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目的:探讨运动康复训练对轻中度冠脉狭窄患者斑块性质的影响。方法:以2013年6月至2015年6月本院收治的94例轻中度冠脉狭窄的患者为研究对象,将其按照随机数字表法分为观察组与对照组。给予对照组患者常规药物治疗,观察组则在对照组基础上辅以运动康复训练。治疗后6个月,对比分析两组患者斑块性质的变化情况。结果:冠脉超声虚拟组织学检查结果显示,治疗前,观察组患者易损斑块发生率为25.5%,对照组患者易损斑块发生率为27.7%,两组对比,差异无统计学意义(P>0.05);治疗后,观察组患者易损斑块发生率为8.5%,明显低于对照组的25.5%,两组对比,差异具有统计学意义(P<0.05)。结论:运动康复训练在轻中度冠脉狭窄患者中有较好的应用效果,能降低患者易损斑块发生率,改善其斑块成分。
Objective: To investigate the effect of exercise rehabilitation training on plaque quality in patients with mild to moderate coronary artery stenosis. Methods: From June 2013 to June 2015, 94 patients with mild to moderate coronary artery stenosis treated in our hospital were divided into observation group and control group according to random number table. The patients in the control group were given conventional drug treatment. The observation group was supplemented with exercise rehabilitation training on the basis of the control group. Six months after treatment, the changes of plaque characteristics in two groups were compared. Results: Coronary ultrasound virtual histological examination showed that before treatment, the incidence of vulnerable plaque in observation group was 25.5%, while the incidence of vulnerable plaque in control group was 27.7%. There was no significant difference between the two groups (P> 0.05). After treatment, the incidence of vulnerable plaque in the observation group was 8.5%, which was significantly lower than that of the control group (25.5%). There was significant difference between the two groups (P <0.05). Conclusion: Exercise rehabilitation training has a good effect in patients with mild to moderate coronary artery stenosis, can reduce the incidence of vulnerable plaque and improve the plaque composition.