摘要目的 了解冠心病再血管化患者的生存现状,研究活动平板运动试验指导下康复运动(包括行为心理健康康复治疗)对患者生存质量(QOL)的影响.方法 所有患者常规药物治疗同时接受康复运动治疗6周,治疗前后通过简明健康调查问卷(SF-36量表)对患者进行QOL的状况评估并分析评分.结果 冠心病再血管化患者在生存质量受损的严重程度平均分依次为:生理功能(PF) (37.86)、社会功能(SF) (43.67)、精力(45.58)、躯体职能(RP) (65.45)、精神卫生(MH)(68.73)、情感职能(RE) (71.30)、躯体疼痛(BP) (79.52)和一般健康状况(GH) (86.75);通过康复运动包括心理治疗,在PF[(37.86±8.49)、(62.1310.53)],SF[( 43.67±26.23)、(56.98±18.89)],精力[(45.58 ±27.01)、(77.42±23.48)],BP[(79.52 ±9.05)、(87.32±13.14)]4个维度评分差异有统计学意义.结论 规范的康复运动及行为心理治疗有利于患者生存质量的提高.

abstractsObjective To investigate the effects of treadmill testing guided-rehabilitation exercises upon quality of life (QOL) of patients who underwent revascularization for coronary heart disease (CHD).Methods All the participants received routine therapy and rehabilitation for 6 weeks.A 36-item short-form (SF-36) was used to assess QOL of the patients.Results Injured functioning of patients who received revascularization for CHD were physiological function ( 37.86 ),social function ( 43.67 ),vitality (45.58),physical performance ( 65.45 ),mental health ( 68.73 ),role emotion ( 71.30 ),physical pain ( 79.52 ),and general health ( 86.75 ).After intervention,physiology function ( 37.86 ± 8.49 vs 62.13 ± 10.53 ),social function (43.67 ±26.23 vs 56.98 ± 18.89),vitality (45.58 ±27.01 vs 77.42 ±23.48),and physical pain (79.52 ±9.05 vs 87.32 ± 13.14) were significantly improved.Conclusion Rehabilitation exercises and behavioral psychological treatment may be beneficial to improve QOL of patients undergoing revascularization for CHD.