综合康复治疗对心绞痛患者疗效与生活质量的影响

The effect of compresensive rehabilitation on prognosis and llfe quality of patients with angina pectoris

目的探讨综合康复治疗对心绞痛患者临床疗效与生活质量的影响。方法86例心绞痛患者随机分为康复组（55例）和对照组（31例）。康复组在常规药物治疗的基础上，进行心理饴疗、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，待胸痛消失后逐渐活动，出院后采取自然生活。随访6个月。结果康复组总有效率（92．7％）高于对照组（70．9％）（P〈0.05）；随访6个月后2组生活质量评分活动受限程度（29．49±1．05，28．80±1．29），心绞痛稳定状态（9．57±0．59，6．13±0．52），心绞痛发作情况（18．49±1．31，13．27±1．28），治疗满意程度（30．72±1．31，24．23±1．41），疾病认知程度（11．06±0．69，7．40±0．57）康复组明显优于对照组，差异有统计学意义（P〈0．05）。结论综合康复治疗对心绞痛患者有效，并可提高生活质量。

Objective To study the effect of comprehensive rehabilitation on prognosis and llfe quality of patients with angina pectoris. Methods 86 patients with angina pectoris were randomized into rehabilitation group （n =55） and control group（ n =31）. The routine medicines were administered by control group and rehabilitation group. The psychotherapy, diet guidance and kinesitherapy and postdischarge guidance were performed only in rehabilitation group. The control group gradually began to excise when chest pain disappeared after 10-14 day treatment of routine medicine. The follow-up period was 6 months. Results The overall effective rate of rehabilitation group （92.7% ） was higher than that of control group（70.9%）} （ P 〈0.01 ）. The, life quality score was significantly higher in rehabilitation group than in control group after 6 months follow-up [ excise limitation degree （ 29.49 ± 1.05 ） vs （28.80 ±1. 291 ;stable status of angina peetoris （ 9. 57 ±0. 59 } vs （ 6. 13 ±0.52 } , attack of angina pectoris （ 18.49 ±1.31 ） vs （ 13.27 ±1.28 ） ; satisfaction of treatment （30.72 ±1.31 ） vs （ 24.23 ±1.41 ） ; knowledge of disease （ 11.06 ±0.69 ） vs （7.40 ±0.57 ） （ P 〈 0.05 ） ]. Conclusion The comprehensive rehabilitation has good effect on patients with angina pectorls and it might improve their life quality.