急性心肌梗死患者两周心脏康复治疗的可行性评估和疗效观察

Evaluation in Feasibility and Curative Effect of Rehabilitation Care For Two Weeks on Acute Myocardial Infarction

目的:探讨对无合并症的急性心肌梗死(acute myocardiac infarction,AMI))患者实施2周住院康复程序的安全可行性及其疗效。方法:48例AMI患者随机分成两组:14 d康复组,在常规药物治疗基础上实施14 d康复训练;对照组,只进行常规药物治疗,不进行康复训练。两组患者出院前均以心脏彩超、Holter、汉密顿焦虑量表(HAMA)进行评估。结果:两组患者在住院期间均无死亡、再梗病例发生;两组患者在心脏结构、心功能、心率变异性(heart rate variability,HRV)及心律失常发生率上无显著差异(P>0.05);康复组可明显缩短住院天数,减轻患者焦虑指数。结论:14 d康复方案可缩短患者卧床与住院天数,改善患者精神状态,而不增加住院期间的病死率与再梗率,不影响心脏结构及心电稳定性,是安全可行的。

Objective：To discuss in the safety and curative effect of hospitalized rehabilitation care for two weeks on patients with acute myocardiac infarction（AMI）without complications. Methods： 48 cases of AM1 were randomly divided into two groups： group with rehabilitation for 14 days; group with rehabilitation for 14 days based on routine medications. Cases in control group were treated with routine medicine. The ultrasonic cardiogram, 24- hour ambulatory electrocardiogram（Holter） and psychosis value by Hamilton anxiety scale（HAMA） were evaluated. Resuts：No case was died or recurrent duration of hospital stay in two groups. There was no differences in cardiac structure and function, heart rate variability（HRV）and the incidence of arrhythmia between two groups（P 2〉0.05）. Rehabilitation care decreased the duration of hospital stay and the psychosis value. Conclusion：The rehabilitation cure program for 14 days can shorten the duration of hospital stay and improve the mental status, which had no effect on case fatality rate and recurrent rate of AMI, or myocardiac structure arid electric stability. The program is safe and teasible.