心脏康复治疗对缺血性心肌病室性心律失常的影响

发布时间：2018-06-16 15:57

本文选题：心脏康复 + 缺血性心肌病　；参考：《中国康复医学杂志》2016年07期

【摘要】：目的:探讨心脏康复治疗对缺血性心肌病(ischemic cardiomyopathy,ICM)患者QT间期离散度(QT dispersion,QTd)、T波峰-末间期(the interval from the peak to the end of the T wave,Tp-e)及室性心律失常的影响。方法:取心内科2012年3月—2014年11月住院的ICM患99例,随机分为对照组(常规治疗)54例和治疗组(在常规治疗的基础上给予心脏康复治疗)45例。治疗前后应用超声心动图检测左心室射血分数(left ventricular ejection fraction,LVEF)和短轴缩短率(fractional shortening,FS),心电图(electrocardiogram,ECG)和动态心电图(dynamic electrocardiogram,Holte)检测室性心律失常发生情况并计算心电图QTd、Tp-e。结果:与对照组相比较,治疗组对室性心律失常的有效率显著提高(82.2%比74.1%,P0.05),LVEF和FS显著增高[(49.2±6.6)%比(42.5±5.9)%,(34.8±8.1)%比(25.8±6.2)%,均P0.05],QTd和Tp-e显著减小([45.5±7.5)ms比(51.2±7.9)ms,(118.7±13.1)ms比(129.8±12.6)ms,均P0.01]。结论:心脏康复治疗可改善ICM患者心功能,降低ICM患者QTd、Tp-e及室性心律失常的发生率。
[Abstract]:Objective: to investigate the effects of cardiac rehabilitation on QT dispersion and ventricular arrhythmia in patients with ischemic cardiomyopathy. Methods: Ninety-nine patients with ICM from March 2012 to November 2014 were randomly divided into two groups: the control group (54 cases) and the treatment group (45 cases). Left ventricular ejection fractionation (LVEF), fractional shortening rate (fractional shortening), electrocardiograms (ECG) and dynamic electrocardiograms (Holte) were used to detect ventricular arrhythmias and to calculate ECG QTdTp-e. before and after treatment. Results: compared with the control group, the effective rate of ventricular arrhythmia in the treatment group was significantly higher than that in the control group (82.2% vs 74.1%). LVEF and FS were significantly increased [49.2 卤6.6% vs 42.5 卤5.9% vs 34.8 卤8.1% vs 25.8 卤6.2, P0.05] QTD and Tp-e decreased significantly (45.5 卤7.5)ms vs 51.2 卤7.9 Ms vs 129.8 卤12.6ms, all P 0.01). Conclusion: cardiac rehabilitation therapy can improve heart function and reduce the incidence of QTdTp-e and ventricular arrhythmias in ICM patients.
【作者单位】：湖北省第三人民医院(原湖北省中山医院);
【分类号】：R542.2;R541.7;R49

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