I期心脏康复策略对冠心病稳定性心绞痛患者运动耐量及自主神经功能影响研究  

Effect of Phase I Cardiac Rehabilitation Strategy on Exercise Tolerance and autonomic nervous function in Patients with Stable Angina Pectoris

作　　者：焦华琛[1] 李运伦[2] 刘春英[1] 钟霞[2] Jiao Huachen;Li Yunlun;Liu Chunying;Zhong Xia(Shandong University of Traditional Chinese Medicine Affiliated Hospital Cardiovascular Division,Shangdong 250014,China;Shandong University of Traditional Chinese Medicine,Shangdong 250014,China)

机构地区：[1]山东中医药大学附属医院心血管科,济南山东250014 [2]山东中医药大学,济南山东250014

出　　处：《亚太传统医药》2019年第3期131-133,共3页Asia-Pacific Traditional Medicine

基　　金：山东省一流学科资助项目(中医学);山东省保健科技协会课题(2017-21);山东省泰山学者建设工程专项资助

摘　　要：目的:探讨I期心脏康复对冠心病稳定性心绞痛患者运动耐量及自主神经功能的影响。方法:120例患者随机分为对照组(A)、有氧运动组(B)、有氧+阻抗组(C)、有氧+脐疗组(D),8周后进行西雅图心绞痛量表(SAQ)、心绞痛疗效、运动耐量及自主神经功能评价。结果:B组SAQ评分治疗后明显改变(P<0.05)。B、C临床心绞痛总有效率高于A组(P<0.05)。BCD组6min步行距离、代谢当量、摄氧量治疗后明显提高(P<0.05),自主神经功能明显改善。结论:I期心脏康复能提高运动耐量,改善心脏自主神经功能,使稳定性心绞痛获益。Objective:To explore the effect of stage I cardiac rehabilitation on exercise tolerance and autonomic nervc function in patients with stable angina of coronary heart disease.Methods:120 patients were randomly divided into control group,lhe aerobic exercise group(A)(B),the aerobic + impedance group(C),the aerobic + umbilical therapy group(group D)and Seattle an gina questionnaire(SAQ)after 8 weeks,angina pectoris curative effect,exercise tolerance,and the evaluation of the autonomic nervous function.Results:the SAQ score of group B changed significantly after treatment(P< 0.05).The total effective rate of clinical angina was higher than group A(P<0.05).The 6-minute walking distance,metabolic equivalent and oxygen uptake of the BCD group were significantly in creased after treatment(P< 0.05).and autonomic nervous function was sign ificantly improved.Conclusion:stage I cardiac rehabilitation can improve exercise tolerance,improve cardiac autonomic nervous function,and benefit stable angina.

关 键 词：心脏康复 冠心病 运动耐量 

分 类 号：R541.4[医药卫生—心血管疾病]