Ciftçi Cavlan, Duman Belgin Süsleyici, Cağatay Penbe, Demiroğlu Cemşid, Aytekin Vedat
Department of Cardiology, Medical Faculty, Florence Nightingale Hospital, Kadir Has University, 80810 Gayrettepe, Istanbul, Turkey.
Anadolu Kardiyol Derg. 2005 Jun;5(2):116-21.
To investigate the effects of phase II cardiac rehabilitation in 52 patients undergone coronary artery bypass surgery.
Gradual walking tests, cardio-pulmonary capacity tests and lipid profile were administered to patients selected for phase II cardiac rehabilitation before and after the programme. Training was started on 12-channel electrocardiogram controlled running bands 3 times a week for 20 min periods for 12 weeks fitting the programme. Low or intermediate level exercise programme was applied to patients. Cleveland Clinic Chronotropic Assessment exercise protocol was used during rehabilitation.
As a result of phase II cardiac rehabilitation administered to 52 patients undergone coronary bypass operation, exercise capacity, oxygen consumption, anaerobic threshold, cardiac output mean values (p<0.001) and mean HDL cholesterol level (p<0.05) were found to increase, whereas body mass index, total cholesterol, LDL cholesterol and triglyceride mean levels reduced (p<0.001) significantly.
In patients who have undergone coronary bypass surgery, phase II cardiac rehabilitation is a very useful programme in improvement of life quality and secondary prevention.
探讨二期心脏康复对52例行冠状动脉搭桥手术患者的影响。
对入选二期心脏康复的患者在该项目前后进行逐步步行测试、心肺功能测试和血脂检测。训练在12通道心电图控制的跑步机上开始，每周3次，每次20分钟，共12周，以适应该项目。对患者采用低或中等强度运动方案。康复期间使用克利夫兰诊所变时性评估运动方案。
对52例行冠状动脉搭桥手术的患者进行二期心脏康复后，发现运动能力、耗氧量、无氧阈值、心输出量平均值（p<0.001）和高密度脂蛋白胆固醇平均水平（p<0.05）增加，而体重指数、总胆固醇、低密度脂蛋白胆固醇和甘油三酯平均水平显著降低（p<0.001）。
对于行冠状动脉搭桥手术的患者，二期心脏康复是改善生活质量和二级预防的非常有用的项目。
