行走式有氧康复运动训练在心肌梗死患者康复治疗中的应用效果

Application effect of walking aerobic exercise rehabilitation training in rehabilitation treatment of patients with myocardial infarction

目的探讨行走式有氧康复运动训练在心肌梗死患者康复治疗中的应用效果。方法将102例心肌梗死患者按照出院时间顺序分为观察组和对照组,各51例。两组均开展传统治疗,观察组在此基础上开展行走式有氧运动训练。分析两组患者出院时和出院后1年心功能指标、全血黏度、血细胞比容及心肌血流灌注量、生活质量评分、心血管事件发生情况及观察组有氧运动的安全性。结果出院后1年,观察组患者LVESD、全血黏度、血细胞比容及心血管事件总发生率均明显低于对照组及出院时,LVEF、心肌血流灌注量、生活质量评分均明显高于对照组及出院时(P<0.05)。观察组患者在运动过程中均未出现身体不适。结论行走式有氧运动可有效提高心肌梗死患者心肌血流灌注,改善患者心脏功能及生活质量,降低心血管事件总发生率。

Objective To explore the application effect application of walking aerobic rehabilitation exercise training in rehabilitation treatment of patients with myocardial infarction.Methods A total of 102 patients with myocardial infarction were divided into observation group and control group according to the order of discharge time,with 51 cases in each group.Both groups were given traditional treatment,and the observation group was given walking aerobic exercise training on this basis.The cardiac function indexes,whole blood viscosity,hematocrit,myocardial blood flow perfusion,quality of life scores,occurrence of cardiovascular events of both groups at discharge and one year after discharge and safety of aerobic exercise in the observation group were analyzed.Results One year after discharge,the LVESD,whole blood viscosity,hematocrit and total incidence of cardiovascular events in the observation group were significantly lower than those in the control group and at discharge,while the LVEF,myocardial blood flow perfusion and quality of life scores were significantly higher than those in the control group and at discharge(P<0.05).No discomfort occurred during exercise in the observation group.Conclusion Walking aerobic exercise can effectively increase myocardial blood flow perfusion in patients with myocardial infarction,improve cardiac function and quality of life and decrease the total incidence of cardiovascular events.