运动对心绞痛患者的康复作用

Effect of rehabilitation exercise in patients with angina pectoris

目的:观察运动对心绞痛患者的康复作用。方法:48例心绞痛患者被随机分为A、B两组,所有病例均接受心绞痛常规药物治疗,A组患者同时进行运动训练,隔日1次,运动靶心率为该病人运动试验能达到的最大心率的75％～85％,运动持续时间30分钟左右;B组患者采取自然生活。结果:随访1年,A组在心绞痛发作频率、持续时间,缺血性心电图,心功能改善方面均优于B组(P<0.05)。A组运动期间未发生心肌梗死、猝死。结论:运动康复对心绞痛患者安全有效,应大力提倡。

Objective: To study the effect of rehabilitation exercise in patients with angina pectoris. Methods: Forty-eight patients with angina pectoris were divided into group A and B. Patients of group A performed rehabilitation exercise and treated with routine therapy of angina pectoris simultaneously. Patients of group B only treated with routine therapy of angina pectoris without exercise training. Results: Compared with patients of group B, the amelioration of frequency and duration of angina pectoris , ischemic alteration of ECG, index of heart function were more significant (P<0. 05) after 1 year. No AMI and sudden death happened in group A. Conclusion: Exercise training possesses effects of rehabilitation therapy and is safe in patients with angina pectoris.