急性心梗两周康复程序的疗效观察及分析

目的:探讨两周康复程序对急性心肌梗塞(AMI)患者运动能力、心功能恢复、心理状态的影响。方法:98例AMI患者,分成康复组50例、对照组48例,两组均常规药物治疗,康复组在药物治疗的基础上加两周康复程序,对两组的运动能力即代谢当量(METS)值、心肌酶、左室射血分数(LVEF)、E峰与A峰比值(E/A)进行对比分析。结果:康复组运动能力(2.91±0.72)METS∶(2.57±0.63)METS]、6 min步行距离(258.9±22.59)m∶(226.17±17.03)m],LVEF(56.4±6.25)%∶(50.4±6.84)%]、E/A1(40例∶29例)、抑郁(1.5±0.6)∶(2.0±0.5)]、焦虑(1.4±0.7)∶(1.9±0.8)]较对照组明显改善(P均0.05)。结论:两周康复程序增加急性心肌梗塞患者运动能力,减轻焦虑、抑郁症状,提高生活质量,值得推广。

Impact of two-week rehabilitation program on exercise capacity, heart function and psychological state in patients with acute myocardial infarction

Objective： To explore the impact of two-week rehabilitation program on exercise capacity, heart function and psychological state in patients with acute myocardial infarction （AMI）. Methods： A total of 98 AMI patients were divided into rehabilitation group （50 patients） and control group （48 cases, treated with routine medicine treatment）. In addition to the routine medicine treatment, rehabilitation group undertakes another 2-week rehabilitation program. After 2-week therapy , the METS, 6-minute walking distance, cardiac enzymes, left ventricular ejection fraction （LVEF） and E / A were compared and analyzed between two groups. Results： The METs （2.91±0.72） METs vs. （2.57±0.63） METs], 6 min walk distance （258.9±22.59） mrs. （226.17±17.03） m], LVEF （56.4± 6.25）% vs. （ 50.4±6.84）%], E/A〉1 （29 cases vs. 40 cases） significantly increased, the depression （1.5± 0.6） scores vs. （2.0±0.5） scores], ansiety （1.4±0.7） scores vs. （1.9±0.8） scores] significantly decreased in rehabilitation group compared with those of control group, P〈0.05, all. Conclusion： The 2-week rehabilitation program would be safe and effective for improving exercise capacity, relieve anxiety and depression in patients with acute myocardial infarction.