摘要
目的:探讨心脏康复训练对女性微血管心绞痛治疗的效果。方法:将60例微血管心绞痛女性患者按照随机数字表法分为试验组和对照组,各30例,试验组予常规药物治疗+24周康复治疗,对照组予常规药物治疗,比较两组在心脏焦虑评分、6 min步行试验、超声心动指标的差异。结果:(1)试验组治疗前后对比自身,心脏焦虑评分总分[(32.26±6.57)分vs(22.40±5.14)分],6 min步行距离[(373.83±61.25)m vs(430.51±49.31)m],每搏输出量[(65.11±11.31)ml vs(70.51±7.97)ml)、心输出量[(5.04±1.61)L/min vs(5.91±1.49)L/min]、左室射血分数[(63.21±7.56)%vs(71.23±8.92)%],差异均有统计学意义(P<0.05)。(2)与对照组比较,心脏焦虑评分[(22.40±5.14)分vs(31.60±5.48)分]、6 min步行距离[(430.51±49.31)m vs(392.41±68.25)m]、每搏输出量[(70.51±7.97)ml vs(65.12±9.12)ml]、左室射血分数[(71.23±8.92)%vs(64.24±6.28)%]有改善,差异均有统计学意义(P<0.05)。结论:24周心脏康复训练能改善微血管性心绞痛女性运动耐量,心理状态,以及心功能指标。
Objective： To investigate the effect of cardiac rehabilitation（CR） for psychological and physiological morbidity in women with microvascular angina.Method： 60 women with mierovascular angina were randomly assigned to the experimental group（routin drugs＋24 week CR exercise program） and the control group（routin drugs）, 30 cases in each group.All women completed the cardiac anxiety questionnaire, six-minute walk test and echocardiography assessment of cardiac function.Result： （1）After CR, patients demonstrated improved cardiac anxiety questionnaire score [（32.26 ± 6.57） vs （22.40 ± 5.14）], 6-minute walk test [（373.83 ± 61.25）m vs （430.51 ± 49.31）m], stroke volume [（65.11 ± ll.31）ml vs （70.51 ± 7.97）ml], cardiac output [（5.04 ± 1.61）L/min vs （5.91 ± 1.49）L/mini, left ventricular ejection fraction [（63.21 ±7.56）% vs （71.23 ± 8.92））, there were statistical significance（P〈0.05）.（2）Compared with the control group, cardiac anxiety questionnaire score[（22.40 ± 5.14） vs （31.60 ± 5.48）], 6-minute walk distance[（430.51 ± 49.31）m vs （392.41 ± 68.25）m], stroke volume[（70.51 ± 7.97）ml vs （65.12 ± 9.12）ml], left ventricular ejection fraction[（71.23 ± 8.92）% vs （64.24 ± 6.28）%] improved, there were statistical significanee（P〈0.05）.Condusion： 24-week cardiac rehabilitation program improves exercise tolerance, psychological morbidity and cardiac function in women with microvascular anaina.
出处
《中外医学研究》
2015年第22期18-19,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
