42例急性心肌梗死住院期综合康复医疗临床观察

Clinic observation of rehabilitation therapy in 42 patients with acute myocardial infarction

目的 :探讨急性心肌梗死早期综合康复医疗的可行性、安全性及临床效果。方法 :对 42例初发急性心肌梗死(AMI)患者采取递增体力活动为主 ,辅以宣教、咨询的 2周康复医疗 ,并与同期收住的 30例急性心肌梗死非康复医疗为对照组。结果 :康复组不增加并发症发生率 (P>0 .0 5 ) ,且能明显缩短住院时间 ,改善功能贮量 ,改善精神、心理状态 ,改善生活质量。结论 :通过严格筛选、密切监测 ,对无或有轻度并发症的 AMI患者住院期实行综合康复医疗是安全、可行的 ,可缩短住时间 ,改善患者生活质量。

Objective:To explore the effect,feasibility,and safety of early rehabilitation after acute myocardial infarction(AMI).Methods:Forty\|two AMI patients were treated with two\|week\|rehabilitation\|program(rehabilitation group),which is based on progressively increase activity assisting education and consult.Meanwhile 30 AMI patients treated with routine treatment were control group.Results:Incidence rates of complication were no increase,average days of hospital stay were decreased.Functional capacity was increased,psychological status was amelioration significantly in rehabilitation group,compared with control group.Conclusion:Early rehabilitation after AMI is feasible,safe and effective. Author′s address Department of Cardiology,Leling People Hospital,Shandong,253600