急性心肌梗死早期康复治疗的临床观察

Clinical Observation of Early Rehabilitation Program on AMI Patients

目的探讨急性心肌梗死(AMI)早期康复治疗的效果及意义。方法将72例无合并症AMI患者根据适应证需要和家属意见进行不同的治疗,分为早期康复治疗组和对照组各36例,分别实施2周早期康复治疗方案和传统康复治疗方案。结果两组在梗死后心绞痛、再梗死、住院期死亡等方面的差异均无统计学意义(P>0.05)。在左心室射血分数、lownⅡ级以上室性心律失常、坠积性肺炎的发生率和平均住院天数、出院时达到生活自理等方面的差异有统计学意义(P<0.05)。结论无合并症的AMI患者实行早期康复治疗安全可行,可以减少卧床并发症的发生,促进康复。

Objective To investigate the effects and significance of early rehabilitation program on patients with acute myocardial infarction（AMI）.Methods 72 consecutive patients with uncomplicated AMI were prospectively divided into early rehabilitation group（group 1,n=36）and control group（group 2,n=36）.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 post infarction angina,reinfarction and hospital mortality（P0.05）.Significant differences were found between the two groups in terms of left ventricular ejection fraction,ventricular arrhythmia of Lown Ⅱ or above,hypostatic pneumonia,average days of hospitalization and achieving self-care upon discharge（P0.05）.Conclusion Being safe and feasible for patients with uncomplicated AMI,early rehabilitation program can reduce the occurrence of bed complications and promote rehabilitation.