运动康复训练对冠心病多支病变患者运动耐量及血脂的影响

Effects of Exercise Rehabilitation Training on Exercise Tolerance and Blood Lipids in Patients with Multi-vessel Disease of Coronary Heart Disease

目的:探讨运动康复训练对冠心病多支病变患者活动耐量及血脂的影响。方法:选取冠心病多支病变患者,所有患者均进行不完全血运重建术,分为运动康复训练组及对照组,运动康复训练组自术后第三日起治疗组进行运动康复训练,对照组对运动量无要求。3月后,测量两组患者血脂水平及6分钟步行试验,比较两组患者步行距离、心绞痛发作次数、运动至心绞痛出现时间、6分钟内累积运动时间及血脂水平。结果:经运动康复训练治疗3月后,治疗组6分钟步行距离、运动至心绞痛出现时间及运动累积时间较对照组均明显增加,发生心绞痛次数较对照组明显减少。运动康复训练组治疗后甘油三酯、总胆固醇及低密度脂蛋白水平较治疗前明显降低,对照组仅总胆固醇有所降低,甘油三酯及低密度脂蛋白水平较治疗前无统计学差异。结论:运动康复训练可减少冠心病多支病变患者心绞痛发作次数,增加患者运动耐量并调节血脂代谢。

Objective: To investigate the clinical significance of rehabilitation exercise training on exercise tolerance and Lipids in patients who had multiple-vessel coronary heart failure. Methods: We prospectively studied the patients which were diagnosed as multiple-vessel coronary heart disease. The patients were divided into two groups: rehabilitation training group and control group. The rehabilitation exercise training was started on the third day after coronary intervention in rehabilitation training group, and control group had no exercise training. After 3 months of treatment, blood lipid level and 6-minute walk test were measured. The walking distance, the frequency of angina pectoris, the onset time of angina pectoris and the exercise accumulation time in 6 minutes were compared. Results:After 3 months of rehabilitation exercise training, the 6-minute walking distance, exercise time to the onset of angina pectoris and exercise accumulation time of the experimental group were significantly higher than those of the control group, and the frequency of angina pectoris was significantly less than that of the control group. The levels of triglyceride, total cholesterol and low density lipoprotein in exercise training group were significantly lower than those before treatment. In the control group, total cholesterol was reduced significantly, and the triglyceride and low density lipoprotein had no significance. Conclusion: Exercise training can reduce frequency of angina pectoris, increase exercise tolerance and regulate blood lipid metabolism in patients with coronary artery disease.