最大ST段/心率斜率及其在冠心病康复中的应用(Ⅱ)  

Maximal ST segment/heart rate slope and its use in coronary artery disease (CAD) rehabilitation(Ⅱ)

作　　者：邱纪方[1] 周士枋[2] 金豫[2] 李汇川[2] 李涛[2] 陈琪[2] 常国钧[2] 马玉琪[2] 郑茂锭[2] 吴翔[2] 

机构地区：[1]浙江省人民医院康复医学科 [2]江苏省人民医院运动医学科

出　　处：《中国康复医学杂志》1993年第2期68-71,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：将37名冠心病患者随机分成两组,气功组22人,接受12周动功治疗;对照组15人,用安慰剂。疗程前后测CM_5ST段/心率斜率。结果发现气功组CM_5斜率减小,而对照组不变或增大,差异显著。ST段下移及常规运动试验其它指标在两组间无显著性差异。表明CM_5 ST段/心率斜率是一个与功能相关的心肌缺血指标,有望用于冠心病康复疗效评估。To test the clinical value of the maximal ST/HR slope in patients with CAD, we observed CM_5 ST/HR slope from the view of CAD rehabilitation. 37 patients with CAD were divided randomly into two groups: Qigong group, consisting of 22 patients recieving Qigong therapy and control group, 15 patients taking placebo. For each patient before and after the course of treatment, submaximal treadmill graded exercise test was done in order to yield CM_5 ST/HR slope, the results showed that in Qigong gronp there was a decrease in the value of CM_5 slope, while no changes or increases were found among patients in control group. There was a statistically significant difference between the two groups. However, as to ST segment depression and other indices derived from routine exercise testing, there were no significant changes between the two groups. It was thus concluded that CM_5 ST/HR slope was a functionally related index of myocardial ischemia. It could be used as an index in evaluation of therapeutic effectiveness and for follow up as well in patients with CAD under rehabilitative intervention.

关 键 词：心率斜率 冠心病 气功 

分 类 号：R541.409[医药卫生—心血管疾病]