老年急性心肌梗死早期运动康复的疗效分析

The effects of early exercise rehabilitation on elderly acute myocardial infarction

目的:观察13例老年急性心肌梗死(AMI)患者早期运动康复的疗效。方法:将13例老年AMI患者分为低危、中危、高危组,分别完成2、3、4周康复程序,其中9例患者出院前进行活动平板运动试验。结果:12例患者如期完成康复程序,生活质量及心率变异性明显改善,出院前生活均能自理,其中9例运动试验测定的METS达5.17±0.71。结论:老年AMI患者病情平稳后,在密切监测、正确药物治疗下进行早期运动康复是可行、安全的,可改善患者的预后。

Objective: The purpose was to study the effects of early exercise rehabilitation in 13 elderly patients with acute myocardial infarction (AMI). Methods: The patients were divided into low-risk group, moderate-risk group and high-risk group, carried exercise prescription individually according to the risk of patients. Nine patients had accomplished the treadmill exercise testing. Results: Twelve AMI patients had accomplished rehabilitation procedure. After exercise rehabilitation, heart rate variability was increased obviously, the quality of life was improved. Twelve patients reached the stage looking to themselves in living and doing some light housework. METs of 9 patients was 5. 17±0. 71. Conclusion: After the disease stability, the early exercise rehabilitation is feasible and safe, and may improve prognosis.