中西医结合心脏康复干预冠心病危险因素的作用研究  

Effect of Integrated Chinese and Western Medicine Cardiac Rehabilitation on Risk Factors in Patients with Coronary Heart Disease

作　　者：王彦辉 耿敖 张璇 岳宗 张文娟 姜红岩 WANG Yanhui;GENG Ao;ZHANG Xuan;YUE Zong;ZHANG Wenjuan;JIANG Hongyan(Beijing First Hospital of Integrated Chinese and Western Medicine,Beijing 100026,China)

机构地区：[1]北京市第一中西医结合医院,北京100026

出　　处：《中西医结合心脑血管病杂志》2020年第24期4132-4136,共5页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：2015年度北京市朝阳区科技计划课题(No.CYSF1518);首都卫生发展科研专项项目(No.首发2016-2-7034);2016年度北京市朝阳区科技计划课题(No.CYSF1613);2016年度北京中医药科技发展资金项目(No.JJ2016-33);北京市优秀人才培养资助青年骨干个人项目(No.北京市委组织部2015000052580G261)。

摘　　要：目的探讨中西医结合心脏康复对冠心病病人危险因素的影响。方法选取2015年3月—2016年12月在北京市第一中西医结合医院心脏康复中心进行中西医结合心脏康复治疗的180例冠心病病人进行回顾性队列研究。分别于干预前后评估病人危险因素[包括体质指数、腰围、收缩压、舒张压、静息心率、血清总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)、空腹血糖、糖化血红蛋白(HbA1c)及吸烟状态]。结果共纳入157例病人,男100例,女57例。男性平均年龄小于女性;男性吸烟、多支血管病变、行冠状脉搭桥术、使用β-受体阻滞剂药物比例多于女性,差异均有统计学意义(P<0.05)。干预后,病人体重、体质指数、腰围、收缩压、舒张压、静息心率、TC、LDL-C、TG、空腹血糖、HbA1c显著改善,差异均有统计学意义(P<0.05)。干预后吸烟病人数量明显减少,差异有统计学意义(P<0.05);仍吸烟的13例病人尼古丁依赖量表测试评分下降,差异有统计学意义(P<0.01)。结论中西医结合心脏康复可有效改善部分心血管病危险因素。Objective To observe the effect of integrated Chinese and western cardiac rehabilitation on risk factors in patients with coronary heart disease.Methods One hundred and eighty patients with coronary heart disease were treated with integrated Chinese and western medicine cardiac rehabilitation from March 2015 to December 2016.Before and after intervention,the risk factors[including body mass index(BMI),waist circumference,systolic pressure,diastolic pressure and resting heart rate,total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),triacylglycerol(TG),fasting blood glucose,glycosylated hemoglobin(HbA1c)and smoking status]for all subjects were assessed.Results A total of 157 patients were included,including 100 males and 57 females.The average age of men was less than that of women.The numbers of smoking,multivessel disease,coronary artery bypass surgery,use ofβ-blockers in men were significantly more than that of women.After intervention,the body weight,BMI,waist circumference,systolic and diastolic blood pressure,resting heart rate,TC,LDL-C,TG,fasting blood glucose,and HbA1c were significantly improved than that before intervention(P<0.05).After intervention,the number of smokers significantly decreased than that before intervention(P<0.05),and the nicotine dependence test scores of 13 smokers significantly decreased(P<0.01).Conclusion Integrated Chinese and Western Medicine Cardiac Rehabilitation could effectively improve some risk factors in patients with coronary heart disease.

关 键 词：冠心病 中西医结合 心脏康复 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病] R256.2[医药卫生—内科学]