运动训练对大管径冠状动脉支架再狭窄率的影响  

Effect of exercise training on restenosis rate for patients with large coronary drug-eluting stent implantation

作　　者：卢英民[1] 黄达民 张颖[3] 姚能才[1] 窦存芳[1] 杨森畅[1] 石来新[1] 张金春[1] 季俭[1] 沈俊娴[1] 包敏敏[1] 李毅刚[1] 

机构地区：[1]上海交通大学新华医院(崇明)心内科,上海市202150 [2]上海大华医院 [3]上海交通大学附属第六人民医院

出　　处：《心血管康复医学杂志》2011年第5期416-419,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨运动训练对接受直径≥3.0mm的冠状动脉药物支架患者再狭窄率的影响。方法:回顾性分析接受管径≥3.0 mm药物支架,并获得6个月临床和冠状动脉造影随访的90例患者(95个病变)的资料(心肌梗死、慢性完全闭塞病变、再狭窄及桥血管病变除外)。根据是否进行运动训练患者被分为运动训练组(42例)和非运动训练组(48例),对其6个月支架内再狭窄率进行对比研究。结果:运动训练组的再狭窄率明显低于非运动训练组(9.5%比18.8%,P<0.05)。结论:对于接受管径≥3.0mm的冠状动脉支架患者,运动训练也是减少再狭窄率的有效方法。Objective： To investigate effect of exercise training on restenosis rate in patients undergoing coronary drug-- eluting stent （DES, ≥3.0 mm） implantation. Methods： The data of 90 patients （95 lesions） were retrospectively an alyzed. All patients （myocardial infarction, chronic total occlusion lesions, restenosis and bridge vessel were exclu- ded） received six--month clinical and coronary angiographic follow-up. According to exercise training, patients were divided into exercise training group （n=42） and non-exercise training group （n=48）, and their restenosis rates within six months were compared and analyzed. Results： Restenosis rate in exercise training group was significantly lower than that of non-exercise training group （9.5% vs. 18.8%o, P〈0.05）. Conclusion： Exercise training is an effective method for reducing restenosis rate in patients undergoing DES （≥3.0mm） implantation.

关 键 词：冠状动脉疾病 运动 冠状动脉狭窄 支架 

分 类 号：G804.210.9[文化科学—运动人体科学]