综合康复疗法对急性心肌梗死后患者的临床应用价值

Clinical application value of synthetic rehabilitation therapy to patients during sepuela period of acute myocardial infarction

目的探讨急性心肌梗死(AMI)患者采用综合康复疗法的临床应用价值。方法选取86例AMI后患者,依据康复疗法方法不同分为两组:对照组43例,给予常规康复疗法;研究组43例给予综合康复疗法。随访1年,比较两组患者改良Barthel指数(MBI)、生存质量指数量表(QLI)评分、健康状况问卷(SF-36)评分、汉密尔顿抑郁量表(HAMD)评分的差异,并比较两组患者NYHA心功能分级、左室射血分数(LVEF)、左室舒张末期内径(LVEDd)以及主要心脏不良事件(MACE)发生率差异。结果康复干预1年后,研究组MBI评分、QLI评分、SF-36评分及HAMD评分均明显优于对照组,其差异具有统计学意义(P<0.05);研究组LVEF大于对照组,而LVEDd明显小于对照组,其差异亦具有统计学意义(P<0.05);研究组MACE发生4例,发生率为9.30%,明显低于对照组的30.23%,其差异具有统计学意义(P<0.05),对照组NYHA2级以上比例为34.88%,明显高于研究组的16.28%,差异亦具有统计学意义(P<0.05)。结论综合康复疗法能有效提高急性心肌梗死后患者的日常生活质量,改善心功能。

Objective To discuss the clinical application value of synthetic rehabilitation therapy to the patients during sepuela period of acute myocardial infarction （AMI）. Methods The patients （n=86） were divided into control group （n=43） treated with routine rehabilitation therapy and research group （n=43） treated with synthetic rehabilitation therapy. After followed up for 1 y, the modified Barthel index （MBI）, and scores of quality of life index （QLI）, health status questionnaire （SF-36）, and Hamilton Depression Scale （HAMD） were compared between 2 groups. The difference in NYHA, LVEF, LVEDd and incidence of MACE were analyzed in 2 groups. Results After 1 y, the scores of MBI, QLI, SF-36 and HAMD were significantly better in research group than those in control group （P〈0.05）. LVEF was higher and LVEDd was lower in research group than those in control group （P〈0.05）. There were 4 cases with MACE （9.30%） in research group, which was significantly lower compared with control group （30.23%, P〈0.05）. The percentage of cases with higher than grade-2 NYHA was 34.88%in control group and 16.28%in research group （P〈0.05）. Conclusion The synthetic rehabilitation therapy can effectively improve the quality of life and heart function in patients during sepuela period of AMI.