老年急性心肌梗死早期康复的临床观察

Clinical observation of rehabilitation therapy on elderly patients with acute myocardial infarction

目的 :探索老年急性心肌梗死 (AMI)早期康复治疗的安全、有效、可行性。方法 :根据个体化及活动量循序渐进的原则 ,对 2 0例老年 AMI无并发症患者开展 8～ 14日程序康复治疗。结果 :2 0例老年 AMI患者早期康复治疗未发生一例并发症 ,出院 3个月随访的 5 0 %患者 L VEF≥ 5 0 % ,另 5 0 %患者 L VEF达 45 %左右 ,未发生再梗 ,可生活自理。 2 0例患者随访一年均健在。结论 :AMI早期康复活动是安全、有效。

Objective:To explore the safety and efficacy of early rehabilitation therapy in elderly patients with acute myocardial infarction (AMI).Methods:According the principle of individual and progressive increase in exercising volume 20 elderly patients with AMI but without complication carry out 8-14 days rehabilitation program.Results:Coniplication was no occurred in all AMI patients.After early rehabilitation therapy LVEF of 50% patients was ≥50% in 3 months after discharge,the other half patients' LVEF reached to 45%,and no AMI happened again,all the patients could self\|care for their life,keep healthy within one year following.Conclusion:The early rehabilitation therapy in elderly patients is efficacious and safe. Author′s address Department of cardiology,Xinjiang uygur Autonomous Region Hospital,Wulumuqi,830001