《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (06): 564-566.

• 临床研究 • 上一篇    下一篇

长期心脏康复对经皮冠状动脉介入治疗危险因素的影响

吴惠群1;李寿霖1;郭艳梅2;张淑燕1   

  1. 1.中国康复研究中心北京博爱医院，北京市 100068;2.中国人民解放军总医院康复医学科，北京市 100853
  • 收稿日期:2009-03-11 出版日期:2009-06-01 发布日期:2009-06-01

Effect of Long-term Cardiac Rehabilitation on Risk Factors after Percutaneous Coronary Intervention

WU Hui-qun, LI Shou-lin, GUO Yan-mei, et al   

  1. Beijing Charity Hospital, Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2009-03-11 Published:2009-06-01 Online:2009-06-01

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摘要： 目的 探讨在医生督导下的长期心脏康复对经皮冠状动脉介入治疗（PCI）患者危险因素的影响。对象和方法 将2004年8月～2007年12月首次接受PCI治疗的112例患者分为康复组和对照组，每组56例。两组均进行药物治疗和普通冠心病知识教育。此外，康复组还需完成4～6周的住院心脏康复和1年督导式家庭心脏康复。两组均在术前、术后6个月和术后12个月进行危险因素的评估。结果 与对照组相比，康复组除舒张压和体重指数改善不明显外，其他危险因素均显著改善（P＜0.05～0.01）。康复组心血管事件的发生率较对照组明显降低（P＜0.05）。结论 长期心脏康复治疗能有效改善PCI术后危险因素，是PCI术后一种安全、有效、依从性高的心脏康复治疗模式，但该康复模式在体重控制和舒张压的处理上仍有待改进和完善。

关键词: 冠脉介入治疗, 心脏康复, 危险因素

Abstract: Objective To investigate the effect of long-term cardiac rehabilitation on risk factors with doctor supervision after percutaneous coronary intervention(PCI). Methods One hundred and twelve patients after PCI were divided into the cardiac rehabilitation group(56 cases) and the control group (56 cases). All of the patients were given medication and health education, meanwhile the cardiac rehabilitation group received 4～6 weeks hospitalized cardiac rehabilitation program and one year ambulatory cardiac rehabilitation with doctor supervision. Risk factors were assessed six mouths and twelve mouths after the treatment. Results The risk factors except diastolic blood pressure and body weight index improved more significantly in the cardiac rehabilitation group than in the control group. Clinical event in the cardiac rehabilitation group is lower than in the control group. Conclusion Long-term cardiac rehabilitation with doctor supervision is safe, efficiency and good compliance to improve risk factors of coronary heart disease after PCI except diastolic blood pressure and weight management.

Key words: percutaneous coronary interventions, cardiac rehabilitation, risk factors