CAJ | 학술논문

目的：探讨早期康复对老年急性心肌梗死（AMI）合并心衰患者的疗效。方法：选择 AMI 患者168例，按数字表法随机分为早期康复组（84例，实施早期康复方案）和常规治疗组（84例，实施常规治疗）。比较康复程序结束时两组并发症发生率，踏车试验及步行试验完成情况。结果：两组梗塞后心绞痛、再梗塞、住院期间死亡例数、左室射血分数等对比无显著性差异（P ＞0.05）。与常规治疗组比较，早期康复组程序结束时踏车试验（77.6％比95.0％），步行试验（65.4％比95.8％）完成率显著提高（P 均＜0.01）。早期康复组因长期卧床后易出现的并发症的发生率均显著低于常规护理组（P ＜0.05或 P ＜0.01）。结论在严密监护下对老年急性心肌梗死合并心衰（35％＜左室射血分数＜50％）患者实施早期康复方案是安全、有益的，可减少长期卧床所致并发症的发生，改善病人的运动功能，提高生活质量。
목적：탐토조기강복대노년급성심기경사（AMI）합병심쇠환자적료효。방법：선택 AMI 환자168례，안수자표법수궤분위조기강복조（84례，실시조기강복방안）화상규치료조（84례，실시상규치료）。비교강복정서결속시량조병발증발생솔，답차시험급보행시험완성정황。결과：량조경새후심교통、재경새、주원기간사망례수、좌실사혈분수등대비무현저성차이（P ＞0.05）。여상규치료조비교，조기강복조정서결속시답차시험（77.6％비95.0％），보행시험（65.4％비95.8％）완성솔현저제고（P 균＜0.01）。조기강복조인장기와상후역출현적병발증적발생솔균현저저우상규호리조（P ＜0.05혹 P ＜0.01）。결론재엄밀감호하대노년급성심기경사합병심쇠（35％＜좌실사혈분수＜50％）환자실시조기강복방안시안전、유익적，가감소장기와상소치병발증적발생，개선병인적운동공능，제고생활질량。
Objective:To explore the therapeutic effect of early rehabilitation on aged patients with acute myocardial infarction (AMI)complicated heart failure (HF).Methods:According to number table method,a total of 168 AMI cases were divided into early rehabilitation group (n=84,received early rehabilitation protocol)and routine treat-ment group (n=84,received traditional treatment).Incidence rate of complication,bicycling test and walking test result were compared between two groups at the end of rehabilitation program.Results:There were no significant difference in angina pectoris after myocardial infarction,re-infarction,dead cases during hospitalization and left ventricular ejection fraction (LVEF)etc.between two groups (P > 0.05 all).Compared with routine treatment group,there were significant rise in completion rates of bicycling test (77.6% vs.95.0%)and walking test (65.4%vs.95.8%)at the end of program in early rehabilitation group,P < 0.01 both.Incidence rates of complications caused by long-term lying in bed in early rehabilitation group were significantly lower than those of routine treat-ment group (P <0.05 orP <0.01).Conclusion:It's safe and beneficial to perform early rehabilitation protocol in aged patients with acute myocardial infarction complicated heart failure (35%<LVEF<50%)under close monito-ring,which can decrease occurrence of complications caused by long-term lying in bed,improve exercise function, and elevate quality of life in these patients.