运动康复降低冠心病危险因素水平研究  

Study for exercise rehabilitation reducing risk factors level of coronary heart disease

作　　者：南宝 宁耀超 NAN Bao NING Yao-chao(Department of Rehabilitation,First Hospital of Zibo City, Zibo,Shandong,255200,Chin)

机构地区：[1]淄博市第一医院康复科,山东淄博255200

出　　处：《心血管康复医学杂志》2016年第5期467-470,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探究运动康复降低冠心病(CHD)危险因素水平的效果。方法:以我院2012年2月至2014年2月间收治的78例CHD患者为研究对象,患者被随机均分为常规干预组(接受常规干预治疗)和运动康复组(在常规干预组基础上接受运动康复训练)。比较两组治疗前后人体质量指数、血糖、血压和血脂水平,以及随访2年期间的急性冠脉事件发生率。结果:与常规干预组比较,运动康复组治疗后空腹血糖[(5.80±0.32)mmol/L比(5.30±0.27)mmol/L]、收缩压[(136.3±9.3)mmHg比(126.7±5.5)mmHg]、舒张压[(80.2±6.9)mmHg比(73.5±5.2)mmHg]、甘油三酯[(2.03±0.39)mmol/L比(1.43±0.25)mmol/L]、总胆固醇[(5.03±0.90)mmol/L比(4.03±0.78)mmol/L]、低密度脂蛋白-胆固醇[(2.80±0.13)mmol/L比(2.40±0.19)mmol/L]水平显著降低,高密度脂蛋白-胆固醇[(1.19±0.14)mmol/L比(1.37±0.13)mmol/L]水平显著升高,P均<0.05。与常规干预组比较,运动康复组随访2年期间急性冠脉事件发生率(30.76%比17.95%)显著降低,P=0.02。结论:运动康复能够有效降低冠心病危险因素指标水平,降低冠脉急性事件发生率,值得推广。Objective：To explore therapeutic effect of exercise rehabilitation on reducing levels of risk factors for coronary heart disease（CHD）.Methods：A total of 78 CHD patients,who were treated in our hospital from Feb 2012 to Feb 2014,were selected.Patients were randomly and equally divided into routine intervention group（received routine intervention）and exercise rehabilitation group（received additional exercise rehabilitation training based on routine intervention group）.Body mass index（BMI）,levels of blood glucose,blood pressure and blood lipids before and after treatment,and incidence rate of acute coronary events during two-year follow-up were compared between two groups.Results：Compared with routine intervention group after treatment,there were significant reductions in levels of fasting blood glucose[（5.80±0.32）mmol/L vs.（5.30±0.27）mmol/L],systolic blood pressure[（136.3±9.3）mmHg vs.（126.7±5.5）mmHg],diastolic blood pressure[（80.2±6.9）mmHg vs.（73.5±5.2）mmHg],triglyceride[（2.03±0.39）mmol/L vs.（1.43±0.25）mmol/L],total cholesterol[（5.03±0.90）mmol/L vs.（4.03±0.78）mmol/L]and low density lipoprotein cholesterol[（2.80±0.13）mmol/L vs.（2.40±0.19）mmol/L];and significant rise in level of high density lipoprotein cholesterol[（1.19±0.14）mmol/L vs.（1.37±0.13）mmol/L]in exercise rehabilitation group,P〈0.05 all.Compared with routine treatment group,there was significant reduction in incidence rate of acute coronary events（30.76% vs.17.95%）during two-year follow-up in exercise rehabilitation group,P=0.02.Conclusion：Exercise rehabilitation can effectively reduce levels of risk factors for CHD,and lower the incidence rate of acute coronary events.It is worth extending.

关 键 词：运动疗法 冠心病 危险因素 

分 类 号：R541.409[医药卫生—心血管疾病]