海水浴体疗操对老年冠心病患者PTCA术后左室功能的影响

Effect of therapeutic exercise in sea water on left ventricular function of elderly patients with coronary artery disease after PTCA

目的 观察老年冠心病患者冠脉介入治疗后的疗养康复期中 ,海水浴体疗操对其左室功能的影响。方法 3 3例经皮腔内冠状动脉成形术 (percutaneoustransluminalcoronaryangioplasty ,PTCA)后的老年冠心病疗养员 ,其中 ,15例采用海水浴体疗操 4个疗程 (体疗组 ) ,18例按常规疗养 1个月 (对照组 )。疗养前、后应用超声心动房室平面位移法AVPD记录二尖瓣环各位点均值AVPDmean和左房射血所致各位点均值 (AVP Da) ,改良Sinpsan法计算左室射血分数 (LVEF)。对疗养前、后各数值进行统计学分析。结果 疗养前两组各值之间差异无显著性意义 (P >0 .0 5 ) ,体疗组疗养后各值较疗养前、对照组疗养后的差异有非常显著性意义(P <0 .0 1)。结论 海水浴体疗操能提高老年冠心病患者PTCA术后的左室功能。

Objective To observe the effect of therapeutic exercise in sea water on left ventricular function in elderly patients with coronary artery disease (CAD) during convalescence after PTCA. MethodsThirty-three cases with CAD after PTCA were divided into two groups: 15 cases with the physical exercise group were treated by exercise in sea water and 18 cases with the control group by routine recuperation. Before and after exercise in sea water (or routine recuperation),mitral AVPDmean and AVPDa were recorded by echocardiography of atrioventricular plane displacement,LVEF was counted by the modified Sinpsan method. The results between the groups were analyzed. ResultsBefore exercise in sea water (or routine recuperation),there was not significant difference within and between the two groups(P>0.05).After exercise in sea water, there was remarkable difference between the two groups(P<0.01). ConclusionPhysical exercise in sea water can improve left ventricular function of the elderly patients with CAD after PTCA.