An observation on clinical effectiveness of early rehabilitative training program in patients with acute myocardial infarction
- VernacularTitle:急性心肌梗死患者早期康复训练临床疗效观察
- Author:
Lei ZHOU
;
Guo-Ming WEN
;
Xia HUANG
;
Wan-Hong HE
;
Chun-Rong ZHANG
;
Xiao-Lan GONG
;
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Rehabilitation;
Treatment outcome
- From:
Chinese Journal of General Practitioners
2005;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of early rehabilitative training program on patients with acute myocardial infarction(AMI).Methods One hundred and twenty-two patients with AMI were randomly divided into early rehabilitation group(n=62)and control group(n=60).In addition to routine treatment,patients in rehabilitation group received early rehabilitative training mainly by walking exercise for two weeks.Results There were no significant differences in ventricular arrhythmia(Lown≥Ⅲ), extension of infarction and heart rate variability(HRV)between the two groups(P＞0.05).Forty of 62 patients(64.5%)in rehabilitation group had their left ventricular ejection fraction(LVEF)more than or equal to 50% in the 3~(rd)～4~(th)week after admission,significantly higher than that in control group(45.0%, 27/60 ;P＜0.01 ).By the end of the 4~(th)week after admission,25.8% of the patients in rehabilitation group showed positive in treadmill test,significantly lower than that in control group(38.3%,P＜0.01). Occurrence of angina pectoris and reinfarction and fatality in rehabilitation group were significantly lower than those in control group(P＜0.05)during their hospitalization and follow-up period.Patients in rehabilitation group stayed at hospital for(16?3)days in average,significantly less than that in control group[(27?4) days],with statistically significant difference(P＜0.05).Conclusion Early rehabilitative training for patients with uncomplicated AMI is not only safe and feasible,but also useful in improvement for their prognosis and quality of life.
