急性心肌梗死早期程序康复的应用研究  

Study on early rehabilitation programme for acute myocardial infarction

作　　者：戴若竹[1] 林荣[1] 邓少雄 施行舟[1] 黄子厚[1] 郭南鸥[1] 郭炳章[1] 刘德斌[2] 黄继义[3] 

机构地区：[1]福建省泉州市第一医院心内科,362002 [2]福建省泉州市第一医院普内科,362002 [3]厦门市第一医院内科

出　　处：《中华物理医学与康复杂志》2000年第2期73-76,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：福建省卫生厅青年科研基金资助项目!(980219)

摘　　要：目的　研究急性心肌梗死 (acutemyocardialinfarction ,AMI)患者早期程序康复的意义及中长期随访的作用。方法　对 89例患者进行两周程序康复及随访。结果　 87例患者均顺利完成康复程序 ,其平均住院时间及住院费用显著节省 (两者P值均为 0 .0 0 0 1)。其并发症发生率较对照组少 ,而住院死亡率、梗死后心绞痛、心功能同对照组比较差异均无显著性 ,康复组的两项乘积还有所降低 (P <0 .0 5 )。随访[平均 ( 3 .97± 1.46)年 ]结果表明 ,康复组的死亡率、心绞痛及心功能不全等心脏并发症并未增加且生活质量较对照组有不同程度的改善。结论　在AMI早期对患者实施程序康复不但安全、可行 ,还可以节省住院时间、减少住院开支并改善心脏功能 ,从而提高生活质量。Objective To observe the effect of a two week rehabilitation program on 89 cases with acute myocardial infarction(AMI). Methods A two week program was carried out in 89 patients with AMI,mean age ( 60.40 ± 10.12 ) years.Results The eighty seven patients finished the program.With average hospitalized time and expenses much less than the control group ( 15.54 ± 3.97 days vs 27.86 ± 5.82 days, $4 237±2 943 yuan vs 7 139±3 576 yuan,all P= 0.0001 ).The rate of complication was also less than the control,mortality,angina and cardiac function had no significante differetnce with the contral. However, its rate pressure product was significantly lower than control (P< 0.05 ).Following up for 3 to 74 mouths (mean 3.97 ± 1.46 years),greater part of the patients could return to work or do some physical training,or some light housewok (all P< 0.05 ).But mortality, rate of angina and chronic heart faliure were not increased.Conclusion The results suggested that two week program is safe and feasible for AMI . It not only reduces length of hospitalization, cuts down in hospital cost, the heart function but also raises their quality of lives.

关 键 词：急性心肌梗死 早期程序康复 

分 类 号：R542.22[医药卫生—心血管疾病]