| Objective: Percutaneous transluminal coronary angioplasty (PTCA) and stent implantation for treatment of coronary heart disease (CHD)in China patients have good effect, at present as one of the revascularization treatment of choices. Studies have pointed out that the coronary stent implantation is still 20% -30% of re-stenosis and PTCA-stent restenosis is now an inevitable problem .A number of studies have shown that high cholesterol are independent risk factors. Blood cholesterol (TC), triglyceride (TG) and low-density lipoprotein (LDL) related to the degree of coronary stenosis are positively correlated, while high-density lipoprotein (HDL) is negatively correlated with the degree of coronary stenosis. Therefore, control of lipid levels after stent implantation, eliminating risk factors, prevention of coronary-stent restenosis for the prognosis of postoperative patients have a major impact.Rehabilitation exercise can reduce the platelet activity and the formation of coronary thrombosis and can conduct to maintaining the PTCA after coronary recanalization and delay the occurrence of restenosis, to correct lipid metabolism disorder, so that exercise stress-induced myocardial ischemia reduction, significantly reduced the incidence of angina and cardiac events, so that patients can soon return to normal social activities and work. The topic focused study of patients with stent implantation in patients with cardiac rehabilitation exercise on blood lipids and quality of lifeMethods: The subject of a systematic stratified sampling method in the Affiliated Hospital of Hebei University of Cardiology, successful coronary stent implantation in patients with hyperlipidemia were randomly divided into experimental group and control group, the control group receive routine postoperative treatment, the experimental group receive rehabilitation exercise training except routine treatment at the same time. After 6-10 months follow-up of patients with blood lipid values and the issuance of the Seattle Angina Scale (SAQ), Self-Rating Anxiety Scale (SAS) and the Symptom Checklist (SCL-90), compared two groups of patients with psychological status, life quality and lipid levels. All data are used for statistical analysis and processing software SAS8.0.Results:1 The survey of 126 questionnaires were issued, 124 questionnaires were recovered, the recovery rate 98.4%, of which 120 valid questionnaires, efficiency 95.2%.2 Postoperative and preoperative groups compared to the quality of life were markedly improved, the two groups have difference in degree of activity limitation, Angina stability, angina attack, aspects of the awareness of high level in disease of four dimensions (P <0.05). Treatment satisfaction has no statistical difference between two groups (P> 0.05).3 Routine postoperative groups were taking lipid-lowering drugs, whereas rehabilitation group, pre-exercise no significant difference in blood lipid levels, exercise science scientifically. After collection of the lipid levels in our hospital, two groups in total cholesterol ( TG enzyme) have significant difference(P <0.05), high-density lipoprotein (HDL) is significantly higher (P <0.05). Rehabilitation group had significant improvement in blood lipid levels.4 In psychological scores rehabilitation group is significantly lower than the control group, the degree of anxiety reduced and has fewer symptoms. Psychological condition is good.5 Rehabilitation group and control group, significantly reduced the number of angina attacks, left ventricular ejection fraction significantly increased and the incidence of cardiac events decreased significantly. Physiological function and physiological functions have improved significantly. Conclusion: Rehabilitation exercise training can improve blood lipids, psychological state and reduce the number of patients with angina pectoris and the incidence of cardiac events and improve the quality life of patients . |
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