稳定型心绞痛患者社区综合运动康复治疗的疗效及安全性研究

Research of curative effect and safety by comprehensive community exercise rehabilitation for stable angina pectoris patients

目的探索社区综合运动康复治疗对于促进稳定型心绞痛患者病情稳定的效果。方法 79例稳定型心绞痛患者,根据患者的意愿分为对照组(39例)和观察组(40例)。对照组患者进行常规药物治疗,观察组患者在对照组的基础上加用社区综合运动康复治疗。比较两组患者的血脂指标、炎症因子水平、心绞痛发生率等。结果治疗前,两组患者C反应蛋白(CRP)水平比较差异无统计学意义(P>0.05);治疗6个月后,观察组患者CRP水平明显低于对照组,差异具有统计学意义(P<0.05)。治疗6个月后,观察组患者低密度脂蛋白胆固醇(LDL-C)水平明显低于对照组,高密度脂蛋白胆固醇(HDL-C)水平明显高于对照组,差异均具有统计学意义(P<0.05)。观察组心绞痛发生率为12.50%,低于对照组的35.90%,差异具有统计学意义(P<0.05)。结论对稳定型心绞痛患者采用常规药物治疗的基础上采用社区综合运动康复有助于改善脂代谢情况,减少心绞痛的发作,提高生活质量,值得推广应用。

Objective To explore effect by comprehensive community exercise rehabilitation in stabilizing disease condition of stable angina pectoris patients. Methods A total of 79 patients with stable angina pectoris were divided by their own willingness into control group （39 cases） and observation group （40 cases）. The control group received conventional drug, and the observation group received additional comprehensive community exercise rehabilitation to treatment in the control group. Comparison was made on blood lipid indexes, inflammatory factor levels and incidence of angina pectoris between the two groups. Results Before treatment, there was no statistically significant difference of C-reactive protein （CRP） level between the two groups （P〉0.05）. After 6 months of treatment, the observation group had obviously lower CRP level than the control group, and the difference had statistical significance （P〈0.05）I After 6 months of treatment, the observation group had much lower low density lipoprotein eholesterin （LDL-C） and higher high density lipoprotein eholesterin （HDL-C） than the control group, and their differences all had statistical significance （P〈0.05）. The observation group had lower incidence of angina pectoris as 12.50% than 35.90% in the control group, and the difference had statistical significance （P〈0.05）. Conclusion Implement of additional comprehensive community exercise rehabilitation to conventional drug therapy for stable angina pectoris patients is helpful to enhance hpid metabolism, reduce angina pectoris and improve quality of life. This method is worth promoting and applying.