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目的:观察不同心脏康复训练方法对慢性稳定型心绞痛患者生活质量的影响。方法:将收治的50例稳定型心绞痛患者分为2组各25例,2组均采用心内科常规治疗,平板-康复踏车组在此基础上加用平板-康复踏车康复训练;八段锦组加用八段锦康复训练。疗程均为3月,观察患者健康调查简表(SF-36)、西雅图心绞痛量表(SAQ)积分、6 min步行试验、再住院率、坚持锻炼时间的情况。结果:与治疗后比较,2组SF-36量表各项指标、SAQ积分情况、6 min步行试验距离分别与治疗前比较,差异均有统计学意义(P<0.05),均优于治疗前,提示2组康复方法均有效。治疗后,2组SF-36量表各项指标、SAQ积分情况、6 min步行试验距离分别比较,差异均无统计学意义(P>0.05),提示2组康复方法效果相当。3月康复训练期间,坚持锻炼时间平板-康复踏车组(49.87±3.8)天,八段锦组(84.45±2.78)天(包括开始学习时间),2组比较,差异有统计学意义(P<0.01)。再住院率八段锦组4%,平板-康复踏车组12%,2组再住院率比较,差异无统计学意义(P>0.05)。结论:平板-康复踏车与八段锦训练均可改善慢性稳定型心绞痛患者生活活动能力,提高患者生存质量,相较常规器械训练,八段锦更加简单安全,操作方便、患者依从性更强,可有效保持康复的延续性。
Objective: To observe the effects of different cardiac rehabilitation training methods on quality of life in patients with chronic stable angina pectoris. Methods: Fifty patients with stable angina pectoris were divided into two groups of 25 cases. The two groups were treated by routine cardiology, and the treadmill-rehabilitation treadmill was supplemented with treadmill-rehabilitation treadmill rehabilitation training. Kam plus eight sections of Kam rehabilitation training. The course of treatment was March. The SF-36, SAQ score, 6-min walking test, rehospitalization rate and insistence on exercise time were observed. Results: Compared with those before treatment, the indexes of SF-36, SAQ score and walking distance at 6 min in two groups were significantly different from those before treatment (P <0.05), which were better than those before treatment , Suggesting that two groups of rehabilitation methods are valid. After treatment, the indexes of SF-36, the score of SAQ and the distance of 6-minute walking test in two groups were not significantly different (P> 0.05), which suggested that the two groups of rehabilitation methods had the same effect. During the rehabilitation training in March, the training time was 49.87 ± 3.8 days in treadmill treadmill exercise group and 84.45 ± 2.78 days in Baduanjin group (including the time to start the study). There was significant difference between the two groups (P <0.01). The rate of rehospitalization was 4% in Baduanjin group and 12% in treadmill-rehabilitation treadmill group. There was no significant difference in rehospitalization rate between the two groups (P> 0.05). Conclusion: The treadmill-rehabilitation treadmill and Baduanjin training can improve the living activities of patients with chronic stable angina and improve the quality of life of patients. Compared with conventional training, Baduijin is simple and safe, easy to operate and patient-friendly , Can effectively maintain the continuity of rehabilitation.