老年冠心病患者PCI术后康复治疗的疗效

目的:观察康复治疗对老年冠心病冠脉支架植入术(PCI)后患者的临床疗效。方法:102例冠心病患者被随机分为常规治疗组(52例)和康复组(50例),康复组在常规药物治疗的基础上,采用生活指导,运动锻炼等综合康复治疗;6个月后记录心脏事件发生率,心脏左室射血分数(LVEF),观察人体质量指数、血脂、血压的变化并复查造影了解支架再狭窄情况。结果:6个月后,与常规治疗组比较,康复组的复发心绞痛率(23.1%比6.0%)、心肌梗死率(9.6%比2.0%)、支架内狭窄率(19.2%比4.0%)明显降低(P均<0.05),LVEF明显提高[(59.8±7.5)%比(61.9±9.2)%],左室舒张末期容积明显减小[(102.1±13.6)mm3比(99.1±14.1)mm3];两组人体质量指数,血脂,血压均有改善,但康复组优于常规治疗组(P<0.01)。结论:综合康复治疗可降低心脏事件的发生率,改善患者的人体质量指数,血脂及血压,可以增加心肌对缺氧的耐受性,提高冠心病患者的生活质量。

Curative effects of rehabilitation therapy after PCI in aged patients with coronary heart disease

Objective： To observe curative effects of rehabilitation treatment in aged patients after percutaneous coronary intervention （PCI）. Methods： A total of 102 patients with coronary heart disease were randomly divided into routine treatment group （n=52） and rehabilitation group （n = 50）. Rehabilitation group received comprehensive rehabilitative therapy such as life guidance and exercise based on routine drug treatment. After six months, incidence rates of cardiac events and left ventricular ejection fraction （LVEF） were recorded, changes of body mass index （BMI）, blood lipid and blood pressure were observed and patients underwent coronary angiography again to determine intra-stent restenosis. Results： Compared with routine treatment group after six months, there were significant decrease in recurrence rate of angina pectoris （23.1% vs. 6.0%）, rate of myocardial infarction （9.6% vs. 2.0%）, intrastent stenosis rate （19.2% vs. 4.0%, P〈0.05 all） and left ventricular end-diastolic volume [ （102.1 ± 13.6） mm3 vs. （99.1 ± 14.1） mm3 ], and significant increase in LVEF [ （59.8 ± 7.5） % vs. （61.9 ± 9.2） %] in rehabilitation group; there were improvements in BMI, blood lipid and blood pressure in both groups, but those of rehabilitation group was significantly better than those of routine treatment group （P〈0.01）. Conclusion.. Comprehensive rehabilitation treatment can decrease incidence rate and intra-stent stenosis rate, improve heart function in patients with coronary heart disease in patients with coronary heart disease.