早期系统康复训练对老年急性心肌梗死患者的疗效观察

Therapeutic effect of systematic early rehabilitation training on senile patients with acute myocardial infarction and the possible mechanism involved

目的探讨早期系统康复训练对老年急性心肌梗死患者的临床疗效。方法选取急性心肌梗死老年患者74例,按治疗方法分为2组,每组37例,对照组进行常规的心血管系统药物治疗和健康教育,康复组在对照组治疗基础上行早期系统康复训练,观察患者的生存质量评分、心脏射血分数以及Borg自觉劳累分级评分,比较2组患者急性心肌梗死后的临床治疗效果和生活质量。结果 2组患者在治疗后生活质量、心脏射血分数和Borg量表较治疗前明显改善(P<0.05),康复组在治疗后各项指标均优于对照组(P<0.05)。结论早期系统康复治疗对急性老年心肌梗死行早期系统康复训练,可以有效改善患者的心功能和生存质量。

Objective To explore the effect systematic early rehabilitation training on senile patients with acute myocardial infarction( AMI) and to analyze the possible mechanism involved. Methods Seventy-four senile patients with AMI were randomly divided into 2 groups,the rehabilitation group and the control group,each consisting of 37 patients. The patients of the 2 groups all received routine drug treatment for myocardial infarction and conventional health education,but the patients of the rehabilitation group were given systematic early rehabilitation training in addition to the above the treatment. Through observation on the scores of life quality,the left ventricular ejection fraction( LVEF) and the scores of Borg self-sensation fatigue scale,clinical therapeutic effects and life quality of the patients in the 2 groups were evaluated and compared. Results Following treatment,the life quality,the scores of LVEF and Borg scores of the 2 groups improved considerably,as compared with those before treatment( P < 0. 05). Various indicators of the rehabilitation group after treatment were obviously superior to those of the control group( P < 0. 05). Conclusion Systematic early rehabilitation training for senile patients with AMI could effectively improve the cardiac function and life quality of the patients with AMI.