康复运动与冠状动脉支架置入血管后再狭窄

Rehabilitation exercise and restenosis following coronary artery stent implantation

目的:探讨康复运动训练对冠状动脉粥样硬化性心脏病(简称冠心病)支架置入后冠状动脉再狭窄的影响。方法:应用计算机索维普数据库与冠状动脉支架置入后再狭窄有关文献和康复运动对冠心病患者治疗的有关文献。检索时限为2000-01/2009-10。检索关键词:冠状动脉、支架置入、冠状动脉再狭窄、康复运动。对资料进行初审,并查看每篇文献后的引文,共入选相关文献20篇。结果:冠状动脉内支架置入已成为治疗冠心病的有效手段,而支架置入后冠状动脉再狭窄已成为临床研究的热门课题。置入支架后的前期治疗在冠心病治疗中占有举足轻重的地位。在抗血小板抗凝、调脂治疗的基础上结合康复运动治疗,解决冠状动脉血运重建的同时,能明显减少血管再狭窄和降低支架血栓的发生率。结论:冠状动脉支架置入患者进行规律的康复运动,有助于减轻血管再狭窄的程度。

OBJECTIVE：To explore the effect of rehabilitation training on restenosis following stent implantation in patients with coronary atherosclerotic heart disease.METHODS：A computer-based online search of VIP database was performed to search articles regarding restenosis following stent implantation and rehabilitation treatment for patients with coronary atherosclerotic heart disease,published between January 2000 and October 2009,with Key words ＂coronary artery,stent implantation,intracoronary restenosis,rehabilitation exercise＂.The data were collected,and the references of each article were reviewed.A total of 20 articles were included.RESULTS：Intracoronary stent has become an effective treatment for coronary atherosclerotic heart disease,and intracoronary restenosis has been focused in clinical studies.Prophase treatment following stent implantation is very important for coronary atherosclerotic heart disease.Rehabilitation exercise in combination with antiplatelet anticoagulation and lipid treatment can reconstruct coronary arterial blood transport and significantly reduce incidence of restenosis and thrombus.CONCLUSION：Regular rehabilitation exercise following stent implantation can ameliorate degree of vascular restenosis.