“三位一体”运动康复对老干部急性心肌梗死患者的影响

Effect of “Three-in-one” exercise rehabilitation for acute myocardial infarction in old cadres

目的探讨由医院、干休所（或社区）、老干部家庭成员＂三位一体＂对老干部急性心肌梗死患者实施运动康复的影响。方法选择符合条件的军地老干部患者196例为研究对象,分为运动康复组（98例）,对照组（98例）。对照组按传统的康复方案,运动康复组行＂三位一体＂运动康复,整个运动康复方案观察时间为1年。结果运动康复组早期活动后,因长期卧床后易出现的各种并发症,均较对照组低（P〈0.05）。早期运动康复后,两组Barthel指数差异有统计学意义（P〈0.05）。两组在踏车测试（功率50~100 W）和1次步行300 m测试的完成情况方面比较,差异有显著统计学意义（P〈0.01）。出院后两组患者分别于6月后、1年后,对生活质量评定情况、再入院率、全因死亡率、心绞痛例数、再梗死率、再梗死亡率进行比较,运动康复组均优于对照组（P〈0.01）。结论老干部AMI患者采用＂三位一体＂运动康复,明显提高了运动康复的安全性、有效性和依从性。减少了因长期卧床后易出现的并发症,促进老干部患者日常生活活动能力的恢复,提高生活质量,减少再入院率、全因死亡率、心绞痛例数、再梗死率、再梗死亡率。

Objective To explore the curative effect of ＂three-in-one＂ common management service implementation of exercise re- habilitation on acute myocardial infarction in old cadres. Methods Totally 196 patients were selected as the research objects,and they were divided into rehabilitation group（ 98 cases）and control group（ 98 cases）. Patients in the control group were performed with the rehabilitation scheme of traditional. While, patients in the rehabilitation group were treated by ＂three-in-one＂ exercise rehabilita- tion, as hospitals, health（community） , and family members of patients. Follow-up study was performed in all cases, and comparative study was carried out between the two groups. Results After early exercise rehabilitation, complications suffered from long-term be bedridden in rehabilitation group was lower than that in the control group（ P 〈 0.05 ） , and there was also statistical difference of Bar- thel index between the two groups（ P 〈 0.05 ）. Results of treadmill test（ power 50-100 W）or 1 time to walk 300 meters test in pa- tients of the rehabilitation group was better than those in the control group, and quality of life at 6 months and 1 year after treatment in patients of the rehabilitation group was also better than those in the control group （ P 〈 0.01 ）. Conclusion It is a feasible and effective approach of ＂three-in-one＂ exercise rehabilitation for old cadre patients with AMI, which could reduce postoperative com- plications, enhance their viability and improve their life qualities.