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目的 :观察 10例急性心肌塞 (AMI)患者早期运动康复疗效.方法 :10例 AMI患者在药物治疗同时进行 4周运动康复程序 ,并与 10例仅以药物治疗的 AMI患者 (对照组 )进行比较.结果 :4周后 AMI患者康复组与对照组在高密度脂蛋白胆固醇 (HDL- C)、甘油三脂 (TG)、QT离散度(QTd)运动代谢当量 (METs)、心理状态等方面存在显著差异.结论 :无严重并发症的 AMI病人 ,在医务人员监护、指导下循序渐进地进行运动康复可以升高 HDL- C,降低 TG和 QTd,增加 METs,改善病人心理状态 ,促进 AMI康复","Objective:Making observation of exercise training on the recovery of 10 patients with acute myocardial infarction(AMI).Methods:10 AMI patients,under the close supervision of the electrocardiogram and guidance of doctors,carried out a 4 week program of physical exercises while taking medicine,and they were compared with the comparison group in which ten patients only took medicine.Results:Compared with comparison group,the physical exercises group after the exercise training showed significant differences in HDL C,TG,QTd,METs and psychological status.Conclusion:The AMI patients who free from server complications can take physical exercise training gradually and can raise HDL C,reduce TG and QTd;increase METs;improve their psychological status and promote their recovery. Author′s address Hunan provincial Geriatric Hospital,Changsha,Hunan,410001