老年急性心肌梗死住院期康复

Exercise rehabilitation in aged patients with acute myocardial infarction in hospitalExercise rehabilitation in aged patients with acute myocardial infarction in hospital

目的:探讨老年急性心肌梗死(AMI)患者住院期康复治疗的疗效、安全性。方法:比较20例接受四周程序康复治疗的老年AMI患者和19例对照患者的临床疗效、安全性。结果:20例老年AMI患者康复治疗未发生并发症;出院3个月后能生活自理的有18例(90％),左室射血分数(LVEF)>50％的患者13例(65％),未发生心绞痛和再梗。对照组发生心绞痛3例,再梗死1例,心衰2例,心源性猝死1例;出院3个月后能生活自理的仅12例(63％),LVEF>50％的患者仅6例(32％)。康复组的临床疗效及心功能(LVEF)均显著好于对照组(P<0.05)。结论:老年急性心肌梗死康复治疗是安全、有效、可行的。

Objective: To explore the effect, feasibility and safety of rehabilitation therapy in aged patients with acute myocardial infarction (AMI) in hospital. Methods: Compared the effect and safety between 20 aged AMI patients treated with 4 weeks exercise rehab (rehab group) and 19 cases treated with routine therapy (control group). Results: In rehab group, there no complications, post-infarction angina and re-infarction occurred; in control group, the angina pectoris (AP) occurred in 3 cases, the re-infarction occurred in 1 case, heart failure occurred in 2 cases and 1 case had sudden death. The patients with left ventricular ejection fraction (LVEF) exceed 50% in rehab group and control group were 13 cases (65%), 6 cases (32%) respectively; the patients could take care of themselves in rehab group and control group were 18 cases (90%). 12 cases (63%) in three months after leaving hospital. The clinical therapeutic effect and LVEF of rehab group were better than control group (P<0. 05 all). Conclusion: Rehab therapy is feasible, safe and effective for aged patients with AMI.