运动康复对老年稳定性冠心病患者危险因素的长期随访研究  

Long-term effects of exercise rehabilitation on risk factors in elderly patinents with stable coronary artery disease

作　　者：孙佩伟 李运田[2] 宋成运[2] 陈东[2] 陶莉[2] 石丽威 马建新[2] 刘克敏[3] 

机构地区：[1]南方医科大学,广州510515 [2]南方医科大学附属解放军305医院心脏中心 [3]总参陆军航空兵学院门诊部

出　　处：《中华老年心脑血管病杂志》2016年第5期491-495,共5页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：总参军事医学和老年病科研基金(ZCWS14C25)

摘　　要：目的观察运动康复对老年稳定性冠心病患者心血管危险因素的影响。方法本研究为前瞻性研究,将符合入选标准的70例老年稳定性冠心病患者随机分为运动康复组35例和对照组35例。2组常规治疗,运动康复组进行3个月的门诊康复及9个月的家庭康复。分别于干预前、干预3、6、9个月和1年时对患者危险因素进行评估,包括体质量指数(BMI)、收缩压、舒张压、TC、TG、LDL-C、HDL-C、糖化血红蛋白(HbA1c)及吸烟状态。结果与干预前比较,运动康复组在干预3、6、9个月和1年时BMI、收缩压、HbA1c、吸烟率和HDL-C均改善(P<0.05,P<0.01)。其中BMI分别下降(0.90±0.80)kg/m2、(1.01±0.86)kg/m2、(0.73±1.10)kg/m2、(0.85±1.27)kg/m2;收缩压分别下降[(7.06±13.03)mm Hg,1 mm Hg=0.133kPa]、(5.17±6.90)mm Hg、(4.48±7.89)mm Hg、(4.22±10.89)mm Hg,HbA1c分别下降(1.57±0.92)%、(1.59±0.84)%、(1.40±1.00)%、(1.33±0.79)%,吸烟率分别下降20.69%、20.69%、24.14%、20.69%;HDL-C分别升高(0.17±0.23)mmol/L、(0.22±0.28)mmol/L、(0.13±0.23)mmol/L、(0.11±0.20)mmol/L。结论运动康复可使老年稳定性冠心病患者的部分心血管危险因素持续改善,综合的心脏康复方案可能带来更多获益。Objective To study the effects of exercise rehabilitation on risk factors in elderly patinents with SCAD.Methods 70 elderly patients with SCAD were randomly divided into exercise rehabilitation group（n=35）and control group（n=35）and received conventional treatment.The patients in exercise rehabilitation group underwent rehabilitation therapy for 3months in outpatient department and for 9months in their home.The risk factors for all subjects were assessed at baseline and the end of 3,6,9and 12 months after treatment.Results Compared with baseline,there was a statistically significant improvement（P〈0.05,P〈0.01）in BMI,SBP,HbA1 c,HDL-C and smoking prevalence at 3months,6months,9months and 12 months respectively in exercise rehabilitation group.Specifically,BMI decreased by（0.90±0.80）kg/m^2 at 3months,（1.01±0.86）kg/m^2 at 6months,（0.73±1.10）kg/m^2 at 9months and（0.85±1.27）kg/m^2 at 12 months respectively;SBP decreased by（7.06±13.03）mmHg at 3 months,（5.17±6.90）mmHg at 6months,（4.48±7.89）mmHg at 9months and（4.22±10.89）mmHg at 12 months respectively;HbA1cof diabetic patients decreased smoking prevalence decreased by 20.69%at 3,6,12 months and 24.14%at 9months while HDL-C increased respectively.Conclusion Exercise rehabilitation brings much benefits to elderly patients with SCAD by reducing their cardiovascular risk factors.

关 键 词：运动疗法 康复 冠心病 吸烟 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]