2周住院心脏康复程序对急性心肌梗死患者血脂、生存质量及精神心理状态的影响

Effects of a two-week,hospitalized cardiac rehabilitation program on serum lipid profiles,quality of life and psychological status in patients with acute myocardial infarction

目的:探讨2周住院心脏康复程序对急性心肌梗死(AMI)患者血脂、生存质量及精神心理状态(焦虑)的影响。方法:选择轻度AMI患者40例,随机分为对照组20例,康复组20例。对照组进行常规内科治疗,康复组在常规内科治疗的同时进行2周住院心脏康复程序治疗,出院后继续康复治疗3个月。康复前及康复3个月后分别评价血脂水平,生存质量(QOL)、状态-特质焦虑(state-traitanxietyinventory,STAI)及体力活动程度,与对照组及康复前进行比较。结果:康复前,两组间的各项指标比较差异无显著性意义。康复组,与康复前比较,康复3个月后HDL-C(P<0.01)、TC/HDL-C(P<0.05)均得到明显改善;康复后QOL总分和社会态度与主观幸福感评分均比康复前明显增加(P均<0.05);状态焦虑(S-AI)和特质焦虑(T-AI)均比康复前明显降低(P均<0.05);康复后体力活动程度明显改善(P<0.01)。结论:2周住院心脏康复程序能明显改善轻度AMI患者的血脂,改善体力活动程度,改善精神心理状态(焦虑),提高生存质量。

Objective：To investigate the function of a two-week,hospitalized cardiac rehabilitation program on serum lipid profiles,quality of life （QOL） and psychological status （Anxiety） in patients with AMI.Method：40 cases of AMI were randomly divided into two equal groups. Both groups received medicine therapy.Meanwhile,the rehabilitation group participated a two-week,hospitalized cardiac rehabilitation program.The serum lipid profiles,QOL,State-Trait Anxiety Inventory （STAI）and physical activity of the patients were assessed before and 3-months follow-ups.Result： There were no significant differences in the all indices between the two groups at baseline. In the rehabilitation group,the HDL-C （P〈0.01） and TC/HDL-C （P〈0.05） had improved significantly,the QOL total score and the social attitude and subjective well-being score had increased （P〈0.05）,the State Anxiety Inventory （S-AI） and the Trait Anxiety Inventory （T-AI） had decreased significantly （P〈0.05）,and the physical activity had improved significantly at the 3-month follow-up.Conclusion：The two-week,hospitalized cardiac rehabilitation program improved the serum lipid profiles,the physical activity,the psychological status （Anxiety） and QOL in patients with AMI.