| 倪明科,林 琍,宗文霞,张 明,李 昌.心脏康复治疗对缺血性心肌病室性心律失常的影响[J].中国康复医学杂志,2016,(7):770~774 |
| 心脏康复治疗对缺血性心肌病室性心律失常的影响 点此下载全文 |
| 倪明科 林 琍 宗文霞 张 明 李 昌 |
湖北省第三人民医院(原湖北省中山医院)
，湖北武汉，430033 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 1686 |
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| 摘要： |
| 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%，P<0.05），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P<0.05]，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P<0.01]。
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。 |
| 关键词：心脏康复 缺血性心肌病 室性心律失常 |
| Effects of cardiac rehabilitation on ventricular arrhythmias of ischemic cardiomyopathy Download Fulltext |
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| Dept. of Cardiology, The Third People's Hospital in Hubei Province, Hubei Wuhan, 430033 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To investigate the effects of cardiac rehabilitation on the QT dispersion(QTd), the interval from the peak to the end of the T wave (Tp-e) and the ventricular arrhythmias of ischemic cardiomyopathy (ICM).
Method: From March 2012 to November 2014, 99 inpatients of department of cardiology were assigned to the control group (n=54), which was treated routinely, and the treated group (n=45), which was given cardiac rehabilitation besides routine treatment. Left ventricular ejection fraction (LVEF) and fractional shortening (FS) were tested by echocardiography. ECG and Holter were examined and QTd,Tp-e was measured.
Result: Compared with the control group, the effective ratio for ventricular arrhythmias (82.2% vs. 74.1%, P<0.05) was significantly increased with increased LVEF and FS[(49.2±6.6)% vs. (42.5±5.9)%, (34.8±8.1)% vs(25.8±6.2)%, all P<0.05]. At the same time, QTd and Tp-e were significantly decreased [(45.5±7.5)ms vs. (51.2±7.9)ms，(118.7±13.1)ms vs. (118.7±13.1)ms，all P<0.01] in the treated group.
Conclusion: Cardiac rehabilitation can improve cardiac function, decrease QTd and Tp-e, and ameliorate ventricular arrhythmias of ischemic cardiomyopathy significantly. |
| Keywords:cardiac rehabilitation ischemic cardiomyopathy ventricular arrhythmia |
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