两周程序康复在急性下壁心梗合并房室传导阻滞患者中的应用(附9例报告)

A Two-Week-Rehabilitation-Programme for Acute Inferior Myocardial Infarction with Atrioventricuiar Block

目的：探讨二同程序对急性下壁心肌梗塞的康复治疗作用．方法：对9例合并有Ⅱ～Ⅲ。AVB的急性下壁心肌梗塞（AMI）患者进行两周程序康复。结果：所有病人均如期完成康复程。有6例患者在出院前顺利完成了症状限制性踏车运动试验，随访3～34月，所有患者均能不同程度地参加家务活动、锻炼或轻松工作。结论；下壁急性心肌梗塞合并Ⅱ。AVB患者慎重采用两周方案仍是可行的，但务须严格掌握禁忌症并采用个体化的原则．才能保证康复活动的顺利进行．

Objective: To observe the function of Two-Week-Rebabilitation-Programme for acute inferior myocardial infarction (MI) with atrioventricular block. Method: A two-week-programme was carried out in 9 cases with acute inferior MI complicating Ⅱ～Ⅲ degree atrioventricular block. The average age of patients was 58. 44±10. 52 years. Results: When programme was finished, 6 patients had accomplished the symptom-limited bicycle exercise testing (ET), maximum tolerance was 95. 83±17. 17W and 4. 64±1. 01 METs. There was no serious complication in ET course. The duration in hospital was mean 18. 11±6. 23 days. Followingup for 3 to 34 months, all patients could return to work, do some physical training or some light housework- Conclusion: The rcsults suggest that Two-Week-Rehabilitation-Programme is safe and feasible for in ferior MI with Ⅱ～Ⅲ degree atrioventricular Author's address Department of Cardiac Rehabilitation, Quanzhou No. 1 Hospital. Quanzhou. Fujian,362002