踏车运动训练对社区老年稳定型心绞痛患者的疗效及安全性研究  

Effect and Reliability of Treadmill Exercise on the Prognosis of Community Elderly Patients with Stable Angina Pectoris

作　　者：陶希[1] 卢伟[2] 何娟[1] 刘佳[1] 邓景贵[1] 宋红[1] 陈美娟[3] 

机构地区：[1]湖南省马王堆医院康复医学科,湖南省长沙市410016 [2]中南大学湘雅二医院 [3]湖南省马王堆医院心内科

出　　处：《中国全科医学》2012年第28期3240-3242,共3页Chinese General Practice

摘　　要：目的探讨踏车运动训练对社区老年稳定型心绞痛患者的疗效及安全性。方法将141例老年稳定型心绞痛患者根据随机数字表分成踏车运动组(68例)和对照组(73例),对照组实行常规药物治疗,踏车运动组进行踏车运动和常规药物治疗,疗程4个月。试验过程中监测心率及血压变化,记录达到目标心率或者心绞痛的人次,比较试验前后心率血压有无差异,并对比两组试验结束后1个月内心绞痛的发生率和试验前后生存质量(QOL)评分。结果踏车运动组有2人因不能耐受退出研究。试验过程中,达到目标心率的有2 855人次,发生心绞痛的有561人次。两组患者治疗前心率、血压、QOL评分比较差异均无统计学意义(P>0.05)。治疗后踏车运动组和对照组在安静状态下心率和血压比较差异均无统计学意义(P>0.05);治疗组QOL评分〔(112±9)分〕较对照组〔(106±8)分〕提高,差异有统计学意义(P<0.05)。两组治疗后均进行随访1个月,治疗组(7.58%,5/66)较对照组(21.92%,16/73)心绞痛发生率明显低,差异有统计学意义(P<0.05)。结论踏车运动训练能明显降低社区老年稳定型心绞痛患者的心绞痛发生率,提高QOL,适当强度的运动训练是安全的。Objective To study the effect and reliability of treadmill exercise on the prognosis of community elderly patients with stable angina pectoris （SAP）. Methods A total of 141 SAP patients were randomly divided into the treadmill group （68 cases） and the control group （73 cases） using random digits table. Patients in the control group received conventional drug treatment only, while those in the treadmill group received treadmill and conventional drug treatment. Patients in both groups were treated for 4 consecutive months. Heart rate and blood pressure were monitored and recorded during the study. Heart rate, blood pressure, and quality of life （QOL） scoring before and after the intervention were compared. Man - time accom- plishments of target heart rate and times of angina pectoris attacks were recorded. Incidence of angina pectoris of each group in 1 month after the intervention was compared. Results Two patients in the treadmill group dropped out because of intolerance. Altogether 2 855 man time accomplished target heart rate, and angina peetoris attacks occurred 561times. Before the intervention, the heart rate, blood pressure, and QOL of the two groups were not significantly different （ P 〉 0. 05 ）. After the intervention, the heart rate, blood pressure at resting state of the two groups were not significantly different, but the QOL scoring of the tread- mill group was significantly higher than the control group （ 112 ±9） vs. （ 106 ± 8 ）, P 〈 0. 05. Conclusion Treadmill exercise could significantly reduce the incidence of angina pectoris and improve QOL of community elderly SAP patients.

关 键 词：踏车运动 稳定型心绞痛 老年 疗效 安全性 

分 类 号：R541.42[医药卫生—心血管疾病]