心脏康复对急性冠脉综合征患者的治疗效果评价

目的:观察心脏康复对急性冠脉综合征(ACS)患者的生活质量改善情况。方法:将112例诊断为急性冠脉综合征的患者分为治疗组与对照组,2组患者均给予常规药物治疗及饮食指导,治疗组同时给予心脏康复治疗,包括生活方式干预、危险因素管理、运动训练及心理治疗等。于治疗前及治疗6个月后对2组患者心功能、运动耐量及生活质量进行评价。结果:治疗前2组患者心功能指标、生活质量评分指标无统计学意义(P﹥0.05),治疗6个月后治疗组患者心功能分级、运动耐量、生活质量均较治疗前显著好转,且改善幅度均优于对照组(P﹤0.05)。结论:心脏康复能显著改善急性冠脉综合征患者的心脏功能、运动耐量及生活质量。

Objective:The aim of this study was to observe the effect of cardiac rehabilitation on life quality in patients with acute coronary syndromes(ACS). Methods:112 patients diagnosed with ACS were randomly divided into two groups: treatment group and control group. All patients received conventional therapy and dietary guidance. In addition,patients in treatment group received cardiac rehabilitation, including lifestyle intervention,risk factor modification,exercise training and psychotherapy. Cardiac function,exercise tolerance and quality of life of all patients in the two groups were evaluted before and 6 months after treatment. Results:There was no significant difference between the two groups in cardiac function and life quality Index before the treatment. After 6 months of treatment,cardiac function classification,exercise tolerance and life quality Index improved obviously in the two groups,but all determined indices in the treatment group showed significant improvement than that in the control group. Conclusion:Cardiac rehabilitation could significantly impove cardiac function,exercise tolerance and life quality of life in patients with ACS.