摘要
目的探讨康复运动联合他汀对年龄≥75岁老年心血管疾病患者颈动脉粥样硬化进展的影响。方法选择2017年1月至12月在我院心内科住院的心血管疾病患者160例,年龄≥75岁,分为康复运动组和常规治疗组,康复运动组常规服用他汀同时辅予运动治疗,常规治疗组仅服用他汀治疗,两组均干预24周。对比两组干预前后颈动脉内膜厚度(IMT)、斑块Crouse积分评估颈动脉粥样硬化情况。结果治疗前康复运动组与常规治疗组IMT对比无统计学差异(P>0.05),治疗后康复运动组IMT小于常规治疗组,差异有统计学意义(P<0.05)。两组治疗前后组内Crouse积分对比均有统计学意义(P<0.05)。研究中两组患者均无心脑血管不良事件发生。结论康复运动联合他汀治疗可以安全有效地控制高龄老年人IMT增厚及颈动脉斑块进展。
Objective To investigate the effect of rehabilitation exercise combined with Statin on the progression of carotid atherosclerosis in elderly patients with cardiovascular disease(>75 years old).Methods 160 patients with cardiovascular diseases,aged more than 75 years old,were selected from January 2017 to December 2017.They were divided into rehabilitation exercise group and routine treatment group.In rehabilitation exercise group,Statin was taken routinely and supplemented with exercise therapy.The routine treatment group was treated with Statin only.Carotid intima thickness(IMT)and plaque Crouse score were compared before and after 24 weeks to evaluate carotid atherosclerosis.Results There was no significant difference in IMT between rehabilitation exercise group and routine treatment group before treatment(P>0.05).IMT in rehabilitation exercise group after treatment was smaller than that in routine treatment group(P<0.05).There was significant difference in Crouse scores between the each group before and after treatment(P<0.05).There were no adverse cardiovascular and cerebrovascular events in both groups.Conclusion Rehabilitation exercise combined with Statin therapy can safely and effectively control IMT thickening and carotid plaque progression in the elderly.
作者
周芸
陈瑜
ZHOU Yun;CHEN Yu(Department of Cardiology, Guangxi Jiangbin Hospital, Nanning 530021, China)
出处
《中国老年保健医学》
2021年第4期51-52,56,共3页
Chinese Journal of Geriatric Care
关键词
康复运动
他汀
高龄
颈动脉硬化
rehabilitation exercise
Statin
old age
carotid atherosclerosis
