老年陈旧性心肌梗死患者海水浴体疗的心率变异性分析

目的 :观察老年陈旧性心肌梗死 （OMI）患者海水浴前后的心率变异性 （HRV）。方法 :应用 2 4h动态心电图监测、分析 13例老年 OMI患者海水浴体疗前、4疗程结束后的 HRV时域指标 ;心脏超声获 LVEF值并设健康同龄对照组。结果 :1老年 OMI组海水浴前 HRV与 LVEF值均低于对照组 （P<0 .0 5或 P<0 .0 1） ;2老年 OMI组海水浴后 HRV与 LVEF值较对照组无明显差异 （P>0 .0 5 ）。 3老年 OMI组海水浴后 HRV与 L VEF值较海水浴前明显增高 ,差异非常显著 （P<0 .0 1）。结论 :海水浴体疗可使老年 OMI患者 HRV与 L VEF值增高 ,改善左室功能 ,可作为老年心血管疾病患者的一种康复途径

Comparison of heart rate variability after sea water bath physical exercise on senile patient with obsolete myocardial infarction

AIM:To observe changes in heart rate variability (HRV) of senile patients with obsolete myocardial infarction(OMI) before and after sea water bath physical exercises. METHODS:HRV analysis with 24 hour Holter tapes and LVEF with ultrasonic cardiogram were performed on senile patients with OMI respectively before and after sea water bath. RESULTS:Before the sea water bath,HRV and left ventrile ejection fraction(LVEF) of senile patients with OMI were significantly lower than those of the controls( P <0.01 or P <0.05). After the exercise, Their HRV and LVEF were improved remarkably( P <0.01), and there was no difference between the two groups( P >0.05). CONCLUSION:Sea water bath can improve HRV and LVEF,and it can serve as a rehabilitation method for senile cardiovascular and cerebrovascular diseases.