脉介入术患者术后早期下床活动的效果。方法检索1993年1月1日至2023年12月31日发表在Cochrane Library、PubMed、Web of Science、Embase、中国知网、中国生物医学文献数据库、维普资讯网、万方数据库和国内外临床试验注册中心有关经桡动脉行冠状动脉介入术后早期下床活动的试验性研究,对纳入研究进行质量评价,采用RevMan 5.3软件进行Meta分析。结果最终纳入12项研究,Meta分析结果显示,与常规康复相比,经桡动脉行冠状动脉介入术后早期下床活动有利于改善患者左室射血分数[MD=4.35,95%CI(1.96,6.74),P<0.01];能提高患者生活质量[SMD=2.56,95%CI(1.37,3.75),P<0.01];增强患者日常生活能力[MD=3.78,95%CI(1.87,5.69),P<0.01];降低心绞痛[OR=0.35,95%CI(0.16,0.79),P=0.01]、心律失常[OR=0.33,95%CI(0.15,0.70),P<0.01]和心力衰竭[OR=0.35,95%CI(0.13,0.91),P=0.03]发生率;对改善冠状动脉再狭窄[OR=0.28,95%CI(0.07,1.16),P=0.08],左室舒张末内径[MD=-1.53,95%CI(-4.58,1.53),P=0.33]和6分钟步行距离[MD=32.87,95%CI(-2.03,67.77),P=0.06]效果不显著。结论早期下床活动可以明显改善经桡动脉行冠状动脉介入术后患者的心功能,提高其生活质量和日常生活能力,减少并发症,促进患者的康复。
Objective To evaluate the effects of early ambulation after percutaneous coronary intervention(PCI).Methods The experimental studies about early ambulation after PCI were searched in the Cochrane Library,PubMed,Web of Science,Embase,CNKI,CBM,VIP,and Wanfang Data,as well as domestic and foreign clinical trial register centers with the time setting between January 1,1993 and December 31,2023.After literature screening,data extraction and bias risk assessment,Meta-analysis was performed by using the RevMan 5.3 software.Results A total of 12 studies were included.Meta-analysis showed that compared with conventional rehabilitation,early ambulation after PCI helped improve the left ventricular ejection fraction[MD=4.35,95%CI(1.96,6.74),P<0.01],life quality[SMD=2.56,95%CI(1.37,3.75),P<0.01]and activities of daily life[MD=3.78,95%CI(1.87,5.69),P<0.01],and lower the incidence of angina pectoris[OR=0.35,95%CI(0.16,0.79),P=0.01],arrhythmia[OR=0.33,95%CI(0.15,0.70),P<0.01]and heart failure[OR=0.35,95%CI(0.13,0.91),P=0.03].However,no significant improvement was observed in improving coronary restenosis[OR=0.28,95%CI(0.07,1.16),P=0.08],the left ventricular end-diastolic dimension[MD=-1.53,95%CI(-4.58,1.53),P=0.33]and six minute walk distance[MD=32.87,95%CI(-2.03,67.77),P=0.06].Conclusion Early ambulation after percutaneous coronary intervention can significantly improve the heart function,life quality and activities of daily life,but reduce complications,promoting the recovery of patients.