冠心病患者综合康复疗效观察

Therapeutic effect of multidisciplinary rehabilitation therapy on patients of coronary heart disease

目的:观察综合康复治疗对冠心病患者的临床疗效。方法:60例冠心病患者随机分为康复组(30例)和对照组(30例),康复组在常规药物治疗的基础上,采用生活指导,运动锻炼等综合康复治疗;对照组采用常规药物治疗,自然生活。6周以后,记录心脏事件发生率,观察体重指数、血脂、血压的变化。结果:6周后,康复组的心脏事件发生率明显低于对照组(16.7%∶50.0%,P<0.01),两组体重指数,血脂,血压均有一定改善,但康复组优于对照组(P<0.05～<0.01)。结论:综合康复治疗可降低心脏事件的发生率,改善患者的体重指数,血脂及血压。

Objective： To observe the therapeutic effect of multidisciplinary rehabilitation therapy on patients of coro- nary heart disease. Methods： A total of 60 patients with coronary heart disease were randomly divided into rehabilitation group （30 cases） and control group （30 cases）. The patients in rehabilitation group received routine drugs and multidisciplinary rehabilitation therapy, contain diet guiding, kinesis therapy, etc. The patients in control group received routine drugs. After 6 weeks, recording the rate of cardiac events, body mass index, blood low density lipoprotein cholesterol （LDL-C） and blood pressure. Results： Cardiac event rate of rehabilitation group was lower than that of control group significantly within follow up period （16.7 % vs. 50.0 %, P〈0.01） ; Body mass index, LDL-C and blood pressure were reduced in two groups, but those of rehabilitation group was significantly decreased than those of control group （P〈0.05 -0.01）. Conclusion： The multidisciplinary rehabilitation therapy can reduce BMI, blood lipid and blood pressures and reduce cardiac event in patients with coronary heart disease.