摘要
目的探讨早期康复治疗在急性心肌梗死(AMI)合并心功能不全患者中的应用效果.方法选择淄博化建老年病医院2019年9月—2021年2月收治的AMI合并心功能不全患者74例为研究对象,按随机数表法将其分为两组,每组37例.对照组采用常规治疗,观察组在此基础上采用早期康复治疗,两组均治疗1个月,之后随访3个月.对比两组的康复情况、心功能指标水平、生活质量及心脏不良事件发生率.结果观察组的卧床时间、住院时间均短于对照组,差异有统计学意义(P<0.05).观察组治疗后的生活质量综合评定问卷(GQOLI-74)各维度评分均高于对照组,各项心功能指标水平均高于对照组,差异有统计学意义(P<0.05).观察组的心脏不良事件发生率为5.41%,低于对照组的29.63%,差异有统计学意义(P<0.05).结论早期康复治疗在AMI合并心功能不全患者中的应用效果确切,能够缩短卧床与住院时间,促进心功能恢复,降低心脏不良事件发生风险,提升生活质量,改善预后.
Objective To investigate the effect of early rehabilitation therapy in patients with acute myocardial infarction(AMI)complicated with cardiac insufficiency.Methods 74 patients with AMI complicated with cardiac insufficiency admitted to Zibo Huajian Geriatric Hospital from September 2019 to February 2021 were selected as the study subjects,and were divided into two groups according to random number table method,with 37 patients in each group.The control group received conventional treatment,and the observation group received early rehabilitation treatment on this basis.Both groups were treated for 1 month and followed up for 3 months.The recovery situation,cardiac function indexes,quality of life and incidence of adverse cardiac events were compared between the two groups.Results The bed time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The scores of all dimensions of generic quality of life inventory 74(GQOLI-74)after treatment in the observation group were higher than those in the control group,and the levels of cardiac function indexes were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse cardiac events in the observation group was 5.41%,lower than 29.63%in the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation therapy is effective in AMI patients with cardiac insufficiency,which can shorten the length of bed and hospital stay,promote the recovery of cardiac function,reduce the risk of adverse cardiac events,improve the quality of life,and improve the prognosis.
作者
陈庆栋
孔保国
CHEN Qingdong;KONG Baoguo(Department of Internal Medicine,Zibo Huajian Geriatric Hospital,Zibo Shandong,255438,China;Department of Emergency,PKU Care Luzhong Hospital,Zibo Shandong,255400,China)
出处
《反射疗法与康复医学》
2021年第19期148-150,共3页
Reflexology And Rehabilitation Medicine
关键词
急性心肌梗死
心功能不全
早期康复治疗
康复情况
心功能指标
心脏不良事件
Acute myocardial infarction
Cardiac insufficiency
Early rehabilitation treatment
Rehabilitation situation
Cardiac function indicators
Adverse cardiac events
