冠心病心肌梗死患者康复医疗十年指导

Ten-years Guiding for Rehabilitation Treatment in the Patients with Myocardial Infarction

目的 :探讨冠心病心肌梗死患者康复医疗、定期复查和长期指导的疗效。方法 :12 5例冠心病心肌梗死患者分为2组 :观察组 96例依照冠心病预防康复要求 ,包括临床治疗、控制冠心病危害因素、卫生宣教及心理疏导、改变不合理生活习惯和行为方式、运动治疗等预防康复医疗措施 ,长期给予指导治疗 ,定期复查。对照组 2 9例按照常规方法治疗 ,不定期门诊随诊。结果 :观察组患者疾病的恢复与稳定、并发症的治疗、冠心病危险因素的控制、减少再梗死及死亡、提高生存质量等方面明显优于对照组。结论 :冠心病康复医疗、长期指导及定期复查对改善冠心病心肌梗死患者疾病状况、身体活动能力、心脏功能、提高生存质量、减少心脏事件和死亡有着更好的医疗效果。

Objective: To study the efficacy of rehabilitation treatment and long term guiding therapy for the patients with myocardial infarction (MI). Methods: 125 MI patients were randomly divided into two groups: observation group ( n =96) receiving clinical treatment, controlling risk factors of coronary artery disease, health education and exercise treatment, as well as long term guiding therapy and regular physical check up; control group ( n = 29) receiving routine therapy and irregular physical check ups. Results: In the observation group, the recovery and stabilization of the disease, treatment of the complication, controlling of the risk factors for coronary artery disease, the decrease of re infarction of coronary artery disease and death, and the improvement of living quality were superior to those in the control group. Conclusion: The rehabilitation treatment and long term guiding therapy is a more effective model in improving the clinical conditions of body, ability of physical activities, cardiac functions and living quality, and decreasing death in the MI patients.