心脏程序康复对急诊经皮冠状动脉介入患者疗效的影响  

Effect of early rehabilitation programme on acute myocardial infarction with primary percutaneous coronary intervention

作　　者：戴若竹[1] 陈天宝[1] 王凌[1] 吴兵[1] 周凯章[1] 吴海云[1] 叶志荣[1] 林荣[1] 

机构地区：[1]福建医科大学附属泉州第一医院心内科,福建泉州362002

出　　处：《心血管康复医学杂志》2007年第5期426-428,451,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的：研究对急诊经皮冠脉介入（PCI）治疗后的急性心肌梗塞（AMI）患者进行心脏程序康复的意义。方法：67例急诊PCI后的AMI患者随机分为康复组（进行早期程序康复）和对照组,并作对比分析。结果：康复组34例患者顺利完成住院期的康复程序,其平均住院时间康复组为（6.41±3.73）d,对照组为（10.01±4.14）d,P〈0.001,康复组的二项乘积较对照组显著减少（P〈0.05）。SAQ量表得分情况则康复组优于对照组（P〈0.05-0.01）。结论：对施行PCI后的AMI患者实施程序康复可以减少住院时间,改善其长期的心脏功能和运动耐力,从而提高生活质量。Objective： To observe the effect of early rehabilitation program on 67 cases with acute myocardial infarction （AMI） and primary percutaneous coronary intervention. Methods： The 1-week program was carried out in 34 AMI patients （pts） with primary percutaneous coronary intervention. （mean age 60.19±9.61 years ） . Results： A total of 34 pts finished the program [rehabilitation （rehab） group]. The average time for the pts＇ being hospitalized was significantly lower in rehabilitation group than that of control group （6.41±3.73 vs. 10.01±4.14 d, P〈0. 001 ） . The rate-pressure product （RPP） was significantly lower in rehab group than that of control （ P〈0. 05）. The scales of Seattle angina questionnaire （SAQ） in rehab group were better than that of control （ P〈0. 05）. Conclusion： The results suggested that 1-week program is safe and feasible for the patients of AMI with primary percutaneous coronary intervention. It not only decreases the length of hospitalization and the hospitalization cost but also improves their heart function and quality of life.

关 键 词：心肌梗塞 血管成形术 经腔 经皮冠状动脉 康复 

分 类 号：R542.22[医药卫生—心血管疾病]