“三位一体”运动康复对老年心肌梗死的疗效观察

Curative effectiveness of "three-in-one" rehabilitation training on the elderly with myocardial infarction

目的:探讨老干部心肌梗死(AMI)患者采用"三位一体"运动康复的疗效。方法:军地老干部AMI患者236例,随机分为康复组和对照组各118例。对照组给予AMI传统的治疗方案,康复组在住院期间由医护人员实施早期运动康复方案,出院后按医院-干休所(社区)-老干部家庭成员"三位一体"医疗模式实施运动康复,观察时间为2年。结果:出院6个月后,康复组踏车试验完成率明显高于对照组(P<0.01);出院6个月和1年后,康复组生活质量均明显优于对照组(P<0.01);出院2年后,康复组再入院率、心绞痛例数、全因死亡率、再梗死率及再梗死亡率均明显低于对照组(P<0.01,0.05)。结论:老干部AMI患者采用"三位一体"医疗模式实施运动康复,明显提高了康复的依从性、安全性和有效性。促进了老干部患者日常生活能力的恢复。

Objective： To discuss the curative effectiveness of ＂three-in-one＂ rehabilitation training on the old ca- dres with myocardial infarction. Methods： The 236 local army cadres with AMI were randomly divided into rehabili- tation group and control group with 118 cases in each group. The control group was treated by traditional AMI scheme, and the rehabilitation group was given the early exercise rehabilitation program by the madical staff during the hospitalization, and ＂three-in-one＂ [hospital-sanatorium （eommunity）-the old cadre family members] medical mode of exercise rehabilitation after discharge for 2 years. Results： At 6th month after discharge, treadmill test completion rate in the rehabilitation group was obviously higher than that in control group （P〈0. 01）. At 6th month and 1st year after discharge, the quality of life in rehabilitation group was significantly better than in the con- trol group （P〈0. 01）. At 2nd year after discharge, re-admission rate, the number of cases of angina pectoris, the rate of all-cause mortality, reinfarction and reinfarction mortality in rehabilitation group were significantly lower than in control group （P〈0. 01, or 0.05）. Conclusion： ＂Three-in-one＂ medical mode of exercise rehabilitation can significantly improve the rehabilitation compliance, safety and efficacy, and promote the recovery of ability of daily life in the old cadres with AMI.