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22例急性心梗(AMI)患者住院后两周左右(平均12.50±4.39天)进行踏车运动试验。结果发现早期运动试验(EET)时有10/22例(占45.45%)阳性,其血压和心率乘积的最大值为2782±776bPm.kPa,代谢当量为4.96±1.20METs,总运动时间达9.95±2.23分。随访3月~2.5年(平均1.33±0.84年),发现EET阳性者心脏事件比阴性者多(X=4.77,P<0.05),其恢复家务的时间迟于阴性组(P<0.05),而工作恢复则无显著差别。而EET组与对照组比较,其复工率、复工时间、恢复家务的时间和比率均比之多和早,二者之间差别有统计学意义。在性生活恢复方面虽然两者相差不多,但时间上EET者较为提前,且EET者能较早地从事体育锻炼。这些结果可以说明,作为一个客观指标,EET结果对指导生活质量的改善颇有益处。
Twenty-two patients with acute myocardial infarction (AMI) underwent treadmill exercise about two weeks after hospitalization (mean, 12.50 ± 4.39 days). The results showed that in the early exercise test (EET), 10/22 cases (45.45%) were positive, and the maximum product of blood pressure and heart rate was 2782 ± 776bPm. kPa, metabolic equivalent 4.96 ± 1.20METs, the total exercise time of 9.95 ± 2.23 points. The follow-up ranged from 3 months to 2.5 years (mean, 1.33 ± 0.84 years), and found that there were more cardiac events in EET positive patients than in negative ones (X = 4.77, P <0.05) In the negative group (P <0.05), no significant difference was found in recovery from work. The EET group compared with the control group, the rate of rework, return to work, the time and rate of recovery of housework were more and earlier, the difference between the two statistically significant. Although there is little difference between the two groups in the recovery of sexual life, the EETs are advanced in time and the EETs can engage in physical exercise earlier. These results demonstrate that, as an objective measure, the EET results are good for guiding the improvement of quality of life.