摘要
目的 探讨综合康复对冠心病介入治疗后的临床疗效。方法 70例冠心病患者经介入治疗 (经皮冠状动脉腔内成型术和 /或冠状动脉支架植入 )后 ,随机分为综合康复组 (35例 )和常规药物治疗组 (35例 ) ,综合康复组接受以运动训练为主 ,结合健康教育、药物治疗、饮食指导、定期心理咨询 ,常规药物治疗组按ABC方案 (即阿司匹林、β 倍他受体阻滞剂、降脂药 )治疗 ,3个月后 2组均进行活动平板 ,测定运动时间、代谢当量、心肌缺血发生率及血脂 ,根据中国血脂异常防治建议制定的标准评定每组病人的血脂达标率。结果 综合康复组在运动时间、代谢当量、血脂达标率方面优于常规药物治疗组 ,心脏缺血事件的发生率少于对照组 ,且差异有显著性 (P <0 .0 5)。结论 综合康复提高冠心病介入治疗后患者运动能力 ,降低血脂 。
Objective To investigate the clinical effects of comprehensive rehabilitation on patients with coronary artery disease(CAD) after PTCA or STENTS. Methods Seventy CAD patients after PTCA or STENTS are randomly assigned to comprehensive rehabilitation group(35 cases) or drug therapy group(35 cases). Three month later, all of the patients had treadmill test and blood lipid level test. Results Comprehensive rehabilitation group is significantly better than drug therapy group in terms of exercise time, metabolic equivalent and the blood lipid level; the rate of ischemia in the comprehensive rehabilitation group is significantly lower than that in the drug therapy group.( P <0.05). Conclusion Comprehensive rehabilitation can increase CAD patients, exercise ability, decrease their blood lipid, reduce risk for ischemia accident.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2002年第5期282-283,共2页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
冠心病
介入治疗
综合康复
临床疗效
Coronary artery disease
PTCA or and STENTS
Comprehensive rehabilitation therapy
