老年急性心肌梗死患者急诊介入术后早期程序康复和心律失常研究.docVIP

老年急性心肌梗死患者急诊介入术后早期程序康复和心律失常研究 　　【摘要】 目的 对老年急性心肌梗死患者在接受直接经皮冠脉介入(PCI)治疗并予早期程序康复治疗后在住院期间及随访1年所出现心律失常行相关性研究。方法 166例AMI患者经PCI治疗后随机分为：康复组予早期心脏程序康复治疗；对照组予传统康复治疗。两组主要基线资料具可比性，住院PCI术后第1、2、3天及出院前1 d各行心电图检查1次，出院后随访1年并行复查心电图。结果 康复组与对照组患者住院期间各出现心律失常总例数分别为75例（91．5%）和77例（91．7%），在统计学上无显著性差异（P＞0．05）。出院后随访1年，出现心律失常康复组3例（3．7%），对照组4例（4．8%），两组无显著性差异（P＞0．05）。结论 老年AMI患者急诊PCI后早期心脏程序康复治疗不增加心律失常发病率，是有益、安全、可行的。? 　　【关键词】 急性心肌梗死；经皮冠状动脉介入治疗；程序康复；心律失常?? 　　The study of early rehabilitation programme in old-age patients with acute myocardial infarction after emergent intervention and arrhythmia 　　 ZHU Zhi-dan，CHEN Dong-qing，LUO Yan-hua， et al. Department ofCardiology, Guangdong Central Hospital, Guangdong 515031,China ? 　　【Abstract】 Objective To carry out the correlative research on arrhythmia between the hospitalization duration and one year of follow up .Methods 166 cases with AMIafter PCI were randomly divided into two groups with matched clinical data, early rehabilitation programme group who administered early rehabilitation treatmentandcontrol group who administered traditional rehabilitation therapy ,all the patients recorded the synchro 12 leads electrocardiogram at the first day,second day ,third day and the last day before discharging from hospital after PCI, and to compare the ECG after one year of follow up.Results There were not significant differences in incidence of arrhythmiain the two groups (91．5% ,75 cases) and (91．7%,77 cases ）, P＞0．05 ,3 cases （3．7%）occurred arrhythmia in rehabilitation programme group after one year of follow up and 4 cases （4．8%）occurred arrhythmia in control group, P＞0．05.Conclusion Early rehabilitation programme in old-age patients with acute myocardial infarction after emergent intervention does not increas the incidence rate of arrhythmia , it has theavailability and safety and feasibility.? 　　【Key words】 Acute myocardial infarction；Direct percutaneous coronary intervention； Rehabilitation programme；Arrhythmia 　　? 　　 　　老年人急性心肌梗死(AMI)逐年增多，而心律失常又是