急性心肌梗塞患者早期康复运动的疗效及对预后影响  

Effect of rehabilitation exercise and influence on prognosis in patients with acute myocardial infarction

作　　者：曲红玉[1] 王翠霞[2] 季芳茹[1] 

机构地区：[1]佳木斯大学附属一院老年病科,黑龙江省佳木斯市154002 [2]大庆油田总院

出　　处：《心血管康复医学杂志》2006年第2期107-109,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的：探讨急性心肌梗塞(AMI)患者早期康复运动的疗效及对预后的影响。方法：80例 AMI 患者,按自愿原则分成两组：康复组：进行常规药物治疗,并实行早期严格合理的运动疗法；对照组：绝对卧床,只进行常规药物治疗,不进行康复训练。采用 Barthel 指数评定患者的日常生活能力,并对比两组的平均住院天数,住院期间的费用,心律失常的发生率、生活自理能力,以及两年后 AMI 的再发率。结果：与对照组比较,康复组平均住院天数、费用显著减少,日常生活活动能力、生活自理能力显著增强,两年后 AMI 的再发率显著减少(P 均＜0.05)；心律失常两组无显著差异(P＞0.05)。结论：急性心肌梗塞患者早期康复训练有利于提高日常生活能力,减少平均住院天数、费用,降低再发率,改善预后。Objective：To study the effect of rehabilitation exercise and influence on prognosis in patients with acute my oeardial infarction （AMI）, Methods ： A total of 80 AMI patients divided into two groups ： rehabilitation group and con trol group according voluntary. Control group accepted routine therapy and absolute resting in bed. Rehabilitation group accepted routine therapy but performed early reasonable rehabilitation exercise according strict program. The activities of daily living （ADL） evaluated by Barthel index. Compared the average hospital days, cost, ADL, rate of arrhythmia and AMI recurrence rate in two years between two groups, Results： Compared with control group, the average hospital days, cost and AMI recurrence rate all significantly decreased （P〈0.05 all）, the ADL and self care ability of life increased （P〈0.05 all） in rehabilitation group. The rate of arrhythmia was no significant change between two groups. Conclusion ： The early reasonable rehabilitation exercise can increase ADL, decrease hospital days, cost and AMI recurrence rate, improve prognosis in AMI patient.

关 键 词：康复 心肌梗塞 日常生活活动 

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