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目的:探讨经皮冠脉介入(PCI)治疗的急性心肌梗死(AMI)患者行早期康复训练后的疗效与安全性。方法:192例AMI患者经PCI治疗后随机分为康复组与对照组各96例,分别予早期心脏程序康复训练与传统康复治疗。比较2组患者的心脏结构、并发症及住院时间。结果:在住院期间及随访1年后,两组患者左室舒张末内径、左室收缩末内径、左室后壁厚度及左室射血分数无统计学差异(P>0.05);心律失常、心绞痛及死亡率等并发症均无显著性差异(P>0.05);而对照组院内感染发生率明显多于康复组(P<0.05)。结论:AMI患者PCI术后行早期心脏程序康复训练安全、有益,可明显减少院内感染的发病率,缩短住院时间。
Objective: To investigate the efficacy and safety of early perioperative training in patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI). Methods: A total of 192 patients with AMI were randomly divided into rehabilitation group and control group, with 96 cases in each group. They were given early heart program rehabilitation and traditional rehabilitation respectively. The heart structure, complications and length of hospital stay in two groups were compared. Results: There were no significant differences in left ventricular end-diastolic diameter, left ventricular end-systolic diameter, left ventricular posterior wall thickness and left ventricular ejection fraction (P> 0.05) during hospitalization and one year after follow-up. Arrhythmia, (P> 0.05). However, the incidence of nosocomial infections in the control group was significantly higher than that in the rehabilitation group (P <0.05). Conclusions: Early rehabilitation of cardiac program after PCI in AMI patients is safe and beneficial, which can significantly reduce the incidence of nosocomial infections and shorten the hospital stay.