康复治疗对稳定型心绞痛患者介入治疗后心功能和生活质量的影响
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2016年第3期
- 页码:
- 330-334
- 栏目:
- 临床研究
- 出版日期:
- 2016-01-05
文章信息/Info
- Title:
- Effects of cardiac rehabilitation on cardiac functions and quality of life in patients with coronary artery disease undergoing percutaneous coronary intervention
- Author(s):
- WU Jin-bo1; YE Xiao-han1; DONG Ming-guo1; XIAN Shao-xiang2
- (1.Department of Cardiology, Dongguan Hospital of Traditional Chinese Medicine, Dongguan 523005, Guangdong, China；
2.First Clinical Medical Hospital, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong, China)
- 关键词:
- 心脏康复; 冠状动脉疾病; 经皮冠状动脉介入治疗; 心室功能; 生活质量
- Keywords:
- cardiac rehabilitation; coronary artery disease; percutaneous coronary intervention; ventricular function; quality of life
- 分类号:
- R541.4
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的 观察康复治疗对冠心病稳定型心绞痛患者经皮冠脉介入（PCI）治疗后心功能和生活质量的影响。方法 将我院2014年3月~2014年9月收治的行PCI的76例慢性稳定性心绞痛患者随机均分为康复治疗组和常规治疗组，常规治疗组行常规治疗，康复治疗组在常规治疗基础上按照冠心病康复与二级预防中国专家共识进行4个月的心脏康复治疗，观察两组患者的服药依从性、危险因素（吸烟、高血压病和高低密度脂蛋白胆固醇血症）控制情况和NYHA心功能分级，通过心电图运动平板试验观察运动耐量，通过超声心动图测定左室射血分数(LVEF)，使用西雅图心绞痛量表(SAQ)对患者的生活质量进行评估，记录两组患者的主要心脏不良事件(MACE)和康复治疗引起的并发症。结果 与常规治疗组比较，康复治疗组的服药依从性和危险因素控制情况更好，NYHA心功能分级更低〔(1.05±0.23) vs.(1.32±0.47),P<0.05〕，而运动耐量〔代谢当量，(10.6±2.0) METs vs.( 8.9±2.0) METs，P<0.05〕、左室射血分数（LVEF）〔(56 ±7)% vs.(49±8)%，P<0.05〕和西雅图心绞痛量表评分（SAQ）〔躯体活动受限程度(PL)（78±7） vs.（67±7）、治疗满意度(TS)（83±9） vs.（75±7）、疾病认识程度(DP)（55±17） vs.（48±14），均P<0.05〕更高，差异具有统计学意义；两组患者均未出现MACE，康复治疗未引起并发症。结论 康复治疗能显著提高稳定型心绞痛患者PCI后的心脏功能和生活质量。
- Abstract:
- AIM To evaluate the effects of cardiac rehabilitation on cardiac functions and quality of life in patients with angina pectoris (AP) of coronary artery disease (CAD) who underwent percutaneous coronary intervention (PCI). METHODSSeventy-six patients with AP who underwent PCI between March 2014 and September 2014 were randomized to cardiac rehabilitation (CR) group or control group. Patients in the control group were treated with drugs in accordance with the guidelines of PCI and patients in the CR group underwent a 4-month cardiac rehabilitation program in addition to drugs after PCI. All patients were given conventional treatment for AP. Medication compliance, cardiovascular risk factors (smoking, hypertension and hypercholesterolemia) and New York Heart Association (NYHA) Functional Classification were examined. Changes of exercise tolerance, left ventricular ejection fraction (LVEF) and quality of life assessed with the Seattle Angina Questionnaire (SAQ) scores were analyzed. Major adverse cardiovascular events (MACE) and adverse reaction of CR were also recorded. RESULTSCompared with the control group, CR group showed significant improvement in medication compliance, NYHA Functional Classification ［(1.05±0.23) vs.(1.32±0.47), P<0.05］, exercise tolerance ［(10.6±2.0) METs vs. (8.9±2.0) METs, P<0.05］, LVEF ［(56±7)% vs. (49±8)%, P<0.05］ and the SAQ scores ［physical activity tolerance (PL) (78±7) vs. (67±7), treatment satisfaction (TS) (83±9) vs. (75±7) and disease perception (DP) (55±17) vs. (48±14), all P<0.05］. There were fewer cardiovascular risk factors in the CR group and no MACE and adverse reaction of CR were recorded. CONCLUSIONThese results suggest that cardiac rehabilitation is safe for patients with AP of CAD who underwent PCI. Cardiac rehabilitation can improve cardiac functions and quality of life in these patients.
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备注/Memo
- 备注/Memo:
- 收稿日期：2015-05-22.
通讯作者：冼绍祥，主任医师，主要从事中医心血管病研究 Email:zhongyfy@126.com
作者简介：吴锦波，副主任医师，博士 Email： wjbpaul@163.com
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