急性心肌梗塞早期康复活动的护理

目的 探讨急性心肌梗塞(AMI)早期进行康复活动的意义、护理原则。方法将163例急性心肌梗塞(AMI)患随机分为两组，观测心率、心律、血压、并发症及精神状态、活动能力和运动耐量等，观察组(104例)制订和执行康复活动计划，对照组(59例)强调绝对卧床休息，一般护理两组相同，所得数据经t检验。结果观察组出现并发症8例，运动试验阳性6例，住院天数平均23．6d，对照组分别为11例、13例、36．4天。两组差异显(0.05>P>0．01)。结论个体化、循序渐进的医护人员监护下的早期康复活动，可以减少并发症，促进病人体力和活动能力的恢复，缩短住院时间。

Nursing for Early Recovery Activity of Acute Myocardial Infarction

Objective To study the significance and nursing principles of early recovery activity of acute myocardial infarction.Methods Divide 163 patients with acute myocardial infarction ( AMI ) into two groups.Observe the patients` ryhthm of the heart,blood pressure, spirit condition,activity ability and motion endurance and so on.In the observation group,104 patients,recovery activity plan was made and carried out.However,in the control group,59 patients were forced to stay in bed.The two groups had no difference of general nursing.Results In the first group there were 6 patients in 8 different patients having positive reaction in sport experiment.The patients averaged in hospital for 23.6 days.In the control group,11 different patients in 13 patients,36.4 days.There were differences in two groups (P<0.05).Conclusion Early recovery activity under the guardance of individual and good nursing may reduce complication ,promote the recovery of patients` bodies and exercise ability ,shorten the time in hospital.