摘要
目的:探讨静息心率对冠心病患者病情变化及功能预后的评估价值。方法:对冠状动脉造影证实为冠心病的132例患者的静息心率进行了测定。结果:冠心病组静息心率(次/min)快于正常对照组(80±7和70±7,t=9.04,P<0.05)。急性心肌梗死组和不稳定型心绞痛组静息心率快于正常对照组(87±6,79±8和70±7;t=11.10,6.46,P均<0.05);多支血管狭窄组静息心率快于单支血管狭窄组(83±9和74±9;t=4.64,P<0.05),也快于双支血管狭窄组(83±9和78±10;t=2.42,P<0.05);冠状动脉狭窄程度≥85%者快于<85%者的静息心率(81±9和71±10;t=5.86,P<0.05)。以左主干或左前降支狭窄为主者静息心率快于右冠状动脉和回旋支狭窄者(84±7和74±9;t=5.69,P<0.05),其中急性心肌梗死组静息心率与左前降支狭窄百分率呈显著正相关,(r=0.486,P<0.01)。结论:静息心率与冠心病的病情及预后有一定关系,可作为病情和预后的评估指标和介入康复干预指标。
AIM:To explore the evaluating value of resting heart rate(RHR) on changes of patients condition and functional prognosis in patients with coronary heart disease(CHD). METHODS:The resting heart rate was measured in 132 patients with CHD proved by coronary angiography. RESULTS:The RHR(times/per minute) in the CHD group(80±7) was quicker than that in the normal control group(70±7)(t=9.04,P< 0.05). The RHR of acute myocardial infarction(AMI) group(87±6) and unstable angina pectoris group(79±8) were quicker than that of the control group(t=11.10,P< 0.05;t=6.46,P< 0.05);the RHR of the multi vessel stenosis group(83±9) was quicker than those of the single vessel stenosis group(74±9,t=4.64,P< 0.05) and paired vessel stenosis group(78±10,t=2.42,P< 0.05);The RHR of the stricture degree of coronary ≥85%group(81±9) was quicker than that of< 85%group(71±10)(t=5.86,P< 0.05).The RHR of the stricture with left main coronary artery or left anterior descending group(84±7) was quicker than that of the stenosis of right main coronary artery and circumflex branch(74±9)(t=5.69,P< 0.05).The RHR was significantly correlated with the percentage of the left anterior descending stenosis in the AMI group(r=0.486,P< 0.01). CONCLUSION:There is a certain relation of resting heart rate with the condition and prognosis of CHD,and it can be regarded as the evaluating index of the patients' condition and prognosis,and the index of rehabilitative intervention.
出处
《中国临床康复》
CSCD
2004年第18期3504-3505,共2页
Chinese Journal of Clinical Rehabilitation
