冠状动脉粥样硬化性心脏病患者经皮冠状动脉介入治疗术后心脏康复治疗的疗效

目的观察冠状动脉粥样硬化性心脏病(简称冠心病)患者经皮冠状动脉介入治疗(PCI)术后心脏康复治疗对患者心功能恢复和生活质量提高的临床意义。方法选择首次进行PCI的冠心病患者78例分为康复训练组(40例)和对照组(38例)。2组患者均采用常规药物治疗。康复训练组患者于PCI术后开始进行不同阶段、不同运动强度的康复训练,对照组进行普通的冠心病知识教育。2组患者均在治疗前和治疗3个月后进行6 min步行试验(6-MWT)、脑钠肽(BNP)、超声心动图检查。结果与治疗前比较,治疗后2组患者6-MWT、BNP均有改善,差异有统计学意义(P<0.05);康复训练组治疗后6-MWT、BNP改善更明显,与对照组比较,差异有统计学意义(P<0.05)。与治疗前比较,治疗后2组患者左心室舒张末内径(LVEDD)、左心室射血分数(LVEF)均有改善,差异有统计学意义(P<0.05);康复训练组治疗后LVEDD及LVEF改善显著,与对照组比较,差异有统计学意义(P<0.05)。结论心脏康复训练对冠心病患者PCI术后心功能改善和生活质量提高有重要价值。

Cardiac rehabilitation after percutaneous coronary intervention for treatment on patients with coronary heart disease

Objective To study the clinical significance of cardiac rehabilitation on heart function rehabilitation and improvement of quality of life in patients with coronary heart disease（CHD） after percutaneous coronary intervention（PCI）.Methods Seventy-eight CHD patients who experienced PCI first time were selected and divided into rehabilitation training group（n = 40） and control group（n = 38）.All patients were given conventional therapy.Patients in rehabilitation training group were given different stage and exercise intensity rehabilitation training after PCI; patients in control group were given common CHD education.The 6-minute walking test（6-MWT）,brain natriuretic peptides（BNP） and ultrasound echocardiography of all patients were examined before treatment and 3 months after treatment.Results Compared with before treatment,the 6-MWT and BNP after treatment were improved in the two group（P 〈0.05）.There were statistic differences of 6-MWT and BNP after treatment between rehabilitation training group and control group（P 〈0.05）.Compared with before treatment,the left ventricular end-diastolic diameter（LVEDD） and left ventricular ejection fraction（LVEF） were improved in the two group（P 〈0.05）.There were statistic differences of LVEDD and LVEF after treatment between rehabilitation training group and control group（P 〈0.05）.Conclusion Cardiac rehabilitation training has important value to improve heart function and quality of life of patients with CHD after PCI.