冠心病心绞痛患者综合康复疗效观察

Therapeutic Effects of Multidisciplinary Rehabilitation on Patients with Angina Pectoris of Coronary Heart Disease

目的观察综合康复治疗冠心病心绞痛患者的临床疗效。方法86例心绞痛患者随机分为康复组(n=55)和对照组(n=31),康复组在常规药物治疗的基础上,进行心理治疗、饮食生活指导、运动锻炼、出院后指导等综合康复治疗;对照组采用常规药物治疗10～14d,待胸痛消失后给予逐渐活动,出院后采取自然生活。随访6个月,记录心脏事件发生率,观察体重指数、血脂(三酰甘油、总胆固醇、低密度脂蛋白)的变化。结果住院期间,康复组在症状缓解时间、程度等方面优于对照组(P<0.05);随访6个月期间,康复组的心脏事件发生率明显降低(P<0.01),体重指数、血脂两组均有一定改善,但康复组优于对照组(P<0.05)。结论综合康复治疗可改善冠心病心绞痛患者的临床症状,降低心脏事件发生率。

Objective To observe the therapeutic effect of multidisciplinary rehabilitation therapy on patients with angina pectoris of coronary heart disease. Methods 86 patients with angina pectoris of coronary heart disease were randomly divided into the rehabilitation group （55 cases） and control group （31 cases）. The patients in the rehabilitation group received routine drugs and multidisciplinary rehabilitation （psychotherapy, diet guiding, kinesitherapy, post discharged guiding ere）. The patients in the control group received routine drugs for 10-14 days , activities after chest pain dispearance and natural life after discharge. The follow up period was 6 months, recording the changes of cardiac event rate, body mass index, blood lipid （glycerol, cholesterol, low-density lipoprorein）. Results The rehabilitation group was significantly superior to that of control group in symptom remission velocity and remission degree （ P〈0.05）. Cardiac event rate of the rehabilitation group was lower than that of the control group significantly within follow up period （P〈0.01） ; body mass index and blood lipid were improve in the two groups, but the rehabilitation group was significantly superior to that of the control group （ P 〈 0. 05）. Conclusion The multidisciplinary rehabilitation therapy can improve clinical symptoms of patients with angina pectoris of coronary heart disease and reduce cardiac event.