稳定型心绞痛患者社区综合运动康复治疗的疗效及安全性研究(1)
【摘要】 目的 探索社区综合运动康复治疗对于促进稳定型心绞痛患者病情稳定的效果。方法 79例稳定型心绞痛患者， 根据患者的意愿分为对照组(39例)和观察組(40例)。对照组患者进行常规药物治疗， 观察组患者在对照组的基础上加用社区综合运动康复治疗。比较两组患者的血脂指标、炎症因子水平、心绞痛发生率等。结果 治疗前， 两组患者C反应蛋白(CRP)水平比较差异无统计学意义(P>0.05)；治疗6个月后， 观察组患者CRP水平明显低于对照组， 差异具有统计学意义(P<0.05)。治疗6个月后， 观察组患者低密度脂蛋白胆固醇(LDL-C)水平明显低于对照组， 高密度脂蛋白胆固醇(HDL-C)水平明显高于对照组， 差异均具有统计学意义(P<0.05)。观察组心绞痛发生率为12.50%， 低于对照组的35.90%， 差异具有统计学意义(P<0.05)。结论 对稳定型心绞痛患者采用常规药物治疗的基础上采用社区综合运动康复有助于改善脂代谢情况， 减少心绞痛的发作， 提高生活质量， 值得推广应用。
【关键词】 稳定型心绞痛；社区综合运动康复；脂代谢；C反应蛋白
DOI：10.14163/j.cnki.11-5547/r.2017.04.010
【Abstract】 Objective To explore effect by comprehensive community exercise rehabilitation in stabilizing disease condition of stable angina pectoris patients. Methods A total of 79 patients with stable angina pectoris were divided by their own willingness into control group (39 cases) and observation group (40 cases). The control group received conventional drug， and the observation group received additional comprehensive community exercise rehabilitation to treatment in the control group. Comparison was made on blood lipid indexes， inflammatory factor levels and incidence of angina pectoris between the two groups. Results Before treatment， there was no statistically significant difference of C-reactive protein (CRP) level between the two groups (P>0.05). After 6 months of treatment， the observation group had obviously lower CRP level than the control group， and the difference had statistical significance (P<0.05). After 6 months of treatment， the observation group had much lower low density lipoprotein cholesterin (LDL-C) and higher high density lipoprotein cholesterin (HDL-C) than the control group， and their differences all had statistical significance (P<0.05). The observation group had lower incidence of angina pectoris as 12.50% than 35.90% in the control group， and the difference had statistical significance (P<0.05). Conclusion Implement of additional comprehensive community exercise rehabilitation to conventional drug therapy for stable angina pectoris patients is helpful to enhance lipid metabolism， reduce angina pectoris and improve quality of life. This method is worth promoting and applying.
【Key words】 Stable angina pectoris； Comprehensive community exercise rehabilitation； Lipid metabolism； C-reactive protein
稳定型心绞痛是一种常见的心绞痛， 主要临床症状为胸部的不适症状， 及时给予舌下含服硝酸甘油能有效缓解患者的临床症状， 但是在运动时症状又会复发[1-2]。同时， 情绪波动、饮食过饱、天气降温等也可能导致病情的复发。近些年来， 不少学者指出可以通过运动来提高患者的心肺功能， 提高心血管疾病患者的生活质量。通过医学指导的耐心训练、有氧训练等， 增强机体的肌力和耐力， 减少心血管危险因子， 提高患者的生活质量[3]。本社区健康服务中心对40例稳定型心绞痛患者采用社区综合运动康复， 有效提高了患者的生存质量， 现报告如下。, 百拇医药(李常青)
【关键词】 稳定型心绞痛；社区综合运动康复；脂代谢；C反应蛋白
DOI：10.14163/j.cnki.11-5547/r.2017.04.010
【Abstract】 Objective To explore effect by comprehensive community exercise rehabilitation in stabilizing disease condition of stable angina pectoris patients. Methods A total of 79 patients with stable angina pectoris were divided by their own willingness into control group (39 cases) and observation group (40 cases). The control group received conventional drug， and the observation group received additional comprehensive community exercise rehabilitation to treatment in the control group. Comparison was made on blood lipid indexes， inflammatory factor levels and incidence of angina pectoris between the two groups. Results Before treatment， there was no statistically significant difference of C-reactive protein (CRP) level between the two groups (P>0.05). After 6 months of treatment， the observation group had obviously lower CRP level than the control group， and the difference had statistical significance (P<0.05). After 6 months of treatment， the observation group had much lower low density lipoprotein cholesterin (LDL-C) and higher high density lipoprotein cholesterin (HDL-C) than the control group， and their differences all had statistical significance (P<0.05). The observation group had lower incidence of angina pectoris as 12.50% than 35.90% in the control group， and the difference had statistical significance (P<0.05). Conclusion Implement of additional comprehensive community exercise rehabilitation to conventional drug therapy for stable angina pectoris patients is helpful to enhance lipid metabolism， reduce angina pectoris and improve quality of life. This method is worth promoting and applying.
【Key words】 Stable angina pectoris； Comprehensive community exercise rehabilitation； Lipid metabolism； C-reactive protein
稳定型心绞痛是一种常见的心绞痛， 主要临床症状为胸部的不适症状， 及时给予舌下含服硝酸甘油能有效缓解患者的临床症状， 但是在运动时症状又会复发[1-2]。同时， 情绪波动、饮食过饱、天气降温等也可能导致病情的复发。近些年来， 不少学者指出可以通过运动来提高患者的心肺功能， 提高心血管疾病患者的生活质量。通过医学指导的耐心训练、有氧训练等， 增强机体的肌力和耐力， 减少心血管危险因子， 提高患者的生活质量[3]。本社区健康服务中心对40例稳定型心绞痛患者采用社区综合运动康复， 有效提高了患者的生存质量， 现报告如下。, 百拇医药(李常青)