早期康复治疗对急性心肌梗死患者预后及生活质量的影响

Influence of early rehabilitation therapy on prognosis and quality of life in patients with acute myocardial infarction

目的:探讨早期康复治疗对改善急性心肌梗死患者预后、提高生活质量的作用。方法:选择我院收治的120例急性心肌梗死患者,依据随机数字表法分为常规治疗组(60例)和康复组(60例,常规治疗联合早期康复治疗)。对两组患者的临床症状、心肌酶学指标和心功能指标、并发症发生情况、生活质量、住院时间及住院费用进行统计分析。结果:康复组患者治疗后的头晕、腰背痛、腿软、便秘、心悸、腹胀发生率均显著低于常规治疗组(P<0.05~<0.01);与常规治疗组相比,康复组并发症发生率(36.7%比5.0%,P<0.05)显著降低,Barthel指数[(61.9±8.7)分比(86.4±6.9)分]显著升高,住院时间[(13.8±3.2)d比(5.9±2.6)d]显著缩短,住院费用[(13600±1450)元比(8600±1240)元]显著减少(P<0.05~<0.01)。结论:早期康复治疗能够显著改善急性心肌梗死患者预后、缩短住院时间,降低住院费用,提高生活质量,值得在临床推广。

Objective： To explore effect of early rehabilitation therapy on improving prognosis and quality of life （QOL） in patients with acute myocardial infarction （AMI）. Methods： A total of 120 AMI patients treated in our hospital were selected. According to random number table, they were randomly and equally divided into routine treatment group （n= 60, received routine treatment） and rehabilitation group （n = 60, received routine treatment combined rehabilitation therapy）. Clinical symptoms, myocardial enzymes, cardiac function indexes, complications, QOL, length of hospital stay and hospitalization cost were statistically analyzed and compared between two groups. Results： Compared with routine treatment group after treatment, there were significant reductions in incidence rates of dizziness, low back pain, leg weakness, constipation, palpitations （P〈0.05-〈0.01）, abdominal distension and complications （36.7% vs. 5.0%）; significant rise in Barthel index [ （61.9±8. 7） scores vs. （86. 4 ±6. 9） scores], significant reductions in length of hospital stay [ （13.8 ± 3.2） d vs. （5.9 ± 2.6） d] and hospitalization cost [（13600 ± 1450） RMB vs. （8600± 1240） RMB] in rehabilitation group, P〈0.05-〈0.01. Conclusion.. Early rehabilitation therapy can significantly improve prognosis and quality of life, shorten length of hospital stay, lower hospitalization cost in patients with acute myocardial infarction, which is worth clinical extending.