早期康复训练对冠心病介入治疗术后恢复的影响

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。

Study of Early Rehabilitation Programme in Patients with Acute Myocardial Infarction after Emergent Intervention

Objective： To investigate the efficacy and safety of early rehabilitation programme in patients with acute myocardial infarction （AMI） after percutaneous coronary intervention （PCI）. Methods： A total of 192 AMI patients treated by PCI were randomly divided into the rehabilitation group and control group with each of 96 patients, that was treated with the early cardiac rehabilitation programs and traditional rehabilitation therapy, respectively. The heart structure, complications and hospital stay of the two groups were compared. Results： During hospitalization and follow-up 1 year later, the leftventricuiar end diastolic diameter, left ventricular end systolic diameter, left ventricular posterior wall thickness and left ventricular ejection fraction in the two groups were no significant difference （P〉0.05）; the complications ofarrhythmia, heart complications and mortality in the two group were not significantly different （P〉0.05）; while the incidence of nosocomial infection of the control group was significantly higher than that in the rehabilitation group （P〈0.05）. Conclusion： Early postoperative cardiac rehabilitation program in AMI patients with PCI is safe and helpful, which can significantly reduce the incidence of nosocomial infection and length of hospital stay.