急性心肌梗塞患者早期康复治疗的临床观察

Effects of early rehabilitation program on AMI patients

目的探讨早期康复治疗对无合并症急性心肌梗塞（ＡＭＩ）患者住院期病情的影响。方法２０３例ＡＭＩ患者前瞻性随机分为早期康复治疗组（组１１０１例）及对照组（组２１０２例）。两组主要基线资料具可比性。组１采用早期康复治疗方案，组２采用传统康复治疗方案。结果两组在左室射血分数、平板运动试验阳性、Ｈｏｌｔｅｒ中ＬｏｗｎＩＩ级以上室性心律失常、心室晚电位阳性、ＷａｇｎｅｒＳｅｌｖｅｓｔｅｒ心电图分值以及梗塞后心绞痛、再梗塞、住院期死亡等的构成在统计学上差异均无显著性（Ｐ＞００５）。早期康复组在增加运动量过程中出现心绞痛或呼吸困难４例，均于停止递增运动量后消失。结论无合并症ＡＭＩ患者实行早期康复治疗是安全可行的。

Objective To investigate the effects of early rehabilitation program on patients with acute myocardial infarction (AMI) Methods Two hundred and three consecutive patients with uncomplicated AMI admitted to CCU from June 1995 to September 1997 were prospectively randomised into early rehabilitation group (group 1, n=101) and control group (group 2, n=102) Patients in the two groups were wellmatched in terms of major basic materials Patients in group 1 received early rehabilitation program while those in group 2 received traditional rehabilitation program Results No significant differences were found between the two groups in terms of left ventricular ejection fraction , WagnerSelvester ECG scores, positive treadmill exercise ECG test, Lown classification of ventricular arrhythmias> in Holter monitoring, positive ventricular late potentials, post infarction angina, reinfarction and hospital mortality Conclusion Early rehabilitation progarm is safe and feasible for patients with uncomplicated acute myocardial infarction