Abstract：Objective To observe the changes of cardiac function in patients with coronary heart disease (CHD) at a stable stage after rehabilitation exercise.Methods A total of 160 patients with stable CHD treated in Department of Cardiovascular Medicine of our hospital were selected and divided into treatment group (n=90) and control group (n=70).In the control group,the basic medication on CHD was provided,while in the treatment group,besides the basic medication,a unified regimen of rehabilitation exercise was added.The changes of cardiac function indexes before experiment and four-week after therapy were compared.What′s more,participants in the treatment group were further divided into short-term treatment group (4-week therapy,n=50) and long-term treatment group (12-week therapy,n=40).The cardiac functions in the short-term treatment,long-term treatment,and control groups were compared.Results Compared with the control group,the indexes of 6-minute walkingtest,maximal metabolic equivalent (METs),grading of NYHA cardiac function,and left ventricular ejection fraction (LVEF) were greatly improved in the treatment group after 4 weeks of treatment (P<0.05).The indexes of 6-minute walkingtest,METs,grading of NYHA cardiac function,and LVEF in the long-term treatment group were superior to those with only 4-week treatment in the same group,the short-term treatment group after 12 weeks,and the control group after 12 weeks (P<0.05).After 12 weeks,the indexes in the short-term treatment group and control group were not displayed statistical differences (P>0.05).Conclusion Rehabilitation exercise therapy is beneficial to improve the cardiac function in patients with stable CHD,and the effect is more significant in a continuous and regular way.
周密, 李云, 钟才秀, 杨志华. 康复运动治疗对稳定期冠心病患者心功能的影响[J]. 中国当代医药, 2017, 24(25): 32-35.
ZHOU Mi, LI Yun, ZHONG Cai-xiu, YANG Zhi-hua. Influence of rehabilitation exercise on cardiac function in patients with coronary heart disease at a stable stage. 中国当代医药, 2017, 24(25): 32-35.
Balady GJ,Williams MA,Ades PA, et al .Core Components of Cardiac Rehabilitation/Secondary Prevention Programs：2007 Update：a Scientific Statement From the American Heart Association Exercise,Cardiac Rehabilitation,and Prevention Committee,the Council on Clinical Cardiology;the Councils on Cardiovascular Nursing,Epidemiology and Prevention,and Nutrition,Physical Activity,and Metabolism;and the American Association of Cardiovascular and Pulmonary Rehabilitation[J].Circulation,2007,115（20）：2675-2682.
[9]
King ML,Williams MA,Gerald F, et al .Medical Director Responsibilities for Outpatient Cardiac Rehabilitation/Secondary Prevention Programs：A Scientific Statement From the American Heart Association/American Association for Cardiovascular and Pulmonary Rehabilitation[J].Circulation,2005,112（21）：3354-3360.
[10]
Yoshinari K,Yaoita H,Maehara K, et al .Different thera-peutic responses to treadmill exercise of heart failure due to ischemia and infarction in rats[J].Cardiovasc Res,2005,65（2）：457.
Takashima A,Ise T,Yagi S, et al .Cardiac rehabilitation reduces serum levels of oxidized low-density lipoprotein[J].Circ J,2014,78（11）：2682-2687.
[12]
Pilch WB,Mucha DM,Palka TA, et al .The influence of a 12-week program of physical activity on changes in body composition and lipid and carbohydrate status in postmenopausal women[J].Prz Menopauzalny,2015,14（4）：231-237.
[13]
Taneja AK,Collinson J,Flather MD, et al .Mortality following non-ST elevation acute coronary syndrome：4 years follow-up of the PRAIS UK Registry（Prospective Registry of Acute Ischaemic Syndromes in the UK）[J].Eur Heart J,2004,25（22）：2013-2018.
[15]
Kramsch DM.Aspen AJ.Abramowitz BM, et al .Reduction of coronary atherosclerosis by moderate conditioning exercise in monkeys on an atherogentic diet[J].N Engl Med,1981,305（25）：1483-1489.
[16]
Fitchet A,Doherty PJ,Bundy C, et al .Comprehensive cardiac rehabilitation programme for implantable cardioverter-defibrillator patients：a randomized controlled trial[J].Heart,2003,89（2）：155-160.
[17]
Rhods J,Curran TJ,Camil L, et al .Sustained effects of cardiac rehabilitation in children with serious congenital heart disease[J].Pediatrics,2006,118（3）：e586-e593.
[18]
Yu CM,Lau CP,Chau J, et al .A short course of cardiac rehabilitation program is highly cost effective in improving long-term quality of life in patients with recent myocardial infarction or percutaneous coronary intervention[J].Arch Phys Med Rehabil,2004,85（12）：1915-1922.
[19]
Vona M,Rossi A,Capodaglio P, et al .Impact of physical training and detraining on endothelium-dependent vasodilation in patients with recent acute myocardial infarction[J].Am Heart J,2004,147（6）：1039-1046.
[21]
Ismail H,McFarlane JR,Dieberg G, et al .Exercise training program characteristics and magnitude of change in functional capacity of heart failure patients[J].Int J Cardiol,2014,171（1）：62-65.
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