早期康复运动对急性右室梗死病人心功能的影响

Influence of early rehabilitation exercise on the cardiac function in patients with acute right ventricular infarction

目的 :观察急性右室梗死病人住院期康复运动方案的特点及其疗效。方法 :2 3例急性右室梗死病人 ,均合并下壁、后壁或前壁心肌梗死 ,其中 18例经血管造影发现右冠脉梗死。待病情稳定后均参加 3阶段康复运动治疗。根据完成康复运动的天数将病人分为运动 11天 (n=15)以上和运动 10天 (n=8)以下两组 ,对比运动后两组心功能容量 ,冠脉组梗死程度、数量及心功能的差异。结果 :运动后心功能容量与康复运动次数呈正相关 r=0 .875(P<0 .0 0 0 5) ;11天组心功能容量值为 4 .73± 1.83 METs,10天组为 2 .68± 0 .2 1METs,有显著性差异 (P<0 .0 0 5)。结论 :急性右室梗死病人住院期接受 3阶段康复运动方案是安全的 ,参加适宜的康复运动治疗能帮助急性右室梗死病人改善心功能和恢复体力。

Objective:To realize the feature and effects of rehabilitation exercise program for patients with acute ventricular infarction Methods:Rehabilitation exercise for 23 inpatients with acute right ventricular infarction complicated with inferior and posterior or anterior myocardial infarction were observed.Coronary arteries angiography showed the obstruction lesion of right coronary artery in 18 cases.All inpatients entered the 3 stages of rehabilitation exercise program as the clinic condition was stable.The patients were divided into two groups based on the numbers of day completing in rehabilitation exercise,15 inpatients completed over 11 sessions of inpatient rehabilitation exercise,8 inpatients completed less than 10 sessions of inpatient rehabilitation exercise The grade and branches of coronary arteries occlusion and the cardiac function were similar in both groups Results:The values of cardiac function capacity of patient who completed the rehabilitation exercise in more days were significant larger than those who completed in less days( P <0 005) Conclusion:The 3 stages of rehabilitation exercise program for inpatients is safe The patients who insisted the proper exercise program can improve cardiac function and restore the physical work capacity Author′s address Rehabilitation Medicine Center,Third Hospital,Beijing Medical University,100083