CAJ | 학술논문

目的:探讨早期康复治疗对无并发症急性心肌梗死 (AMI )患者心率变异性( HRV)和生活质量的影响. 方法:185例研究对象前瞻性随机分为早期康复治疗组 (组 1, 91例 )及对照组 (组 2, 94例 ). 2组主要基线资料具可比性.组 1采用早期康复治疗方案,组 2采用传统康复方案.所有研究对象分别在入院 2周末行 24 h动态心电图( Holter)检查和 HRV分析.同时,患者出院前作生活自理能力和精神状态评价. 结果:早期康复组 HRV各指标、Holter中 Lown 3级以上室性心律失常发生率与对照组比较统计学上无显著性差异( P >0.05),但早期康复组能改善生活自理能力(χ 2=7.91,P < 0.05 )和精神状态(χ 2= 6.23,P < 0.05 ). 结论:无并发症 AMI 患者实行早期康复治疗不影响 HRV值,不影响心肌电稳定性,不增加 Lown 3级以上室性心律失常发生率,能改善患者生活自理能力和精神状态,从另一角度提示该组患者早期康复治疗安全可行.
목적:탐토조기강복치료대무병발증급성심기경사 (AMI )환자심솔변이성( HRV)화생활질량적영향. 방법:185례연구대상전첨성수궤분위조기강복치료조 (조 1, 91례 )급대조조 (조 2, 94례 ). 2조주요기선자료구가비성.조 1채용조기강복치료방안,조 2채용전통강복방안.소유연구대상분별재입원 2주말행 24 h동태심전도( Holter)검사화 HRV분석.동시,환자출원전작생활자리능력화정신상태평개. 결과:조기강복조 HRV각지표、Holter중 Lown 3급이상실성심률실상발생솔여대조조비교통계학상무현저성차이( P >0.05),단조기강복조능개선생활자리능력(χ 2=7.91,P < 0.05 )화정신상태(χ 2= 6.23,P < 0.05 ). 결론:무병발증 AMI 환자실행조기강복치료불영향 HRV치,불영향심기전은정성,불증가 Lown 3급이상실성심률실상발생솔,능개선환자생활자리능력화정신상태,종령일각도제시해조환자조기강복치료안전가행.
AIM:To investigate the effects of early rehabilitative intervention on heart rate variability (HRV) and quality of life in patients with uncomplicated acute myocardial infarction(AMI). METHODS:One hundred and eighty-five consecutive patients with uncomplicated AMI were prospectively randomized into early rehabilitation group(Group 1,n=91) and controlled group(Group 2, n=94).Patients in the two groups were well-matched in terms of major basic materials.Patients in group 1 received early rehabilitation programme.Patients in group 2 received traditional rehabilitation programme.All subjects received 24-hour ambulatory electricardiogram (Holter) and HRV analysis within two weeks of onset of AMI,their self-care ability and psychosis were evaluated before discharge. RESULTS:No significant difference were found between the two groups in terms of all HRV data and Lown classification of ventricular arrhythmias >Ⅲ in Holter monitoring,but their self-care ability and psychosis were improved in early rehabilitation group. CONCLUSION:Early rehabilitation programme does not affect HRV in patients with uncomplicated acute myocardial infarction,thus does not affect myocardial electrical stability,meanwhile improve ability of self-care and quality of life.And it also suggests early rehabilitation programme is safe and feasible for patients with acute myocardial infarction from other view of point.