Effect of Interventional Therapy Combined with Comprehensive Rehabilitation Training on Exercise Tolerance and Clinical Prognosis in Patients with Coronary Artery Disease

doi:10.3877/cma.j.issn.2095-6568.2017.04.001

Abstract

Abstract:

Objective

To investigate the effect of interventional therapy combined with comprehensive rehabilitation training on the exercise tolerance and clinical prognosis in patients with coronary artery disease.

Methods

From July 2015 to August 2016 in 300 cases of coronary heart disease patients in our hospital to receive treatment as the research object, randomly divided into A group (n=100), B group (n=100) and C group (n=100), the A group with drug treatment, patients in group B only with interventional surgery, group C patients the implementation of interventional therapy combined with rehabilitation training for treatment.The exercise tolerance, heart function and the quality of life in Minnesota were compared between the three groups.

Results

C group of patients with total exercise time, ST segment of 1mm time, maximum ST segment depression, angina, time to exercise and exercise tolerance was significantly better than the other two groups, compare (P<0.05); there are some differences between the three groups before and after treatment in patients with LVEF, A/E, LVEDd and other indicators of cardiac function existence there are also significant differences, differences between groups and C group (P<0.05); the quality of life of patients was significantly better than that of A group and B group, significant difference (P<0.05).

Conclusion

Interventional therapy combined with comprehensive rehabilitation training can improve the patient′s cardiac function and exercise tolerance to a certain extent, and improve the quality of life of the patients.

Key words: Interventional therapy, Rehabilitation training, Coronary heart disease, Exercise tolerance, Quality of life

Renyi Song. Effect of Interventional Therapy Combined with Comprehensive Rehabilitation Training on Exercise Tolerance and Clinical Prognosis in Patients with Coronary Artery Disease[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2017, 05(04): 193-196.

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Figures/Tables 3

References 13

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组别	总运动时间(min)	ST段压低1 mm时间(min)	最大ST段压低幅度(mm)	运动至心绞痛出现时间(min)	最大运动耐量(METs)
A组(n＝100)	5.98±1.10	4.07±0.44	1.80±0.27	5.11±0.47	5.71±0.52
B组(n＝100)	6.22±1.57	4.42±0.58	1.77±0.32	5.76±0.52	5.82±0.64
C组(n＝100)	7.89±1.52	5.99±0.71	1.29±0.24	6.91±1.03	7.11±0.49
F值	2.302	2.224	1.924	2.587	2.200
P值	<0.05	<0.05	<0.05	<0.05	<0.05

组别	总运动时间(min)	ST段压低1 mm时间(min)	最大ST段压低幅度(mm)	运动至心绞痛出现时间(min)	最大运动耐量(METs)
A组(n＝100)	5.98±1.10	4.07±0.44	1.80±0.27	5.11±0.47	5.71±0.52
B组(n＝100)	6.22±1.57	4.42±0.58	1.77±0.32	5.76±0.52	5.82±0.64
C组(n＝100)	7.89±1.52	5.99±0.71	1.29±0.24	6.91±1.03	7.11±0.49
F值	2.302	2.224	1.924	2.587	2.200
P值	<0.05	<0.05	<0.05	<0.05	<0.05

组别	LVEF(%)		A/E		LVEDd(mm)
组别	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
A组(n＝100)	38.61±4.22	40.13±3.10	1.52±0.28	1.47±0.27	55.23±6.39	54.04±6.11
B组(n＝100)	37.88±3.94	43.78±4.56	1.51±0.28	1.45±0.20	55.21±5.97	55.00±5.84
C组(n＝100)	38.22±4.01	52.75±5.57	1.50±0.30	0.89±0.12	54.84±6.21	47.42±4.82
F值	0.441	2.693	0.129	2.004	1.010	2.923
P值	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05

组别	LVEF(%)		A/E		LVEDd(mm)
组别	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
A组(n＝100)	38.61±4.22	40.13±3.10	1.52±0.28	1.47±0.27	55.23±6.39	54.04±6.11
B组(n＝100)	37.88±3.94	43.78±4.56	1.51±0.28	1.45±0.20	55.21±5.97	55.00±5.84
C组(n＝100)	38.22±4.01	52.75±5.57	1.50±0.30	0.89±0.12	54.84±6.21	47.42±4.82
F值	0.441	2.693	0.129	2.004	1.010	2.923
P值	>0.05	<0.05	>0.05	<0.05	>0.05	<0.05

组别	体力限制	情绪	症状	社会限制	总分
A组(n＝100)	12.84±3.49	7.90±2.03	6.22±1.10	5.82±1.12	30.38±4.45
B组(n＝100)	10.58±2.84	7.29±2.11	6.23±1.02	5.57±1.03	29.77±3.90
C组(n＝100)	7.99±1.03	4.08±1.12	4.03±0.44	3.92±0.88	20.07±2.19
F值	3.492	3.023	2.255	2.004	3.211
P值	<0.05	<0.05	<0.05	<0.05	<0.05

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