A randomized trial in the US revealed that cardiac rehabilitation (CR) enhanced by stress management training (SMT) improved stress and medical outcomes for patients with coronary heart disease (CHD). 151 outpatients with CHD aged 36 to 84 years were randomized to 12-weeks of comprehensive CR (consisted of 35 minutes of aerobic exercise three times a week, etc.) or CR combined with SMT (12 weekly 1.5-hour sessions of group support and cognitive behavior therapy). A matched sample of CR-eligible patients who did not receive CR comprised a control group. All participants were followed for up to 5.3 years (median = 3.2 years) for clinical events. Patients of CR+SMT exhibited greater reductions in composite stress levels compared with those of CR alone. Both CR groups achieved significant, and comparable, improvements in CHD biomarkers. Participants in the CR+SMT group exhibited lower rates of clinical events compared with CR alone (18% vs. 33%) and both CR groups had lower event rates compared to the control group (47%). Source: http://circ.ahajournals.org/
美国一项随机试验表明，心脏康复并加强压力管理培训改善冠心病患者的压力和医疗效果。 151例36至84岁的门诊冠心病人被随机分配到全面心脏康复12周（包括每周三次35分钟的有氧运动等）或心脏康复和压力管理训练（12次每周1.5小时的会议及认知行为疗法）。符合心脏康复条件而未接受心脏康复的匹配患者作为对照组。随访所有参与者的临床事件长达5.3年（平均3.2年）。 心脏康复和压力管理训练患者与单独的心脏康复相比，综合压力水平呈现较大幅度的下降。两个心脏康复组冠心病生物标志均取得了显著，且相当的改善。心脏康复和压力管理训练组患者与单独的心脏康复相比，临床事件率更低（18％对33％）；与对照组（47％）相比，两个心脏康复组临床事件率较低。来源：http://circ.ahajournals.org/
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