康复运动治疗对稳定期冠心病患者心功能影响.docVIP

康复运动治疗对稳定期冠心病患者心功能影响 　　[摘要]目的 ?^察稳定期冠心病患者康复运动治疗后心功能的变化。方法 选择2016年6月～2017年1月我院心血管内科收治的160例稳定期冠心病患者，将其分为治疗组（90例）及对照组（70例）。对照组仅给予冠心病基础药物治疗，治疗组在给予药物治疗的同时完成统一制订的康复运动治疗方案，比较治疗前及治疗4周后两组患者各项心功能指标的变化。治疗4周后再将治疗组分为短程组（50例，治疗4周）及长程组（40例，治疗12周），比较短程组、长程组及对照组患者各项心功能指标的变化。结果 与对照组比较，治疗4周后治疗组在6 min步行试验、最大代谢当量（METs）、NYHA心功能分级及左室射血分数均显著改善（P0.05）。结论 康复运动治疗有助于协助药物治疗改善稳定期冠心病患者的心功能，且持续的有规律的康复运动治疗效果更显著。 　　[关键词]心脏康复；冠心病；心功能；6分钟步行试验；最大代谢当量；左室射血分数 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0032-04 　　Influence of rehabilitation exercise on cardiac function in patients with coronary heart disease at a stable stage 　　ZHOU Mi LI Yun ZHONG Cai-xiu YANG Zhi-hua 　　Department of Rehabilitation Medicine，the Third Affiliated Hospital of Nanchang University，Jiangxi Province，Nanchang 330008，China 　　[Abstract]Objective To observe the changes of cardiac function in patients with coronary heart disease （CHD） at a stable stage after rehabilitation exercise.Methods A total of 160 patients with stable CHD treated in Department of Cardiovascular Medicine of our hospital were selected and divided into treatment group （n=90） and control group （n=70）.In the control group，the basic medication on CHD was provided，while in the treatment group，besides the basic medication，a unified regimen of rehabilitation exercise was added.The changes of cardiac function indexes before experiment and four-week after therapy were compared.What′s more，participants in the treatment group were further divided into short-term treatment group （4-week therapy，n=50） and long-term treatment group （12-week therapy，n=40）.The cardiac functions in the short-term treatment，long-term treatment，and control groups were compared.Results Compared with the control group，the indexes of 6-minute walkingtest，maximal metabolic equivalent （METs），grading of NYHA cardiac function，and left ventricular ejection fraction （LVEF） were greatly improved in the treatment group after 4 weeks of treatment （P0.05）.Conclusion Rehabilitation exercise