Samsonov M A, Pokrovskaia G R, Shadur S S, Zubenko A D
Klin Med (Mosk). 1989 Jan;67(1):79-83.
Study of the influence of a long-term staged use of diet therapy during prophylactic medical observation of post-myocardial infarction patients has shown that the anti-sclerosis diet used under clinical conditions was effective for relieving the angina pectoris syndrome and obtaining favourable dynamic changes in a number of metabolic parameters. Among the out-patients the diet was used by only 76 per cent. A comparative study of the results of diet therapy during the 3-year medical observation has shown a clear tendency to a gradual reduction of hyperlipoproteinemia and excessive body weight in patients who adhered to the diet. The parameters under study in the group of patients who violated the diet returned to the original level. The incidence of recurrent myocardial infarctions in patients on a diet was twice as low as in those who violated it. Prolonged diet therapy considerably improved parameters of IHD patients' working capacity. A special model has been elaborated for adequate use of the nutritional factor at all stages of the rehabilitation program.
对心肌梗死后患者进行预防性医学观察期间长期分阶段使用饮食疗法的影响研究表明，临床条件下使用的抗硬化饮食对于缓解心绞痛综合征以及在一些代谢参数方面获得有利的动态变化是有效的。在门诊患者中，只有76%的人使用了这种饮食。对三年医学观察期间饮食疗法结果的比较研究表明，坚持饮食的患者中高脂血症和超重有逐渐减轻的明显趋势。违反饮食规定的患者组中所研究的参数恢复到了原来的水平。饮食患者复发性心肌梗死的发生率比违反饮食规定的患者低一半。长期饮食疗法显著改善了缺血性心脏病患者的工作能力参数。已经制定了一个特殊模型，以便在康复计划的所有阶段充分利用营养因素。
