冠心病心肌梗死患者康复医疗十年指导.pdfVIP

中国康复 ·2003年 4月 ·第 18卷第 2期 Chinese Journal of Rehabilitation，April 2003，Vo1．18 No．2 。 75 。 冠心病心肌梗死患者康复医疗十年指导* 陈启华 叶国鸿 罗发强 程木带 车京霞 卢燕红 【摘要】 目的：探讨冠心病心肌梗死患者康复医疗 、定期复查和长期指导的疗效。方法：125例冠心病心肌梗 死患者分为 2组：观察组 96例依照冠心病预防康复要求。包括临床治疗、控制冠心病危害因素、卫生宣教及心理疏 导、改变不合理生活习惯和行为方式、运动治疗等预防康复医疗措施。长期给予指导治疗 。定期复查。对照组 29例 按照常规方法治疗，不定期门诊随诊。结果 ：观察组患者疾病的恢复与稳定 、并发症的治疗 、冠心病危险因素的控 制、减少再梗死及死亡、提高生存质量等方面明显优于对照组 。结论：冠心病康复医疗、长期指导及定期复查对改 善冠心病心肌梗死患者疾病状况、身体活动能力、心脏功能、提高生存质量、减少心脏事件和死亡有着更好的医疗 效果 。 【关键词】 冠心病；心肌梗死 ；危害因素；康复医疗 【中围分类号】 R542．22 【文献标识码】 A 【文章编号】 1001-2001(2003)02—0075—03 Ten-yearsGa~ingforRehabilitationTreatmentinthePatientswith MyocardialInfarction Chen~~hua。YeGuohong， Luo Faqiang·et a1．The Second Peoples Hospital·Zhaoqing 526060 tAbstractI Objective：To study the efficacy of rehabilitation treatment and long-term guiding therapy for the patients with myocardial infarction(M I)．Methods：125 M I patients were randomly divided into two groups：obser— vation group(4--96)receiving clinical treatment。controlling risk factors of coronary artery disease，health educa— tion and exercise treatment。as well as long -term guiding therapy and regular physical check-up；control group(行： 29)receiving routine therapy and irregular physical check-ups．Results：In the observation group。the recovery and stabilization of the disease。treatment of the complication。controlling of the risk factors for coronary artery disease， the decrease of re-infarction of coronary artery disease and death，and the improvement of living quality were superi— or to those in the control group．Conclusion．-The rehabilitation treatment and lorig—term guiding therapy is a more effective model in improving the clinical conditions of body，ability of physical activities。cardiac functions and living quality，and decreasing death in the MI patients． tKey words] coronary artery disease；myocardial infarction；risk factors；rehabilitation treatment 冠心病发病率在我国仍呈上升趋势，急性心肌 梗死患者日益增多，为了能使渡过急性期的患者在 出院后疾病得以稳定或逆转，避免或减少急性心脏 病事件发生，提高医疗效果，我们于 198