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目的探讨早期康复治疗对无合并症急性心肌梗塞（ＡＭＩ）患者住院期病情的影响。方法２０３例ＡＭＩ患者前瞻性随机分为早期康复治疗组（组１１０１例）及对照组（组２１０２例）。两组主要基线资料具可比性。组１采用早期康复治疗方案，组２采用传统康复治疗方案。结果两组在左室射血分数、平板运动试验阳性、Ｈｏｌｔｅｒ中ＬｏｗｎＩＩ级以上室性心律失常、心室晚电位阳性、ＷａｇｎｅｒＳｅｌｖｅｓｔｅｒ心电图分值以及梗塞后心绞痛、再梗塞、住院期死亡等的构成在统计学上差异均无显著性（Ｐ＞００５）。早期康复组在增加运动量过程中出现心绞痛或呼吸困难４例，均于停止递增运动量后消失。结论无合并症ＡＭＩ患者实行早期康复治疗是安全可行的。
Objective To investigate the effect of early rehabilitation on inpatient condition in patients with acute myocardial infarction (AMI) without complications. Methods Totally 203 AMI patients were prospectively randomized into the early rehabilitation group (1101 cases) and the control group (2102 cases). The two main baseline data are comparable. Group 1 using early rehabilitation programs, group 2 using traditional rehabilitation programs. Results The left ventricular ejection fraction, positive treadmill exercise test, Holter Lorn Ⅱ above the level of ventricular arrhythmias, ventricular late potential positive, Wagner Selvester ECG scores and post-infarction angina, re-infarction, hospitalization death and so on There was no statistically significant difference (P> 005). In the early rehabilitation group, 4 cases of angina pectoris or dyspnea were found during the increase of exercise, all disappeared after stopping increasing the amount of exercise. Conclusion AMI patients with no complications of early rehabilitation treatment is safe and feasible.