摘要
目的探讨运动疗法在改善冠心病患者血脂水平,提高冠心病患者的生活质量中的应用价值。方法选择来商丘市第一人民医院就诊的冠心病患者58例,纳入标准符合1979年世界卫生组织有关缺血性心脏病诊断和命名标准。根据患者病情开出不同的个性化运动处方,并分别在运动前后进行血脂测定及采用SF-36简明量表评估生活质量的改善情况。结果排除2名不能完成运动处方的患者,其余56例患者的心理健康状况、角色心理状况、综合健康情况等均较运动前有显著提高(t=2.5,2.6,3.5,P<0.05)。血清胆固醇和高密度脂蛋白胆固醇明显优于运动前[治疗前后分别为(5.32±1.26)mmol/L,(5.23±1.63)mmol/L;(1.14±0.36)mmol/L,(1.29±0.33)mmol/L]。结论运动疗法能改善冠心病患者的血脂水平,改善心肌缺血症状,提高冠心病患者的运动耐受力,可显著提高患者的生活质量水平。
AIM:To explore the application value of exercise therapy in ameliorating the level of blood lipids and the quality of life(QOL) in patients with coronary heart disease(CHD).METHODS:Totally 58 inpatients with CHD in the Shangqiu First People's Hospital were selected,and all the patients met the diagnostic and denominating criteria of ischemic heart disease by WHO in 1979.The exercise therapies of individuality were made according to the state of CHD patients,and the level of blood lipid was examined and QOL was assessed with the SF 36 scale.RESULTS:Two CHD patients were excluded because they could not finish the exercise therapy.The mental health status,role mental status and colligate health in the other 56 CAD patients were significantly improved as compared with those before exercise therapy(t=2.5,2.6,3.5,P< 0.05). Serum cholesterol and high density lipoprotein cholesterol(HDL C)[(5.23±1.63)mmol/L and(1.29±0.33) mmol/L] were significantly superior to those before therapy[(5.32±1.26) mmol/L,(1.14±0.36) mmol/L].CONCLUSION:Exercise therapy can improve the level of blood lipids and the myocardial ischemic symptoms,and increase the exercise tolerance in CHD patients,and it can also significantly improve the QOL of the patients.
出处
《中国临床康复》
CSCD
2004年第24期4972-4973,共2页
Chinese Journal of Clinical Rehabilitation
