老年急性心肌梗死患者的早期康复

Early Rehabilitation of Aged Patients with Acute Myocardial Infarction

目的 :探讨早期康复治疗对老年急性心肌梗死 (AMI)患者心率、血压、心功能、缺血阈值及最大运动耐量的影响。方法 :38例AMI患者前瞻性随机配对分为早期康复组及对照组各 19例。均采用常规治疗 ,早期康复组增加康复治疗方案。结果 :2组治疗前及治疗 2周后心率、血压、心率 血压乘积及射血分数比较差异无显著性 ,组间比较差异亦无统计学意义 ,均P >0 .0 5 ;但运动耐量早期康复组治疗 2周后达到 5 .2± 2 .6METS,与对照组的 4 .3± 0 .8METS比较亦有明显增加 ,缺血阈值早期康复组 2 .8± 0 .9METS,与对照组的 2 .2± 0 .8METS比较有明显增加 (均P <0 .0 5 )。结论 :AMI患者实行早期康复治疗是安全可行的 。

Objective: To investigate the effects of early rehabilitation program on heart rate (HR), blood pressure (BP), HR×systolic pressure (SBP), cardiac function, myocardial ischmia liminal value and maximun exercise tolerance in the aged patients with acute myocardial infarction (AMI). Methods: Thirty eight cases of AMI were prospectively randomized into early rehabilitation group ( n =19) and control group ( n =19). Both the two groups received routine treatment, while the early rehabilitation group underwent early rehabilitation. Results: Between the two groups no significant differences were found in the following indexes: HR, BP, HR×SBP and left ventricular ejection fraction (LVEF) (all P > 0.05 ). After two weeks, average maximum exercise tolerance was 5.2 ± 2.6 METs in the early rehabilitation group and 4.3 ± 0.8 METs in the control group ( P < 0.05 ). The myocardial ischemia liminal value was 2.8 ± 0.9 METs in the early rehabilitation group and 2.2 ± 0.8 METs in the control group ( P < 0.05 ).Conclusion: Early rehabilitation program is safe and feasible for the patients with AMI and can dramatically increase maximum exercise tolerance and myocardial ischemia liminal value of AMI.