【摘要】 目的探讨康复运动对急性心肌梗死患者心理特征和心功能的影响。方法随机选择徐闻人民医院心内科住院的急性心肌梗死患者50例,在医护人员监护下分3个阶段进行的4周康复运动,并分别在康复运动前后用彩色多着勒超声仪测定心功能,用精神卫生症状自评量表(SCL-90)进行心理特征评估,并于出院前进行平板运动试验。结果所有患者均完成住院期间康复治疗,人际关系、抑郁、焦虑和恐怖心理得到改善;无严重心律失常、再次心肌梗死和心功能恶化等严重心脏病现象发生。左心室射血分数(leftventricularejectionfraction,LVEF)、每搏量、心每搏输出量治疗前后的值分别为(34.15±4.72)%和(53.26±7.38)%,(43.34±6.63)和(63.01±4.29)mL,(3.51±1.77)和(5.76±1.72)L/min,差异有显著性意义(t=3.15,3.73,3.75,P<0.01)。平板运动试验,运动贮量为(5.30±1.47)METS。结论康复运动能明显改善急性心肌梗死患者的心理特征和心功能。更多还原

【Abstract】 AIM:To explore the effect of rehabilitation exercise on physiological characteristics and heart function in patients with acute myocardial infarction(AMI).METHODS:Fifty AMI patients were randomly selected in Department of Cardiology,Xuwen People’s Hospital,and then they received four week insistent rehabilitation exercise for 3 periods under the monitoring of the doctors.Their heart function was evaluated by using the color Doppler ultrasound,and their psychological characteristics were assessed with symptom checklist 90(SCL 90) before and after rehabilitation exercise.All the patients were test with the treadmill exercise test before they left hospital.RESULTS:All the patients finished the rehabilitation exercise therapy while they were in hospital.Interpersonal relationship,depression,anxiety and panic were all improved.No serious heart attack of life threatening arrhythmia,re infarction and heart function deterioration were observed.Left ventricular ejection fraction(LVEF)[(34.15±4.72)%and (53.26±7.38)%],stroke volume[(43.34±6.63) and (63.01±4.29)mL] and cardiac output [(3.51±1.77) and (5.76±1.72) L per minute]all increased obviously(t=3.15,3.73,3.75,P< 0.01).The exercise capacity was(5.30±1.47) METs among the 50 patients who completed the treadmill exercise test.CONCLUSION:Rehabilitation exercise can obviously improve the physiological characteristics and heart function,raise quality of life in patients with AMI.更多还原