广场健身活动对冠心病患者病情情绪和自主神经功能的影响

Effect of exercise on the state of an illness,emotion and sympathetic nervous system function in patients with coronary artery disease

目的:观察“广场健身活动”对冠心病患者病情、情绪和自主神经功能指标的影响,研究其规律性。方法:2003年9月至2005年9月共77例冠心病患者参加了“广场健身活动”(每次60～120min,每周至少坚持5d,6个月为1疗程)。锻炼前后分别测试:①病情指标(病情日记和活动平板心脏检测指标);②心理状态评分指标(SCL-90总分和各因子评分);③心脏自主神经功能指标(时域和频域指标)。对照组为48例同期就诊的同病患者,仅接受药物治疗。结果:广场活动组治疗后的大部分病情指标明显优于治疗前(P<0.05～<0.01),部分病情指标优于对照组(P<0.05)。广场活动组大部分心理情绪评分低于治疗前,部分指标低于对照组(P<0.05～0.01)。两组治疗后大部分自主神经功能指标明显优于治疗前,广场活动组治疗后多数指标明显优于对照组(P<0.05～0.01)。结论:广场健身活动方式可显著改善冠心病患者病情、情绪和心脏自主神经功能指标。

Objective： To study the effect of exercise （dance） on the state of an illness, emotion and sympathetic nervous system function in patients with coronary artery disease （CAD）. Methods： Seventy-seven CAD patients （exercise group） participated the exercise in square from September 2003 to September 2005 （at least 5d every week, 60～120 min every time; 6 months every period of treatment）. The following indices were measured before and after exercise： ①State of an illness and electrocariogram （ECG）; ②Scores of mentation （total score of SCL-90 and score of every factor）; ③Heart rate variability （area of time and frequency）. The 48 CAD patients composed control group, who only accepted medication therapy. Results： （1） Indices of state of an illness and ECG in exercise group were markedly better than before therapy （P〈0.05～〈0.01）, meanwhile some of indices were better than those of control groups （P〈0.05）; （2） Scores of emotion in exercise group were lower than before therapy, and part indices were lower than those of control group （P〈0.05～〈0.01）; （3） Effect of HRV were similar with scores of emotion. Conclusion： Exercise in square may obviously improve the state of an illness, emotion and sympathetic nervous system function in patients with coronary artery disease.