老年急性心肌梗死患者的早期康复治疗  

Early rehabilitation therapy on elderly patients with acute myocardial infarction

作　　者：赖敏贞[1] 陈冬梅[1] 孙玲[1] 

机构地区：[1]广东医学院附属医院护理部,广东湛江524001

出　　处：《中国基层医药》2005年第8期1068-1069,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东湛江市科技攻关项目(湛科2004年85号)

摘　　要：目的观察老年急性心肌梗死患者实施早期康复治疗的临床效果。方法将160例老年急性心肌梗死(AMI)患者随机分为两组,早期康复组80例,对照组80例,早期康复组在常规治疗和护理的基础上实施自行研究制定的早期康复护理方案,对照组常规治疗及护理,比较两组患者住院期间心绞痛、再梗塞、死亡发生率,活动平板运动试验,住院天数及GLQZ生活质量指标测定。结果早期康复组与对照组相比住院期间发生心绞痛和再梗塞次数、住院天数减少,生活质量明显提高(P<0·01),而两组住院期间死亡人数无统计学差异(P>0·05)。结论对老年AMI患者实施早期康复治疗护理是安全、可行的,值得在临床上推广应用。Objective To explore the safe and efficacy of early rehabilitation the rapy and care in elderly patients with acute myocardial infarction. Methods 160 cases of elderly patients with acute myocardial infarction were randomly divided into two groups： early, rehabilitation therapy group and contrast group. Early rehabilitation nursing methods that were self-formulated were applied in treat group on the basis of general therapy and nursing. Incidence of angina and novo-infarction, death rate, treatmill test, length of hospitalization, GLQZ life quality marker were compared between two groups. Results Compared with the contrast group, early rehabilitation therapy group bad lower incidence of angina and novo-infarction, length of hospitalization and better quality of life（ P 〈 0.01 ）, death rate, there was not statistical difference of death rate between the two group（P 〉 0.05）. Conclusion The early rehabilitation the rapy and care in elderly patients with acute myocardial infarction is safe and efficacious.

关 键 词：心肌梗塞 康复 老年 老年急性心肌梗死 早期康复治疗 心肌梗死患者 急性心肌梗死(AMI) 活动平板运动试验 护理方案 住院期间 

分 类 号：R542.22[医药卫生—心血管疾病] R743.3[医药卫生—内科学]