心脏康复治疗改善稳定性冠心病合并糖尿病患者的预后观察  

Observation of the prognosis of cardiac Rehabilitation Therapy in the Treatment of patients with stable coronary Heart Disease complicated with Diabetes Mellitus

作　　者：贺大丹[1] 焦傲[1] 刘晓静[1] HE Dadan;JIAO Ao;LIU Xiaojing(Department of Cardiology,Zhengzhou Seventh People's Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]郑州市第七人民医院心内科,河南郑州450000

出　　处：《临床研究》2024年第3期17-20,共4页Clinical Research

摘　　要：目的探讨心脏康复治疗对稳定性冠心病合并糖尿病患者的预后影响。方法选取2021年1月至2022年10月期间就诊于郑州市第七人民医院心内科的70例稳定性冠心病合并糖尿病患者,按照随机数字表法将其分为观察组和对照组,各35例。对照组采用常规药物治疗,观察组在对照组的基础上增加心脏康复治疗。比较两组治疗效果、心功能、血糖水平、最大运动耐量及并发症指标。结果观察组患者治疗有效率(97.14%)高于对照组(80.00%),差异有统计学意义(P<0.05)。治疗后两组左室舒张末期内径、左心室射血分数较治疗前有所好转,观察组好转幅度大于对照组,差异有统计学意义(P<0.05)。治疗后治疗组糖化血红蛋白、餐后2 h血糖以及空腹血糖皆低于对照组,差异有统计学意义(P<0.05)。治疗后观察组6 min步行距离远于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(5.71%)低于对照组(22.86%),差异有统计学意义(P<0.05)。结论心脏康复治疗对稳定性冠心病合并糖尿病患者的预后具有积极影响,可改善患者的心功能、控制血糖水平、提高最大运动耐量,并减少并发症的风险。Objective To investigate the effect of cardiac rehabilitation therapy on the prognosis of patients with stable coronary heart disease complicated with diabetes mellitus.Methods From January 2021 to October 2022,70 patients with stable coronary heart disease complicated with diabetes mellitus who visited the department of cardiology of Zhengzhou Seventh People's Hospital were selected and divided into observation group and control group according to the random number table,with 35 cases in each group.The control group received conventional drug treatment,while the observation group received additional cardiac rehabilitation treatment on the basis of the control group.The therapeutic effects,heart function,blood glucose levels,maximum exercise tolerance,and complication indicators between two groups were compared.Results The effective rate of treatment in the observation group(97.14%)was higher than that in the control group(80.00%),and the difference was statistically significant(P<0.05).After treatment,the left ventricular end diastolic diameter and left ventricular ejection fraction of the two groups improved compared to before treatment,the observation group showed a greater improvement than the control group,and the difference was statistically significant(P<0.05).After treatment,the glycated hemoglobin,2-hour postprandial blood glucose,and fasting blood glucose in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the observation group had a significantly longer 6-minute walking distance compared to the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group(5.71%)was lower than that in the control group(22.86%),and the difference was statistically significant(P<0.05).Conclusion Cardiac rehabilitation therapy has a positive impact on the prognosis of patients with stable coronary heart disease complicated with diabetes mellitus.It can improve the pat

关 键 词：心脏康复治疗 稳定性冠心病 糖尿病 预后 

分 类 号：R541.4[医药卫生—心血管疾病]