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目的 :观察急性右室梗死病人住院期康复运动方案的特点及其疗效。方法 :2 3例急性右室梗死病人 ,均合并下壁、后壁或前壁心肌梗死 ,其中 18例经血管造影发现右冠脉梗死。待病情稳定后均参加 3阶段康复运动治疗。根据完成康复运动的天数将病人分为运动 11天 (n=15)以上和运动 10天 (n=8)以下两组 ,对比运动后两组心功能容量 ,冠脉组梗死程度、数量及心功能的差异。结果 :运动后心功能容量与康复运动次数呈正相关 r=0 .875(P<0 .0 0 0 5) ;11天组心功能容量值为 4 .73± 1.83 METs,10天组为 2 .68± 0 .2 1METs,有显著性差异 (P<0 .0 0 5)。结论 :急性右室梗死病人住院期接受 3阶段康复运动方案是安全的 ,参加适宜的康复运动治疗能帮助急性右室梗死病人改善心功能和恢复体力。
Objective: To observe the characteristics and efficacy of rehabilitation program of hospitalized patients with acute right ventricular infarction. Methods: Twenty-three patients with acute right ventricular infarction were complicated with infarction of the inferior wall, posterior wall or anterior wall. Among them, 18 cases were diagnosed as right coronary artery by angiography. When the condition is stable, they all participate in the 3-stage rehabilitation exercise. The patients were divided into the following two groups according to the number of days of rehabilitation exercise after exercise for more than 11 days (n = 15) and for 10 days (n = 8). The cardiac function volume, coronary artery infarction degree, Functional differences. Results: After exercise, the functional capacity of the heart was positively correlated with the number of rehabilitation exercises (r = 0.885, P <0.05). The cardiac function capacity of the 11-day group was 4.73 ± 1.83 METs and that of the 10-day group was 2. 68 ± 0.2METs, there was a significant difference (P <0.05). Conclusion: It is safe for patients with acute right ventricular infarction to receive 3-stage rehabilitation program during hospitalization. Participation in appropriate rehabilitation exercise can help patients with acute right ventricular infarction to improve cardiac function and recover their physical strength.