【作者】 汪萍； 郭兰；

【Author】 Wang Ping, Guo LanGuangdong provincial cardiovascular institute Dongchuan road 106, Guangzhou,china

【机构】 广东省心血管病研究所；

【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)后病人,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(阿斯匹林、倍他受体阻滞剂、降脂药)治疗,3月后两组均行活动平板实验测定运动时间、代谢当量、心肌缺血发生率及血脂测定,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<0.05).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,减少心脏缺血事件的发生.更多还原

【Abstract】 Objective In order to invetigate the clinical effects of multiple rehabilitation on patients with coronary artery disease(CAD) after PTCA or and STENTS. Method 70 CAD patients after PTCA or and STENTS are randomly assigned to multiple rehabilitation group(35 case)or drug therapy group(35 case). 3 months later, all of the patients had treadmill testing and blood lipid level test. Result multiple - rehabilitation group is significantly better than drug - therapy group in exercise time, metabolic equivalent, the rate of blood lipid lower, however the rate of ischemia multiplerehabilitation group is significantly lower than drug therapy group. (p< 0. 05) . Conclusion multiple - rehabilitation can increase CAD patients exercise ability, decrease blood lipid, reduce ischemia.更多还原