运动疗法对冠状动脉球囊成形术或支架术后患者心肺功能和运动能力的影响

目的观察运动疗法对冠心病患者冠状动脉球囊成形术(PTCA)或支架术后的影响。方法42例PTCA或支架术后患者随机分为运动组20例和对照组22例,同时进行心肺功能测定,运动组根据心肺功能测定结果制定运动处方,进行12周康复运动训练,对照组不进行训练。结果运动组训练后患者的运动时间、最大运动负荷量,心率增值运动中最高收缩压和心率-血压双每次积(RPP)、最大代谢当量、最大氧耗量和每分通气量有显著提高,而对照组则无明显变化。结论PTCA或支架术后病人坚持运动训练有益于体能的提高,心脏功能容量的增加。

Effects of physical therapy on cardi opulmonary function and motor funct ion in patients with coronary heart disease following PTCA or intracoronary sten t implantation

Objective To investigate the effects of cardio pul mo nary function and motor function in patients with coronary heart di sease follow ing percutaneous translumin al coronary angioplasty(PTCA)or intracoronary sten t implantatio n.Method42patients with CHD following PTCA were randomly divide d into physical therapy group(n=20)and control group(n=22).Physical t herapy in 12weeks was applied in physical therapy with myocardial in farction and unstable angina pectoris post PTCA or intracoronary stent i mplantation.Res ult After physical therapy,the maximal heart rate,maximal work load during exe rcise test,ratepressure product(RPP),the maximal metablic equivalents,maxim al oxygen consumption(VO 2 max)and minute ventilation were signfic antly improved.Conclusion Physical therapy in patients with PT CA or intracoronary stent implantation c ould incre ase physical work capacity and cardiac functional capacity.