《中国康复理论与实践》

《中国康复理论与实践》 ›› 1998, Vol. 4 ›› Issue (03): 105-108.

• 理论与实践 • 上一篇    下一篇

早期运动负荷试验对改善急性心肌梗塞患者生活质量的影响

戴若竹1; 林荣1; 郭炳章1; 黄继义2   

  1. 1.福建省泉州市第一医院心脏康复科;2.福建省厦门市第一医院内科
  • 收稿日期:1997-11-28 出版日期:1998-09-25 发布日期:1998-09-25

Effects of Early Exercise Testing on Improving Quality of Life for the Patients after Acute Myocardial Infarction.

Dai Ruozhu,Lin Rong,Huang Jiyi,et al   

  1. Chinese Journal of Rehabilitation Theory & Practice.-1998,4(3):105～108
  • Received:1997-11-28 Published:1998-09-25 Online:1998-09-25

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摘要： 22例急性心梗（AMI）患者住院后两周左右（平均12．50±4．39天）进行踏车运动试验。结果发现早期运动试验（EET）时有10／22例（占45．45％）阳性，其血压和心率乘积的最大值为2782±776bPm．kPa，代谢当量为4．96±1．20METs，总运动时间达9．95±2．23分。随访3月～2．5年（平均1．33±0．84年），发现EET阳性者心脏事件比阴性者多（X2＝4．77，P＜0．05），其恢复家务的时间迟于阴性组（P＜0．05），而工作恢复则无显著差别。而EET组与对照组比较，其复工率、复工时间、恢复家务的时间和比率均比之多和早，二者之间差别有统计学意义。在性生活恢复方面虽然两者相差不多，但时间上EET者较为提前，且EET者能较早地从事体育锻炼。这些结果可以说明，作为一个客观指标，EET结果对指导生活质量的改善颇有益处。

关键词: 急性心肌梗塞, 早期运动试验, 生活质量

Abstract: 22 patients with acute myocardial infarction (AMI) under went early exercise testing (EET)(mean 12.50±4.39 days after MI) in our study. The positive rate of testing was 45.45%. The maximal ratepressure product (SBP×HR) and peak metabolic equivalent were 2782±776 bpm.kPa and 4.96 ±1.20METs. Following up 3 months to 2.5 years (1.33±0.84 years), we found that the occurrence of heart events in the positive EET group (EET-P) was more than in the negative EET group (EET-N) (X2=4.77, P<0.05).Time of return to work and housework in EET-P was earlier than EET-N. About time and ratio of return to work and housework, the EET group was higher and earlier than no EET(N-EET) group. On the other hand,sexual activity of EET was recovered to a certain degree and ma jority could do some physical training- The results would be showed that EET could improve the quality of life in the patients with AMI.

Key words: acute myocardial infarction, early esercise testion, quality of life