| 摘要: |
| ［摘要］ 目的 研究不同强度运动康复对冠心病心绞痛的影响，为临床冠心病心绞痛早期开展康复锻炼提供依据。方法 将2014-05～2016-05入院的120例入选患者随机分为对照组、中等强度运动康复组及高强度运动康复组，每组40例。对照组给予常规口服抗栓、抗凝、调脂、扩冠药物治疗；中等强度运动康复组在上述常规治疗基础上进行中等强度康复运动；高强度运动康复组在上述常规治疗基础上进行高强度康复运动。6周为一个疗程。疗程结束时通过西雅图心绞痛量表对患者进行5个纬度的评定以及心电图疗效评定。结果 6周疗程结束时，与对照组比较，康复运动组的躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度、疾病认知程度明显为优，心电图心肌缺血程度有明显改善，且高强度运动康复组较中等强度运动康复组改善更为明显，差异有统计学意义(P<0.05)。结论 运动康复治疗对于冠心病心绞痛心电图的改善及生活质量的提高有肯定的作用，且改善程度与运动强度有关。 |
| 关键词: 运动康复 冠心病心绞痛 西雅图心绞痛量表 |
| DOI：10.3969/j.issn.1674-3806.2017.03.11 |
| 分类号:R 493；R 541.6 |
| 基金项目: |
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| Effects of different intensities of exercise rehabilitation in patients with angina pectoris |
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KOU Min-sheng, GENG Li-qun
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Department of Cardiovascular Diseases, the Third Affiliated Hospital of Luohe Medical College, Henan 462000, China
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| Abstract: |
| ［Abstract］ Objective To research the effects of different intensities of exercise rehabilitation and to provide the theoretical basis for carrying out early rehabilitation exercise in the patients with angina pectoris.Methods 120 patients in our hospital from May 2014 to May 2016 were randomly divided into three groups. The control group（n=40） was given the routine oral treatment of antithrombotic, lipid-lowering and vasodilation drugs. The moderate intensity exercise rehabilitation group（n=40）, on the basis of above regular treatment, received the moderate rehabilitation exercise. The high intensity exercise rehabilitation group（n=40）, received the high strength and rehabilitation exercise on the basis of the above regular treatment. All patients were treated for six weeks. At the end of the treatment, Seattle Angina Questionnaire was assessed in five dimensions to evaluate the curative effect of ECG.Results After the treatment, the levels of limited physical activity, the stability of angina, the occurrence rate of the satisfaction of treatment, the understanding of the disease, and the myocardial ischemia degree of ECG in the rehabilitation exercise groups were improved better than those in the control group, and those in the high intensity exercise rehabilitation group were improved more obviously than those in the moderate intensity exercise rehabilitation group(P<0.05).Conclusion Exercise rehabilitation is effective to improve ECG and the quality of life in the patients with angina pectoris, and the degree of improvement is positively related to the intensity of exercise. |
| Key words: Exercise rehabilitation Angina pectoris Seattle angina questionnaire（SAQ） |
