Digenio A G, Sim J G, Krige K, Stewart A, Morris R, Dowdeswell R J, Padayachee G N
Cardiac Rehabilitation Centre, Johannesburg City Health Department.
S Afr Med J. 1991 Feb 16;79(4):183-7.
Cardiac rehabilitation has become a generally accepted mode of treatment for patients suffering from coronary artery disease. The Johannesburg cardiac rehabilitation programme was started in 1982 and has rapidly grown to become one of the largest programmes in southern Africa. This paper describes the 387 patients admitted to the unit between June 1986 and July 1988 and evaluates the effects of a combined exercise training and lifestyle modification programme. The mean age on admission was 55 years for males and 58 years for females. Most patients were from social classes I and II. Myocardial infarction, coronary artery bypass graft and a combination of both were the most common reasons for admission (35.4%, 23% and 21.2% respectively). On admission 72.9% of patients were smokers, 26.3% had hypertension and 34.3% had hypercholesterolaemia. A 50% drop-out rate within 12 months of starting the programme was noted. An increase in peak oxygen uptake, weight and skinfold thickness reduction, and improvement in the lipogram were seen after 6 months in patients who complied well with the programme. Cardiac rehabilitation is a secondary preventive strategy that can complement traditional medical and surgical therapies.
心脏康复已成为冠状动脉疾病患者普遍接受的治疗方式。约翰内斯堡心脏康复项目始于1982年，并迅速发展成为南部非洲最大的项目之一。本文描述了1986年6月至1988年7月间收治于该科室的387例患者，并评估了运动训练与生活方式改变相结合的项目效果。入院时男性的平均年龄为55岁，女性为58岁。大多数患者来自社会阶层I和II。心肌梗死、冠状动脉搭桥术以及两者皆有的情况是最常见的入院原因（分别为35.4%、23%和21.2%）。入院时，72.9%的患者吸烟，26.3%患有高血压，34.3%患有高胆固醇血症。该项目启动后的12个月内，有50%的患者退出。在很好地遵循该项目的患者中，6个月后观察到峰值摄氧量增加、体重增加、皮褶厚度减小以及血脂谱改善。心脏康复是一种二级预防策略，可作为传统医学和外科治疗的补充。
