急性心肌梗死患者10d康复治疗的可行性评估与疗效研究

A feasibility evaluation and effective observation of ten-day rehabilitation of acute myocardial infarction patient

目的探讨无合并症的急性心肌梗死(AMI)患者实施10d住院心脏康复程序的可行性及其疗效。方法 51例AMI患者随机分成两组:10d康复组:在常规药物治疗基础上实施10d康复训练;对照组:在常规药物治疗基础上实施2周康复训练。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、再梗死病例发生;两组患者在心功能、心率变异性(heart rate variability,HRV)及焦虑指数上差异无统计学意义(P>0.05);10d康复组可缩短住院天数。结论 10d康复方案可缩短患者住院天数,而不增加住院期间的病死率与再梗死率,未见影响心脏结构和功能及心电稳定性的现象。

Objective To investigate the effectiveness and feasibility of ten day hospitalized cardiac rehabilitation program on patients with acute myocardial infarction（AMI） without complications.Methods Fifty-one patients with AMI were randomized into rehabilitation group who received ten-day rehabilitation program and control group who only received the two-week rehabilitation program.Patients received Ultrasonic Cardiogram,24-hour ambulatory electrocardiogram（Holter） and psychosis valuing by Hamilton Anxiety Scale（HAMA） before leaving hospital.Results There were no incidence of death and reinfarction in two groups.No significant differences were found among the two groups in terms of cardiac structure and function,HRV and HAMA.But Ten-day hospitalized cardiac rehabilitation program could shorten the days of hospitalization.Conclusions Ten-day hospitalized cardiac rehabilitation program does not increase the hospital mortality and the incidence rate of reinfarction,also does not affect cardiac structure and function,myocardial electrical stability.But it apparently shortens the days of hospitalization.Ten-day hospitalized cardiac rehabilitation program is safe and feasible.