急性心肌梗死早期康复治疗35例临床分析

Clinical analysis of early rehabilitation treatment of 35 cases with acute myocardial infarction

本文报道 35例急性心肌梗死患者的早期康复治疗。其中男性 31例 ,女性 4例。平均年龄 56 71±9 8岁。前期无心脏并发症者 15例 ,前期有心脏并发症者 2 0例。除接受常规心肌梗死治疗外 ,在病情稳定后开始康复程序 ,程序结束出院前采用心脏超声、动态心电图及活动平板运动试验进行心脏功能评定。全组病例在康复训练中及早期活动平板运动试验中未发生心脏事件 ,故急性心肌梗死早期康复安全可行。本文还对急性心肌梗死早期康复病例选择、康复程序进行中的注意事项和出院时评价进行讨论。

The following report is on the early rehabilitation treatment of 35 cases with acute myocardial infarction,31 males and 4 females.The average age is 56.71±9.8 years.Among the 35 cases 15 are without complication of myocardial infarction and 20 are opposite.Besides the regular myocardial infarction treatment,the rehabilitation treatment is added after the initial period and before the patients leave the hospital, echocardiography, Holter monitor ECG and treadmill test are adopted to evaluate heart function.All the cases are without heart event during the early active treadmill test and rehabilitation treatment, so we conclude that it is safe and proper to early start treatment to acute myocardial infarction.The report will also discuss about the choice of the cases,the notes during the process and the evaluation of the cases after the treament and before leaving the hospital.