规律运动和体力活动对冠心病PTCA术后冠脉再狭窄的影响  

Influence of regular exercise and physical activity on the coronary artery restenosis post PTCA in patients with coronary heaft disease

作　　者：张宝慧[1] 李筱雯[1] 王晓红[1] 

机构地区：[1]北京大学第三医院康复医学科,北京市100083

出　　处：《心血管康复医学杂志》2006年第B12期130-132,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:观察坚持康复运动训练对冠心病PTCA术后冠状动脉再狭窄的影响。方法:观察39例冠心病人的体力活动和运动的强度、运动能力(exercise capacety)及能量消耗,比较PTCA术前,术后6～12月冠脉造影的结果,分析康复运动对术后再狭窄的影响。结果:39例冠心病人进行PTCA术和支架术,术后21例进行规律的康复运动和体力活动,随访冠脉造影显示,21例参加康复运动者有3例(14.3%)冠状动脉阻塞>70%,其中左冠脉阻塞有2例.右冠脉阻塞有1例;18例未坚持康复运动者有12例(66.7%)冠脉阻塞>70%,其中左冠脉阻塞有5例,右冠脉阻塞有6例.左回旋支阻塞1例。康复运动组的运动和体力活动的运动强度、能量消耗及运动能力明显高于非康复运动组。结论:结果提示冠心病人PTCA术后进行规律的康复运动有助于减轻术后再狭窄的程度。Objective： To observe the effects of insistent rehabilitation exercise tranining on coronary artery restenosis in patients with coronary heart disease （CHD） post PTCA. Methods： Analysis the reationship between rehabilitation exercise and restenosis of coronary artery by using two methods： calculating the intensity of physical activity and exercise, exercise ability in METs and energy expenditure in kcal during the observation period, comparing the results of coronary artery angiography in 39 patients before PTCA and 6- 12 months after PTCA. Results： The patients with obstructive degree〉70% of LAD for 2 patients and of RCA for 1 patient respectively in 21 patients who entered the regular rehabilitation exercise training program. The obstructive degree〉70 % of LAD for 5 patients of RCA for 6 patients, and of LCX for 1 patient in 18 patients who did not insist the rehabilitation exercise program. Conclusion： The results indicated that insisting the regular rehabilitation exercise in patients with CHD can reduce the restenosis post PTCA.

关 键 词：血管成形术 经腔 经皮冠状动脉 冠状动脉再狭窄 运动疗法 

分 类 号：R541.409[医药卫生—心血管疾病]