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目的 :评价早期活动五级法对急性心肌梗塞患者的临床应用价值 ,探讨其可行性。方法 :搜集本院CCU1987～ 1992年收治的 496例AMI患者为对照组 (未实行早期活动五级法 ) ;以 1993～ 1997年收治的 5 34例急性心肌梗塞患者为实验组 (实行严格合理的早期活动五级法 )。采取回顾性方法进行对比。结果 :实验组患者的死亡率、血栓或栓塞率均明显下降 ,死亡率从 17 1%下降至 13 5 % (P <0 0 5 ) ,血栓或栓塞率从 1 6 %下降至 0 5 5 % (P<0 0 0 1)。结论 :早期活动五级法应用于急性心肌梗塞患者是可行的、安全的 ,降低了死亡率、血栓形成或栓塞率。
OBJECTIVE: To evaluate the clinical value of the five-stage early-action method in patients with acute myocardial infarction and to explore its feasibility. Methods: 496 patients with AMI admitted to our hospital from 1987 to 1992 were enrolled as the control group (no five-stage early-stage activity); 5 34 patients with acute myocardial infarction admitted from 1993 to 1997 were selected as the experimental group Early activities five law). Take a retrospective approach for comparison. Results: The mortality, thrombus or embolization rate of the experimental group decreased significantly from 17 1% to 13 5% (P 0 05), and the thrombus or embolization rate decreased from 16% to 0 55% (P <0 0 0 1). CONCLUSION: The five-stage early-stage method is feasible and safe for patients with acute myocardial infarction and reduces the rate of death, thrombosis or embolism.