【摘要】 目的:研究心脏康复联合常规治疗对缺血性心肌病(ICM)患者心功能、心电图的影响。方法:从2013年7月至2017年5月于我院就诊的ICM患者中选择108例作为研究对象。患者被随机均分为常规治疗组和心脏康复组(在常规治疗组基础上接受心脏康复治疗),两组均治疗8周。观察比较两组治疗前后LVEF、左室短轴缩短率(LVFS)、QT间期离散度(QTd)、T波峰-末间期(Tp-e),以及临床疗效。结果:心脏康复组总有效率显著高于常规治疗组(87.0%比75.9%),P=0.043。与治疗前比较,治疗8周后两组LVEF、LVFS均显著升高,QTd、Tp-e均显著降低(常规治疗组Tp-e除外),P<0.05或<0.01。与常规治疗组比较,心脏康复组治疗后LVEF[(42.3±5.8)%比(49.8±6.5)%]、LVFS[(25.6±6.1)%比(35.2±6.9)%]升高更显著,QTd[(52.3±6.3)ms比(45.2±7.1)ms]和Tp-e[(129.7±12.5)ms比(118.5±13.0)ms]降低更显著,P均=0.001。结论:心脏康复联合常规治疗对缺血性心肌病患者疗效显著,能显著改善心功能。更多还原

【Abstract】 Objective: To study influence of cardiac rehabilitation combined routine treatment on cardiac function and ECG in patients with ischemic cardiomyopathy(ICM). Methods: A total of 108 ICM patients treated in our hospital from Jul 2013 to May 2017 were randomly and equally divided into routine treatment group and cardiac rehabilitation group(received cardiac rehabilitation therapy based on routine treatment group), both groups were treated for eight weeks. LVEF, left ventricular fractional shortening(LVFS), QT dispersion(QTd), T peak-T end interval(Tp-e) before and after treatment, and therapeutic effect were observed and compared between two groups. Results: Total effective rate of cardiac rehabilitation group was significantly higher than that of routine treatment group(87.0% vs. 75.9%), P=0.043. Compared with before treatment, there were significant rise in LVEF and LVFS, and significant reductions in QTd and Tp-e in two groups after eight-week treatment(except Tp-e of routine treatment group), P<0.05 or <0.01. Compared with routine treatment group after treatment, there were significant rise in LVEF[(42.3±5.8)% vs.(49.8±6.5)%] and LVFS[(25.6±6.1)% vs.(35.2±6.9)%], and significant reductions in QTd[(52.3±6.3)ms vs.(45.2±7.1)ms] and Tp-e [(129.7±12.5)ms vs.(118.5±13.0)ms] in cardiac rehabilitation group, P=0.001 all. Conclusion: Cardiac rehabilitation combined routine treatment possesses significant therapeutic effect on ICM patients. It can significantly improve cardiac function.更多还原