冠心病心绞痛运动康复疗效的研究

Contrast study on exercise rehabilitation in patients with angina of coronary heart disease

目的 :观察运动康复对冠心病心绞痛患者的治疗作用。方法 :将 4 0例冠心病稳定型心绞痛患者随机分为康复组 (运动康复 +药物治疗 )、对照组 (单纯药物治疗 )。康复程序采用个体化原则。两组患者在治疗前与 4周疗程结束后接受 Med Graphics心肺运动仪的运动贮量与冠状动脉贮备数据之检测。结果 :康复组治疗后心绞痛阈、心率血压两项乘积 (RPP)、缺血阈和无氧阈 (AT)均显著提高 ,疗效明显优于对照组 (P<0 .0 5)。结论

Objective:The aim of investigation was to observe the effects of exercise rehabilitation in patients with angina of coronary heart disease(CHD).Methods:Forty patients with stable angina were divided into the rehabilitation group (exercise rehabilitation+drugs) and the control group(drugs) at random.Both groups were checked up on the exercise tolerance and coronary artery reserve by Med Graphics cardial\|pulmonary training machine before treatment and after 4 weeks treatment period.Results:All of the angina threshold ischemic threshold of Rate Pressure Product(RPP) and anaerobic threshold(AT) were increased obviously in the rehabilitation group while those were increased a little in control one ( P <0 05).Conclusion:Exercise training treatment could improve effectively exercise tolerance and coronary artery reserve in patients with stable angina of CHD. Author′s address Beijing Construction Hospital,Beijing,100054