Abstract：
OBJECTIVE: Aim: To evaluate the rehabilitation potential, effectiveness and safety of landscape therapy in the complex rehabilitation treatment of patients with post-infarction cardiosclerosis (PC) complicated by chronic post-infarction cardiac aneurysm (CPCA) at the sanatorium stage.
METHODS: Materials and Methods: We examined 62 patients with PC complicated by CPCA aged 38 to 65 years. Patients were randomized into two groups: the 1st group was undergoing the \"Progressive gait\" physical activity protocol in the city, and the 2nd group - in the rehabilitation department in a sanatorium. Survey, six-minute walk test, electrocardiography, echocardiography, coronary angiography were performed.
RESULTS: Results: The average distance that 2nd group patients walked in 6 minutes increased from 301.00 ±17.00 to 467.00 ±32.00 m (p<0.05). Only in patients of 2nd group during 3 weeks of complex rehabilitation there was a decrease in body mass index from 23.70 ±1.60 to 18.90 ±1.50 and the diameter of the calf muscle significantly increased from 33.90 ±2.30 cm to 38.10 ±3.10 cm (p < 0.05). Ejection fraction in the 2nd group was 51.00 ±4.50% compared to the 1st group - 44.70 ±3.60% (p < 0.05), which was accompanied by a decrease in the functional class of heart failure in patients of the 2nd group.
CONCLUSIONS: Conclusions: The rehabilitation potential of landscape therapy in the complex rehabilitation treatment of patients with complicated PC at the sanatorium stage is determined by a significant improvement in myocardial contractility and physical endurance of patients, and improving the quality of life.
METHODS: Materials and Methods: We examined 62 patients with PC complicated by CPCA aged 38 to 65 years. Patients were randomized into two groups: the 1st group was undergoing the \"Progressive gait\" physical activity protocol in the city, and the 2nd group - in the rehabilitation department in a sanatorium. Survey, six-minute walk test, electrocardiography, echocardiography, coronary angiography were performed.
RESULTS: Results: The average distance that 2nd group patients walked in 6 minutes increased from 301.00 ±17.00 to 467.00 ±32.00 m (p<0.05). Only in patients of 2nd group during 3 weeks of complex rehabilitation there was a decrease in body mass index from 23.70 ±1.60 to 18.90 ±1.50 and the diameter of the calf muscle significantly increased from 33.90 ±2.30 cm to 38.10 ±3.10 cm (p < 0.05). Ejection fraction in the 2nd group was 51.00 ±4.50% compared to the 1st group - 44.70 ±3.60% (p < 0.05), which was accompanied by a decrease in the functional class of heart failure in patients of the 2nd group.
CONCLUSIONS: Conclusions: The rehabilitation potential of landscape therapy in the complex rehabilitation treatment of patients with complicated PC at the sanatorium stage is determined by a significant improvement in myocardial contractility and physical endurance of patients, and improving the quality of life.
摘要：
目的：目的：评估康复潜力，在疗养院阶段，景观疗法在梗塞后心脏硬化（PC）并发慢性梗塞后心脏动脉瘤（CPCA）患者的复杂康复治疗中的有效性和安全性。
方法：材料和方法：我们检查了62例PC并发CCPA患者，年龄38至65岁。患者被随机分为两组：第一组在城市接受“渐进步态”身体活动方案，和第二组-在疗养院的康复部门。Survey,六分钟步行测试,心电图,超声心动图,进行冠状动脉造影。
结果：结果：第二组患者在6分钟内的平均步行距离从301.00±17.00增加到467.00±32.00m（p<0.05）。只有第2组患者在3周的复杂康复过程中，体重指数从23.70±1.60降低到18.90±1.50，小腿肌肉的直径从33.90±2.30cm显着增加到38.10±3.10cm（p<0.05）。第二组射血分数为51.00±4.50%，第一组为44.70±3.60%(p<0.05)，伴随着第2组患者的心力衰竭功能等级的降低。
结论：结论：景观疗法在疗养院阶段复杂PC患者的复杂康复治疗中的康复潜力取决于患者心肌收缩力和身体耐力的显着改善，提高生活质量。
方法：材料和方法：我们检查了62例PC并发CCPA患者，年龄38至65岁。患者被随机分为两组：第一组在城市接受“渐进步态”身体活动方案，和第二组-在疗养院的康复部门。Survey,六分钟步行测试,心电图,超声心动图,进行冠状动脉造影。
结果：结果：第二组患者在6分钟内的平均步行距离从301.00±17.00增加到467.00±32.00m（p<0.05）。只有第2组患者在3周的复杂康复过程中，体重指数从23.70±1.60降低到18.90±1.50，小腿肌肉的直径从33.90±2.30cm显着增加到38.10±3.10cm（p<0.05）。第二组射血分数为51.00±4.50%，第一组为44.70±3.60%(p<0.05)，伴随着第2组患者的心力衰竭功能等级的降低。
结论：结论：景观疗法在疗养院阶段复杂PC患者的复杂康复治疗中的康复潜力取决于患者心肌收缩力和身体耐力的显着改善，提高生活质量。
