摘要
目的 :探讨有并发症冠心病患者三级康复预防的实施与长期指导的效果。方法 :48例有并发症冠心病患者随机分为两组 :观察组 34例 ,依照冠心病三级康复预防要求 ,进行积极治疗 ,控制冠心病危险因素 (包括卫生宣教 ,心理康复 ,运动治疗等 )并予长期指导 ,定期复查 ;对照组 14例 ,仍作常规治疗 ,不定期随诊。结果 :较之对照组 ,观察组病情相对稳定者显著增加 (70 .6 % ) ,再住院显著减少 (44 % ) ,死亡显著减少 (17.7% ) ,P均 <0 .0 1,差异非常显著。观察组射血分数、运动贮量治疗后显著增加 (P<0 .0 5 ) ,而对照组无改善。结论 :冠心病三级康复预防对改善有并发症冠心病患者的疾病状况 ,提高生活质量 ,减少死亡 。
Objective:To study the efficacy of 3rd grade rehabilitation prevention and long\|term guide in coronary heart disease(CHD) patients with complication. Methods:Forty\|eight CHD patients with complication were divided into a groups randomly.Observation group(34 cases) was treated by 3rd grade rehabilitation prevention methods and long\|term guide, including health education,clinical therapy,correction of CHD risk factor,exercise therapy.Control group(14 cases) was treated by routine therapy.Results:Patients with stable patient's condition striking increased(70 6%),re\|hospitalization patients decreased significantly(44%),died rate also decreased significantly(17%)( P <0 01 all) in observation group,compared with control group.Ejection fraction and exercise capacity striking increased after therapy( P< 0 05),but those of control group didn't have significant change.Conclusion:Third grade rehabilitation prevention and long\|term guide are more effective in CHD patients with complication.
出处
《心血管康复医学杂志》
CAS
2001年第5期402-404,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
冠心病
并发症
危险因素
三级预防
康复
Coronary heart disease
Complication
Risk factor
Third grade prevention
Rehabilitation
