不同康复训练方法对慢性稳定型心绞痛患者生活质量的影响

Effect of Different Training Methods on Quality of Life of Patients with Chronic Stable Angina

目的:观察不同心脏康复训练方法对慢性稳定型心绞痛患者生活质量的影响。方法:将收治的50例稳定型心绞痛患者分为2组各25例,2组均采用心内科常规治疗,平板-康复踏车组在此基础上加用平板-康复踏车康复训练;八段锦组加用八段锦康复训练。疗程均为3月,观察患者健康调查简表(SF-36)、西雅图心绞痛量表(SAQ)积分、6 min步行试验、再住院率、坚持锻炼时间的情况。结果:与治疗后比较,2组SF-36量表各项指标、SAQ积分情况、6 min步行试验距离分别与治疗前比较,差异均有统计学意义(P<0.05),均优于治疗前,提示2组康复方法均有效。治疗后,2组SF-36量表各项指标、SAQ积分情况、6 min步行试验距离分别比较,差异均无统计学意义(P>0.05),提示2组康复方法效果相当。3月康复训练期间,坚持锻炼时间平板-康复踏车组(49.87±3.8)天,八段锦组(84.45±2.78)天(包括开始学习时间),2组比较,差异有统计学意义(P<0.01)。再住院率八段锦组4%,平板-康复踏车组12%,2组再住院率比较,差异无统计学意义(P>0.05)。结论:平板-康复踏车与八段锦训练均可改善慢性稳定型心绞痛患者生活活动能力,提高患者生存质量,相较常规器械训练,八段锦更加简单安全,操作方便、患者依从性更强,可有效保持康复的延续性。

Objective：To observe the effect of different training methods on quality of life of patients with chronic stable angina.Methods：Selected 50 stable angina patients,and divided them into two groups with 25 cases in each.The two groups were both given routine treatment of department of cardiology,plate-rehabilitation treadmill group was given the rehabilitation training of plate-rehabilitation treadmill in addition,and the Baduanjin group was given the additional Baduanjin rehabilitation training.Courses lasted for three months.Observed short form-36 health survey（SF-36）,Seattle angina pectoris score,six-minutes walking test,readmission rate and exercise persistence of patients.Results：After treatment,compared indexes of SF-36 scales,Seattle angina pectoris score,six-minutes walking test respectively with those before treatment,the differences were significant（P〈0.05）,and the indexes being all better than those before treatment suggested that rehabilitation methods of the two groups were both effective.After treatment,compared indexes of SF-36 scales,Seattle angina pectoris score,six-minutes walking test of the two groups respectively,there was no significant difference（P〉0.05）,which suggested that the effect of the rehabilitation methods of the two groups were equivalent.During rehabilitation training period,the time of persisting in physical exercise was（49.87± 3.8） days in the plate-rehabilitation treadmill group and was（84.45± 2.78） days in the Baduanjin group（including the time of starting learning）,the difference being significant（P〈0.01）.The readmission rate was 4%in the Baduanjin group,and was 12%in the plate-rehabilitation treadmill group,the difference being no significant（P〉 0.05）.Conclusion：Both rehabilitation training of plate-rehabilitation treatment and Baduanjin can improve activity of daily living and quality of life of patients with chronic stable angina.Compared with the common instrument rehabilitation.Baduanjin is easier,safer and simpler for training,and make the Rehabilitation training persistent.