CAJ | 학술논문

目的探讨10 d康复程序在急性心肌梗死（acute myocardial infarction，AMI）患者介入术后心脏康复中的应用效果。方法将80例AMI行介入手术后无并发症的患者随机分为观察组与对照组，每组各40例，对照组按照临床路径实施两周的心脏康复训练，观察组在对照组基础上优化路径实施10 d心脏康复训练。比较两组患者出院时左室射血分数（left ventricular ejection fraction，LVEF）、生活自理能力、心功能分级、并发症发生率、住院时间和住院费用情况。结果出院时观察组患者LVEF、生活自理能力、心功能分级明显优于对照组，两组比较，均P＜0.05，差异具有统计学意义；两组患者并发症发生率比较，均P＞0.05，差异无统计学意义；观察组患者住院时间明显短于对照组，住院费用明显少于对照组，两组比较，均P＜0.01，差异具有统计学意义。结论10 d心脏康复程序有利于患者心脏的康复，而且缩短住院时间和减少住院费用，值得临床推广应用。
목적탐토10 d강복정서재급성심기경사（acute myocardial infarction，AMI）환자개입술후심장강복중적응용효과。방법장80례AMI행개입수술후무병발증적환자수궤분위관찰조여대조조，매조각40례，대조조안조림상로경실시량주적심장강복훈련，관찰조재대조조기출상우화로경실시10 d심장강복훈련。비교량조환자출원시좌실사혈분수（left ventricular ejection fraction，LVEF）、생활자리능력、심공능분급、병발증발생솔、주원시간화주원비용정황。결과출원시관찰조환자LVEF、생활자리능력、심공능분급명현우우대조조，량조비교，균P＜0.05，차이구유통계학의의；량조환자병발증발생솔비교，균P＞0.05，차이무통계학의의；관찰조환자주원시간명현단우대조조，주원비용명현소우대조조，량조비교，균P＜0.01，차이구유통계학의의。결론10 d심장강복정서유리우환자심장적강복，이차축단주원시간화감소주원비용，치득림상추엄응용。
Objective To compare the different effects of two rehabilitative therapies on cardiac rehabilitation of patients with acute myocardial infarction after interventional program.Methods Eighty AMI patients with no complications after interventional treatment were randomized equally into the observation group and the control group.The patients in the control group were given two-week cardiac rehabilitative training in line with the clinical nursing pathway.Besides the treatment in the control group,those in the observation group were given 10-day cardiac rehabilitative training by optimizing the nursing pathway.The two groups were compared in terms of left ventricular ejection fraction,self-care ability,heart function grading,incidence of complications,hospital stay and hospitalization cost.Results At discharge,The observation group was significantly better than the control group in terms of left ventricular ejection fraction,self-care ability and grading of cardiac function(all P<0.05).In regard to the incidence of complications,there was no statistically significant difference between the groups.Hospital stay in the observation group was obviously shorter than that in the control group and the hospitalization cost significantly less than that in the control group(P<0.01).Conclusion The 10-day cardiac rehabilitation program can promote patients’recovery,shorten the hospital stay and reduce the medical expense.