急性心肌梗塞溶栓患者的2周康复治疗  

Two-weed-rehabilitation of acute myocardial infarction with the intravenous thrombolytic therapy

作　　者：王朝晖[1] 阮满珍[1] 张金枝[1] 涂源淑[1] 

机构地区：[1]同济医科大学心血管病研究所心内科,武汉市430022

出　　处：《心血管康复医学杂志》1999年第3期1-3,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :探索 2周康复程序对急性心肌梗塞溶栓患者早期康复治疗的安全、有效性。方法 :根据个体化及活动量循序递增的原则 ,对 2 3例急性心肌梗塞重组链激酶 (r- SK)静脉溶栓患者和 2 3例急性心肌梗塞无严重并发症常规治疗患者均进行 2周程序的康复治疗。结果 :r- SK溶栓组的再通率为78.2 6 % ,死亡率和并发症低于非溶栓组 (P<0 .0 5) ,正常进入康复程序的患者多于非溶栓组 (P<0 .0 5) ,住院天数也短于非溶栓组 (分别为 13.2 2± 6 .0 7、 14.2 6± 6 .4 5天 )。康复运动中无一例出现严重合并症。结论 :2周康复程序是安全、有效的 ,而且溶栓配合康复治疗效果更明显。Objective:The purpose of this study is to investigate the efficacy and safety of two\|week\|rehabilitation in the intravenous thrombolytic therapy of acute myocardial infarction(AMI).Methods:Forty six AMI patients without any serious complication underwent either intravenous thrombolyttic therapy (23 patients) or routine therapy (23 patients),and were treated with two\|week\|rehabilitation\|programme.Results:The reperfusion rate for r\|SK group was 78 26%.Compared with group routine therapy,mortality and complication reduced in intravenous thrombolytic therapy group( P <0 05),and the mean day during hospitalization was shortened (13 22±6 07,14 26±6 45 d respectively).Conclusion:Two\|week\|rehabilitation\|programme is effective and safe,but combining intravenous thrombolytic therapy with rehabilitative therapy is more effective.

关 键 词：溶栓 急性心肌梗塞 康复治疗 康复程序 并发症 SK 常规治疗 康复运动 住院天数 

分 类 号：R542.22[医药卫生—心血管疾病] R743[医药卫生—内科学]