论文部分内容阅读
目的探讨康复治疗对老年心肌梗死患者近期及远期的疗效。方法心肌梗死患者168例,随机分为康复组92例和对照组76例,2组年龄、性别、梗死部位、再血管化、心功能分级等方面无明显差异。2组均予以常规治疗,对照组未制订运动锻炼处方,康复组严格按运动处方进行锻炼,疗程12个月。在治疗后1、3、12个月进行2组运动能力(活动平板运动实验及6min步行实验)、左室射血分数、左室内径的比较。结果与对照组比较,康复组的运动代谢当量〔(9.00±1.41)vs(7.23±1.06)METs〕、6min步行距离〔(536±29)vs(490±63)m〕、左室射血分数〔(53.65±4.07)%vs(49.64±3.74)%〕、左室舒张末径〔(48.80±3.18)mmvs(52.75±2.46)mm〕均显著改善(P均<0.05),再住院率显著降低(P<0.05)。结论心肌梗死后康复治疗可提高心功能,改善心肌代谢,恢复体力,减少医疗费用,减轻社会负担,减少再住院次数,有利于回归社会。
Objective To explore the effect of rehabilitation therapy on the short-term and long-term effects of senile myocardial infarction. Methods A total of 168 patients with myocardial infarction were randomly divided into rehabilitation group (n = 92) and control group (n = 76). There were no significant differences in age, sex, infarction location, revascularization and cardiac function between the two groups. The two groups were given routine treatment, the control group did not develop exercise prescription, rehabilitation group in strict accordance with exercise prescription exercise, treatment for 12 months. Two groups of exercise capacity (treadmill exercise test and 6-minute walking test), left ventricular ejection fraction, and left ventricular internal diameter at 1, 3 and 12 months after treatment were compared. Results Compared with the control group, the exercise-induced metabolic equivalent 〔(9.00 ± 1.41) vs (7.23 ± 1.06) METs〕, 6min walking distance 〔(536 ± 29) vs (490 ± 63) m〕, left ventricular ejection fraction (53.65 ± 4.07)% vs (49.64 ± 3.74)%, and the left ventricular end-diastolic diameter 〔(48.80 ± 3.18) mm vs (52.75 ± 2.46) mm〕 were significantly improved (all P <0.05) (P <0.05). Conclusion Rehabilitation after myocardial infarction can improve cardiac function, improve myocardial metabolism, restore physical strength, reduce medical costs, reduce social burden, reduce the number of rehospitalizations, and help return to society.