【摘要】 目的：比较冠心病ＰＴＣＡ或支架术后患者康复运动前后的心肺功能，试图找出这类患者康复运动的特点、制定康复运动处方的原则及其对心脏的有益作用。方法：对２１例ＰＴＣＡ术或ＰＴＣＡ加支架术后病人进行运动心肺功能评定，制定康复运动处方，进行８～１２周康复运动训练。结果：康复运动训练后患者的运动时间和最大运动负荷量有非常显著增加（Ｐ＜０．００２，Ｐ＜０．００５），心率增值运动中最高收缩压和心率－血压双乘积（ＲＰＰ）有显著提高（Ｐ＜０．０５），最大代谢当量（ＭＥＴｓ）、最大氧耗量（ＶＯ２ｍａｘ）和每分通气量亦有显著提高（Ｐ＜０．０２）。结论：ＰＴＣＡ术或支架术后病人坚持康复运动训练有益于体能的提高，心脏功能容量的增加，从而提高生活质量更多还原

【Abstract】 Objective:To study the cardiopulmonary function before and after rehabilitation exercise training in the patients with coronary heart disease following PTCA or intracoronary stent implantation,and to find guidelines for exercise prescripition,characteristics as well as benefits to the exercise training in these patients.Method:Rehabilitation exercise training in 8～12 weeks was applied in 21 patients with myocardial infarction and unstable angina pectoris post percutaneous transluminal coronary angioplasty (PTCA) or intracoronary stent implantation . Result: After exercise training, the maximal heart rate (HRmax) and maximal work load during exercise test were significantly higher ( P<0.002, P <0. 005) ; the increased value of heart rate (△HR=HRmax resting HR),the maximal systolic blood pressure (SBPmax) during exercise test and rate-pressure product (RPP) were significantly increased (P<0.05) ; the maximal metablic equivalents, maximal oxygen consumption (O 2max ) and minute ventilation (E) were significantly improved ( P <0.02).Conclusion:Rehabilitation exercise training in patients with PTCA or intracoronary stent implantation could increase physical work capacity , cardiac functional capacity and the quality of life.更多还原