急性心肌梗死合并心律失常患者早期采用康复护理干预的疗效及预后

Efficacy and Prognosis of Early Rehabilitation Nursing Intervention in Patients with Acute Myocardial Infarction Combined with Arrhythmia

目的:探讨急性心肌梗死合并心律失常患者采取早期康复护理干预的疗效及预后。方法:将2015年10月~2017年12月收治的78例急性心肌梗死合并心律失常患者随机分为两组。A组采用常规康复护理,B组采用早期康复护理干预,比较两组的康复效果。结果:两组护理前的HR、LVEF、左室压力上升最大速率对比差异不明显(P>0.05);B组护理后上述心功能指标改善程度均明显优于A组,且其心肌梗死复发率、心律失常率及死亡率明显低于A组,对比差异有统计学意义(P<0.05)。结论:急性心肌梗死合并心律失常患者采用早期康复护理干预,能有效改善患者的心功能及预后,适合在临床上应用。

Objective:To discuss the effect and prognosis of early rehabilitation nursing intervention in patients with acute myocardial infarction combined with arrhythmia.Methods:78cases of patients with acute myocardial infarction combined with arrhythmia in a hospital from October 2015to December 2017were randomly divided into two groups.Group A was treated with routine rehabilitation nursing,and group B was treated with early rehabilitation nursing intervention,compared the rehabilitation effect of the two groups.Results:The difference of the maximum rate of HR,LVEF and left ventricular pressure in the two groups was not significant(P>0.05).The improvement degree of the above cardiac function indexes in group B was obviously better than that in group A,and the recurrence rate,arrhythmia rate and mortality rate of myocardial infarction were significantly lower than that in group A,and the difference was statistically significant(P<0.05).Conclusion:Early rehabilitation nursing intervention in patients with acute myocardial infarction and arrhythmia can effectively improve the cardiac function and prognosis of patients,and is suitable for clinical application.