急性心肌梗死康复治疗的研究

Study of rehabilitation therapy in patients with acute myocardial infarction

目的:探讨康复治疗对急性心肌梗死（AMI）患者运动贮量,生活、工作能力的影响。方法:对13例AMI患者进行住院期（第一期）和院外恢复期（第二期）的康复治疗,时间3个月;与只做传统治疗的12例对照组患者进行第二期的生活、工作峰值耗氧量（代表运动贮量）,运动试验参数做对比。结果:（1）康复组13例患者康复治疗前活动平板运动试验阳性4例,康复治疗后阳性减少2例;运动时间康复前为587±257秒,康复后增至1027±308秒,有显著差异（P<0.001）,康复后心率、收缩压恢复时间较康复前明显缩短（P<0.05）;（2）康复组第二期的生活、工作峰值耗氧量（METs）较对照组显著增加（P<0.05）.结论:康复治疗可改善AMI患者的生活质量,增强其工作能力,收到重大的社会、经济效益。

Objective: To study the influence of rehabilitation (rehab) therapy on exercise capacity, quality of life and work ability in patients with acute myocardial infarction (AMI). Methods: Thirteen AMI patients received rehab therapy in inpatient period and immediate outpatient period; its time was 3 months. Control group contained 12 patients treated with traditional therapy. Therapy results were compared between rehab group and control group. Results: (1) Before rehab therapy there were 4 cases for exercise testing positive, after rehab therapy they were 2cases; exercise duration from 587±257s increased to 1027±308s (P<0. 001) in rehab group. Compared with before rehab therapy, recovery time of heart rate and systolic pressure after exercise testing remarkably shorten (P<0. 05)in rehab group; (2) Compared with control group, peak VO2 in daily life and work significantly increased (P< 0. 005) in rehab group. Conclusion: Rehab therapy can ameliorate quality of life and work ability in AMI patients, it possesses remarkable social and economic benefits.