综合心脏康复治疗对冠状动脉硬化性心脏病介入术后患者的效果

目的探讨综合心脏康复治疗对冠状动脉硬化性心脏病（coronary heart disease，CHD）介入治疗术后患者的效果。方法2009年7月至2011年3月便利抽样法选择广东医学院附属医院心血管内科CHD介入治疗术后患者180例为研究对象，按随机数字表法将其分为观察组和对照组，每组90例。住院期间，观察组患者介入治疗后采取综合心脏康复治疗及护理，对照组患者介入治疗后只给予常规护理。随访1年，统计两组患者介入治疗后1年内心功能情况以及心脏缺血性事件复发再入院情况。结果观察组患者心功能各项指标均较对照组有改善，差异均有统计学意义（均P〈0．01）。观察组患者因心脏缺血性事件复发再人院8例，占8．89％；而对照组患者因心脏缺血性事件复发再入院22例，占24．44％，差异有统计学意义（P〈0．01）。结论综合心脏康复治疗及护理可明显改善CHD介入治疗术后患者的心功能，增强患者治疗的信心，从而促进康复，对减少心脏缺血性事件的发生具有非常重要的现实意义。

Effects of Comprehensive Cardiac Rehabilitation for Patients with Coronary Heart Disease after Interventional Therapy

Objective To explore the effect of comprehensive cardiac rehabilitation for patients with coronary heart disease（CHD） after interventional therapy. Methods From July 2009 to March 2011, 180 CHD patients undergoing interventional therapy were randomly divided into research group and control group, with 90 patients in each group. The patients in the research group underwent comprehensive cardiac rehabilitation and care after interventional therapy. While patients in the control group adopted the conventional care only after interventional therapy. After 1-year follow-up, comparisons were conducted on the heart function and admissions due to the recurrence of cardiac ischemic event. Results The various items of heart function of the research group were significantly better than those in the control group （P〈0.01）. Due to the recurrence of cardiac ischemic event, 8（8.89 %） and 24（24.44%） patients were rehospitalized in the research group and the control group respectively. The difference has statistical signifieance（P〈0.01）. Conclusion Comprehensive cardiac rehabilitation can improve the heart function for CHD patients after interventional therapy and enhance the confidence of patients in the treatment, so as to promote the rehabilitation and have an im portant practical significance in reducing the incidence of cardiac ischemic events.