van Dixhoorn J, Duivenvoorden H J, Staal J A, Pool J, Verhage F
St Joannes de Deo Hospital, Haarlem, The Netherlands.
Eur Heart J. 1987 Nov;8(11):1210-4. doi: 10.1093/oxfordjournals.eurheartj.a062194.
Comprehensive cardiac rehabilitation aims primarily at improving quality of life, but an effect on morbidity and mortality may also be expected, especially when changes in behaviour and life-style are induced. The value of relaxation therapy and exercise training in post myocardial infarction (MI) patients was investigated. A group of 90 post MI patients were randomly assigned to either exercise training plus individual relaxation and breathing therapy (treatment A), or exercise training only (treatment B). The occurrence of cardiac events, consisting of cardiac death and of readmission to hospital for unstable angina pectoris, coronary artery bypass grafting (CABG) or recurrent infarction, differed significantly for the two treatment groups in the 2-3 years after infarction. Seven out of 42 patients in treatment group A (17%) experienced a cardiac event, in contrast to 17 out of 46 (37%) patients in treatment group B, (P = 0.05, two-tailed). The results suggest that a combination of a behavioural treatment such as relaxation therapy with exercise training is more favourable for the long-term outcome after myocardial infarction than is exercise training alone.
综合心脏康复主要旨在提高生活质量，但也有望对发病率和死亡率产生影响，尤其是在引发行为和生活方式改变时。研究了放松疗法和运动训练对心肌梗死（MI）后患者的价值。一组90名心肌梗死后患者被随机分为两组，一组接受运动训练加个体放松和呼吸疗法（治疗A），另一组仅接受运动训练（治疗B）。在心肌梗死后2至3年，两组治疗中由心源性死亡以及因不稳定型心绞痛、冠状动脉搭桥术（CABG）或再次梗死而再次入院组成的心脏事件发生率存在显著差异。治疗组A的42名患者中有7名（17%）发生了心脏事件，相比之下，治疗组B的46名患者中有17名（37%）发生了心脏事件，（P = 0.05，双侧）。结果表明，与单独的运动训练相比，诸如放松疗法等行为治疗与运动训练相结合对心肌梗死后的长期预后更有利。
