摘要
目的:探讨心脏康复对经皮冠状动脉介入治疗(PCI)术后患者发生冠脉再狭窄的危险因素的影响。方法:将2013年6月至2015年1月首次接受PCI治疗的124例患者随机分为康复组和对照组,每组62例。2组都进行冠心病知识教育和药物治疗。康复组进行4~6周的住院心脏康复和1年督导式家庭心脏康复,2组均在术前、术后进行危险因素评估。结果:康复组相比对照组,多种危险因素(舒张压和体重指数除外)都明显改善(P<0.05)。康复组心血管事件的发生率明显低于对照组(P<0.05)。结论:心脏康复治疗能减少PCI术后患者发生冠脉再狭窄的危险因素的影响,降低其心血管事件的发生率。
Objective： To investigate the effect of cardiac rehabilitation on the risk factors for coronary artery restenosis in patients after pereutaneous coronary intervention （PCI） . Methods： A total of 124 cases of patients after PCI from Jun 2013 to Jan 2015 were divided into the cardiac rehabilitation group and the control group, 62 cases in each group. 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 before the treatment and at 6 months and 12 months after the treatment. Results： Several risk factors, except diastolic blood pressure and body weight index, were improved significantly in the cardiac rehabilitation group than those in the control group （P〈0.05） . The incidence of cardiovascular event in the cardiac rehabilitation group was significantly lower than that in the control group （P〈0.05） . Conclusion： Cardiac rehabilitation can reduce the risk factors for coronary artery restenosis in patients after PCI and also decrease the incidence of cardiovascular event.
出处
《沈阳医学院学报》
2017年第2期121-123,126,共4页
Journal of Shenyang Medical College
关键词
冠脉介入治疗
心脏康复
再狭窄
危险因素
percutaneous coronary interventions
cardiac rehabilitation
coronary artery restenosis
risk factors
