Clinical Question: Can Exercise Training Reduce the Restenosis Rate in a Man with Coronary Artery Disease after Percutaneous Transluminal Coronary Angioplasty with Stent?

臨床問題：運動訓練是否能降低冠狀動脈疾病患者接受經皮氣球擴張術合併支架放置後的冠狀動脈再阻塞率？

簡盟月(Meng-Yueh Chien) ； 蔡美文(Mei-Wun Tsai) ； 吳英黛(Ying-Tai Wu)

《物理治療》 31卷6期 (2006/12) Pp. 391-396

摘要

「實證物理治療」的目的在收集科學證據並確實應用在臨床決策中。許多證據顯示運動訓練或心臟復健計畫能有效地改善心臟疾病患者的心肺耐力和生活品質，但少有文獻探討經皮氣球擴張術台併支架放置後的冠狀動脈再阻塞率。冠狀動脈再阻塞對這些病患的影響很大，因此本臨床問題就運動訓練是否能降低冠狀動脈疾病患者接受經皮氣球擴張術合併支架放置後的冠狀動脈再阻塞率進行文獻搜尋。結果顯示，目前並無證據支持運動訓練能減少冠狀動脈疾病患者的血管再阻塞率，不過運動訓練可顯著改善這些患者的運動耐力和生活品質。未來仍需要更多隨機臨床試驗針對此主題提供足夠的證據。

關鍵字

運動訓練 ； 經皮氣球擴張術 ； 再阻塞 ； 支架

並列摘要

The purpose of ”Evidence in Practice” is to illustrate how evidence is gathered and used to guide clinical decision making. Plenty of evidence suggested that exercise training on a regular basis or cardiac rehabilitation program is beneficial for the functional capacity and quality of life in patients with cardiac diseases, but little attention was focused on the restenosis rate after percutaneous transluminal coronary angioplasty (PTCA). Restenosis is a common problem that has great impact on patient's outcome. For answering this clinical question, we decided to search the literature to see if there was evidence to demonstrate that an exercise training program could reduce the restenosis rate in the patient with coronary artery disease after PTCA. Only one randomized controlled trial was found from the search, it appears there is no evidence to support the beneficial effects on outcome of restenosis rate after exercise training. Future studies are needed on this issue to provide more evidence.

並列關鍵字

Exercise training ； Percutaneous transluminal coronary angioplasty ； Restenosis ； Stent