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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 study the significance of early procedural rehabilitation in patients with acute myocardial infarction (AMI) and the role of long-term follow-up. Methods Eighty-nine patients underwent two-week procedural rehabilitation and follow-up. Results All 87 patients successfully completed the rehabilitation program, with a significant saving on average length of hospital stay and hospitalization (both P = 0.0101). The incidence of complications was lower than that of the control group, while there was no significant difference in in-hospital mortality rate, angina pectoris after infarction and cardiac function compared with the control group, and the two products in the rehabilitation group were also decreased (P <0.05). Follow-up [mean (3.97 ± 1.46) years] The results showed that cardiac complications such as mortality, angina pectoris and cardiac insufficiency did not increase and quality of life improved to some extent compared with the control group. Conclusions Early rehabilitation of patients with AMI is not only safe and feasible, but also can save time in hospital, reduce hospital expenses and improve heart function so as to improve the quality of life.