2周住院心脏康复程序对急性心肌梗死患者血脂、生存质量及精神心理状态的影响

目的：探讨2周住院心脏康复程序对急性心肌梗死（AMI）患者血脂、生存质量及精神心理状态（焦虑）的影响。方法：选择轻度AMI患者40例，随机分为对照组20例，康复组20例。对照组进行常规内科治疗．康复组在常规内科治疗的同时进行2周住院心脏康复程序治疗，出院后继续康复治疗3个月。康复前及康复3个月后分别评价血脂水平，生存质量（QOL）、状态-特质焦虑（state-trait anxiety inventory，STAI）及体力活动程度，与对照组及康复前进行比较。结果：康复前，两组间的各项指标比较差异无显著性意义。康复组，与康复前比较．康复3个月后HDL-C（P〈0．01）、TC／HDL-C（P〈0．05）均得到明显改善：康复后QOL总分和社会态度与主观幸福感评分均比康复前明显增加（P均〈0．05）；状态焦虑（S-AI）和特质焦虑（T-AI）均比康复前明显降低（P均〈0．05）；康复后体力活动程度明显改善（P〈0．01）。结论：2周住院心脏康复程序能明显改善轻度AMI患者的血脂．改善体力活动程度，改善精神心理状态（焦虑）．提高生存质量。

Effects of a two-week,hospitalized cardiac rehabilitation program on serum lipid profiles,quality of life and psychological status in patients with acute myocardial infarction

Objective:To investigate the function of a two-week,hospitalized cardiac rehabilitation program on serum lipid profiles,quality of life(QOL) and psychological status(Anxiety) in patients with AMI.Method:40 cases of AMI were randomly divided into two equal groups. Both groups received medicine therapy.Meanwhile,the rehabilitation group participated a two-week,hospitalized cardiac rehabilitation program.The serum lipid profiles,QOL,State-Trait Anxiety Inventory(STAI)and physical activity of the patients were assessed before and 3-months follow-ups.Result:There were no significant differences in the all indices between the two groups at baseline. In the rehabilitation group,the HDL-C(P<0.01) and TC/HDL-C(P<0.05) had improved significantly,the QOL total score and the social attitude and subjective well-being score had increased(P<0.05),the State Anxiety Inventory(S-AI) and the Trait Anxiety Inventory(T-AI) had decreased significantly(P<0.05),and the physical activity had improved significantly at the 3-month follow-up.Conclusion:The two-week,hospitalized cardiac rehabilitation program improved the serum lipid profiles,the physical activity,the psychological status (Anxiety) and QOL in patients with AMI.