马虹 廖新学 董吁钢 叶慧膺 马中富 何建桂 刘思明 张育君 杜志民 廖晓星 510080 广州，中山医科大学附属第一医院心内科 中华心血管病杂志 1999 0 27 3


    关键词：心肌梗塞；康复 期刊 zhxxgbzz 0 临床研究 fur -->


    

【摘要 】 目的 探讨早期康复治疗对无合并症急性心肌梗塞(AMI)患者住院期病情的影响。方法 203例AMI患者前瞻性随机分为早期康复治疗组(组1101例)及对照组(组2 102例)。两组主要基线资料具可比性。组1采用早期康复治疗方案，组2采用传统康复治疗方案。结果 两组在左室射血分数、平板运动试验阳性、Holter中Lown III级以上室性心律失常、心室晚电位阳性、 Wagner-Selvester心电图分值以及梗塞后心绞痛、再梗塞、住院期死亡等的构成在统计学上差异均无显著性(P>0.05)。早期康复组在增加运动量过程中出现心绞痛或呼吸困难4例，均于停止递增运动量后消失。结论 无合并症AMI患者实行早期康复治疗是安全可行的。

Effects of early rehabilitationprogram on AMI patients

    MA Hong,LIAO Xinxue,DONG Yugang,et al.First Affiliated Hospital,Sun Yat-sen Universityof Medical Sciences,Guangzhou 510080

【Abstract 】 Objective Toinvestigate the effects of early rehabilitation program on patients with acute myocardialinfarction (AMI). Methods Two hundred and three consecutive patientswith uncomplicated AMI admitted to CCU from June 1995 to September 1997 were prospectivelyrandomised into early rehabilitation group (group 1, n=101) and control group (group 2,n=102). Patients in the two groups were well-matched in terms of major basic materials.Patients in group 1 received early rehabilitation program while those in group 2 receivedtraditional rehabilitation program.Results No significant differenceswere found between the two groups in terms of left ventricular ejection fraction ,Wagner-Selvester ECG scores, positive treadmill exercise ECG test, Lown classification ofventricular arrhythmias>Ⅲ in Holter monitoring, positive ventricular late potentials,post infarction angina, reinfarction and hospital mortality.Conclusion Earlyrehabilitation progarm is safe and feasible for patients with uncomplicated acutemyocardial infarction.

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