Integrated Traditional Chinese and Western Medicine Nursing Report on Phase I Cardiac Rehabilitation for a Patient with Acute Inferior Wall Myocardial Infarction （Killip Class IV） After PCI

PU Demeng; ZHANG Fangfang; GONG Yufei

doi:10.12209/CAIM202605050003

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Integrated Traditional Chinese and Western Medicine Nursing Report on Phase I Cardiac Rehabilitation for a Patient with Acute Inferior Wall Myocardial Infarction （Killip Class IV） After PCI

更新时间：2026-10-08

- Integrated Traditional Chinese and Western Medicine Nursing Report on Phase I Cardiac Rehabilitation for a Patient with Acute Inferior Wall Myocardial Infarction （Killip Class IV） After PCI
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  首都医科大学附属北京中医医院 CCU，北京， 100010
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605050003
  CLC：
- Received：05 May 2026，
  
  Revised：2026-07-18，
  
  Accepted：20 July 2026，
  
  Online First：08 October 2026，
- 稿件说明：
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PU Demeng, ZHANG Fangfang, GONG Yufei. Integrated Traditional Chinese and Western Medicine Nursing Report on Phase I Cardiac Rehabilitation for a Patient with Acute Inferior Wall Myocardial Infarction （Killip Class IV） After PCI[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

PU Demeng, ZHANG Fangfang, GONG Yufei. Integrated Traditional Chinese and Western Medicine Nursing Report on Phase I Cardiac Rehabilitation for a Patient with Acute Inferior Wall Myocardial Infarction （Killip Class IV） After PCI[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605050003.

摘要

目的

总结1例急性下壁心肌梗死（Killip Ⅳ级）PCI术后患者中西医联合Ⅰ期心脏康复的护理经验。

方法

在CCU严密监护下，对患者血流动力学、IABP相关风险、运动耐量、心理状态及中医证候进行全面评估，实施分阶段极低强度运动康复，并配合中医辨证施护、情志调护、饮食指导、耳穴压丸、中药热奄包及八段锦训练指导。

结果

患者术后第4天撤除IABP，第10天好转出院；康复期间未发生运动相关不良事件，cTnI、CK-MB及NT-proBNP水平总体下降，SAS评分由57分降至42分，Barthel指数由40分升至60分。

结论

极高危AMI患者在严格评估和监护下可审慎开展Ⅰ期心脏康复，中西医联合护理有助于改善焦虑状态、促进心脏功能恢复。

Abstract

Objective

To summarize the nursing experience of integrated traditional Chinese and Western medicine Phase I cardiac rehabilitation for a patient with acute inferior wall myocardial infarction （Killip class IV） following percutaneous coronary intervention （PCI）.

Methods

Under intensive monitoring in the Coronary Care Unit （CCU）， comprehensive assessments were performed， including hemodynamics， intra-aortic balloon pump （IABP）-related risks， exercise tolerance， psychological status， and Traditional Chinese Medicine （TCM） syndrome differentiation. A staged， extremely low-intensity exercise rehabilitation program was implemented， complemented by TCM syndrome differentiation-based nursing， emotional regulation， dietary instruction， auricular acupressure， TCM herbal hot compress therapy， and Baduanjin （Eight-Section Brocade） exercise training.

Results

The patient was successfully weaned from IABP on postoperative day 4 and discharged with improvement on day 10. No exercise-related adverse events occurred during the rehabilitation period. The levels of cardiac troponin I （cTnI）， creatine kinase-MB （CK-MB）， and N-terminal pro-B-type natriuretic peptide （NT-proBNP） showed an overall decline. The Self-Rating Anxiety Scale （SAS） score decreased from 57 to 42， and the Barthel Index increased from 40 to 60.

Conclusion

Phase I cardiac rehabilitation can be cautiously implemented in extremely high-risk patients with acute myocardial infarction （AMI） under rigorous assessment and monitoring. Integrated traditional Chinese and Western medicine nursing contributes to alleviating anxiety and promoting the recovery of cardiac function.

关键词

Keywords

references

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