老年急性心肌梗死患者急诊介入术后早期程序康复与心律失常研究  

The study of early rehabilitation programme in old-age patients with acute myocardial infarction after emergent intervention and arrhythmia

作　　者：朱稚丹[1] 陈冬青[1] 罗燕华[1] 吴佳明[1] 蔡志雄[1] 

机构地区：[1]广东省汕头市中心医院心内科,515031

出　　处：《中国实用医药》2008年第33期5-7,共3页China Practical Medicine

摘　　要：目的对老年急性心肌梗死患者在接受直接经皮冠脉介入(PCI)治疗并予早期程序康复治疗后在住院期间及随访1年所出现心律失常行相关性研究。方法166例AMI患者经PCI治疗后随机分为:康复组予早期心脏程序康复治疗;对照组予传统康复治疗。两组主要基线资料具可比性,住院PCI术后第1、2、3天及出院前1d各行心电图检查1次,出院后随访1年并行复查心电图。结果康复组与对照组患者住院期间各出现心律失常总例数分别为75例(91.5%)和77例(91.7%),在统计学上无显著性差异(P>0.05)。出院后随访1年,出现心律失常康复组3例(3.7%),对照组4例(4.8%),两组无显著性差异(P>0.05)。结论老年AMI患者急诊PCI后早期心脏程序康复治疗不增加心律失常发病率,是有益、安全、可行的。Objective To carry out the correlative research on arrhythmia between the hospitalization duration and one year of follow up . Methods 166 cases with AMI after PCI were randomly divided into two groups with matched clinical data, early rehabilitation programme group who administered early rehabilitation treatment and control group who administered traditional rehabilitation therapy , all the patients recorded the synchro 12 leads electrocardiogram at the first day,second day ,third day and the last day before discharging from hospital after PCI, anti to compare the ECG after one year of follow up. Results There were not significant differences in incidence of arrhythmia in the two groups （91.5% ,75 cases） and （91.7% ,77 cases ）, P 〉 0. 05 ,3 cases （ 3.7% ） occurred arrhythmia in rehabilitation programme group after one year of follow up and 4 cases （4. 8% ）occurred arrhythmia in control group, P 〉0. 05. Conclusion Early rehabilitation programme in old-age patients with acute myocardial infarction after emergent intervention does not increas the incidence rate of arrhythmia , it has the availability and safety and feasibility.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 程序康复 心律失常 

分 类 号：R542.22[医药卫生—心血管疾病] R473.5[医药卫生—内科学]