康复运动有助于心肌梗塞患者的恢复

Rehabilitation exercise conduced to rehabilitation of patients with myocardial infarction

目的:探讨早期康复运动对急性心肌梗塞患者的疗效。方法:将2002年8月到2004年10月在我院循环内科住院并符合入选标准的80例急性心肌梗塞患者,按自愿原则,分成两组,治疗组早期进行常规药物治疗,并早期实行严格合理的运动疗法,对照组绝对卧床,只进行常规药物治疗,不进行康复训练。采用Barthel指数评定患者的日常生活能力,并对比两组的平均住院天数,住院期间的平均花费,心律失常的发生率及生活自理能力,两组患者两年后心肌梗塞的再发率。结果:治疗组平均住院天数、平均花费较对照组减少(P<0.05),日常生活能力较对照组有显著改善(P<0.05),心律失常的发生率两组之间无显著性差异,治疗组的生活自理能力优于对照组(P<0.05)。两年后,治疗组心肌梗塞的再发率均低于对照组(P<0.05)。结论:康复运动有助于心肌梗塞患者的恢复。

Objective： To explore the effects of rehabilitation exercise on patients with myocardial infarction. Methods： The 80 patients with myocardial infarction were divided into two groups according voluntary： rehabilitation group （40 cases, treated with routine drug therapy and program exercise）, control group （40 cases, treated with routine drug therapy, and without exercise training）. Results： Compared with control group, the average days of hospitalization and average cost in hospital decreased （P〈0.05 all）. Barthel index and self-care capability of life increased （P〈0. 05 all）; the incidence rate of re-myocardial infarction after two years significantly decreased （P〈0.05） in rehabilitation group. Conclusion： Rehabilitation exercise conduced to rehabilitation of patients with myocardial infarction.