第40卷第4期2023年8月高民等急性ST段抬高心肌梗死PCI术后运动耐量及影响因素·115·急性ST段抬高心肌梗死PCI术后运动耐量及影响因素高民1234陈爽2葛书萍3孟晴3仝以漫4王心宇4李欣欣4钱贞5（1.徐州医科大学徐州临床学院；2.徐州市中心医院；3.徐州市康复医院；4.徐州医科大学；5.常州市德安医院）摘要运用心肺运动试验（CPET）探究经皮冠状动脉介入治疗（PCI）后急性ST段抬高型心肌梗死（STEAMI）患者运动耐量及影响因素。首先，根据心肺运动试验运动中最大代谢当量进行分组，然后采用单因素分析及多因素Logistic回归分析得出运动耐量减低的影响因素。结果显示，STEAMI患者PCI术后即使血运重建，运动耐量降低者仍偏多，年龄大、体质量指数高、吸烟、PSQI总分高（睡眠质量差）是运动耐量的独立危险因素，对这些危险因素应及时干预，对降低PCI术后心血管事件再发风险有重要的临床价值和意义。关键词急性ST段抬高型心肌梗死；运动耐量；心血管危险因素；经皮冠状动脉介入治疗；睡眠质量ExercisetoleranceandinfluencingfactorswithacuteSt-segmentelevationmyocardialinfarctionpatientsundergoPCIGaoMin1234;ChenShuang2;GeShuping3;MingQing3;TongYiman4;WangXinyu4;LiXinxin4;QianZhen5（1.XuzhouClinicalSchoolofXuzhouMedicalUniversity2.XuZhouCentralHospital3.XuZhouRehabilitationHospital4.XuzhouMedicalUniversity5.De'anhospital,ChangzhouCity）AbstractToinvestigateexercisetoleranceandinfluencingfactorsinpatientswithacuteST-segmentelevationmyocardialinfarction(STEAMI)patientsundergopercutaneouscoronaryintervention(PCI)usecardiopulmonaryexercisetest.First,selectpatientsandaccordingtothemaximummetabolicequivalentincardiopulmonaryexercisetest,separatethemintotwogroups.Then,univariateanalysisandmultivariateLogisticregressionanalysiswereusedtoscreentheinfluencingfactorsofimpairedexercisetolerance.Conclusion:EvenundergoingPCI,exercisetoleranceshouldbeemphasized.Olderage,smoking,elevatedbodymassindex,,andhightotalPSQIscore(poorsleepquality)wereindependentriskfactorsforexercisetolerance.TimelyinterventionofriskfactorsaffectingexercisetoleranceundergoingPCIhasimportantclinicalvalue.KeywordsAcuteSt-segmentelevationmyocardialinfarctionExercisetoleranceCardiovascularriskf...
