急性心肌梗塞早期康复的临床研究

The clinical study of eartly rehabilitation in patients with acute myocardial infarction

目的：通过随机对照研究评价早期康复对急性心肌梗塞的治疗效果。方法：６０ 例急性心肌梗塞病人随机分为实验组与对照组。实验组进行运动量循序渐进的３ 周或４ 周早期康复活动，对照组执行传统的分周护理方案、实验结束后观察心功能、室性心律失常、运动耐量、血栓及栓塞发生率及住院日数等。结果：实验组运动试验最大代谢当量高于对照组（Ｐ＜０．０５） 、Ｌｏｗｎ Ⅲ级以上的室性心律失常发生率少于对照组（Ｐ＜ ０．０５）、血栓及栓塞发生率、住院日数少于对照组（Ｐ＜ ０．０１）、左室射血分数有改善倾向。结论：早期康复明显改善急性心肌梗塞病人预后并缩短住院时间。

s:To evaluate the early rehabilitation effects on acute myocardial infarction (AMI) through study of randomized comparison.Methods:Sixty patients with AMI were categorized into two groups randomly,Contrast group and experiment group.The patients in experiment group increasing the amount of exercise regularly for three or four weeks;The patients in contrast group practise traditional nursing plan weekly.when experiment finished,left ventricular function、ventricular arrhythmia、exercise tolerance、incidence of thrombosis and embolism、hospitatization were observed.Results:The maximum metabolism equiualent of exercise of experiment group higher than that of contrast group (P<0.05);incidence of ventricular arrhythmia above lown Ⅲ less than that of contrast group (P<0.01);left ventricular ejection fraction improved. Conclusions:Early rehabilitation improves the prognosis in patients with AMI markedly and shorten hospitalization.