目的:观察32例老年急性心肌梗塞(AMI)患者早期运动康复的疗效。方法:将32例老年AMI分为低危、中危、高危组,分别完成2周、3周、4周康复程序,其中25例患者出院前进行活动平板运动试验。结果:30例患者如期完成康复程序,生活质量及心率变异性明显改善,出院前生活均能自理,其中28例运动试验测定的METS达5.17±0.71。结论:老年AMI患者病情平稳后,在密切监测、正确药物治疗下进行早期运动康复是可行、安全的,可改善患者的预后。 Objective: To observe the effect of early exercise rehabilitation in 32 elderly patients with acute myocardial infarction (AMI). Methods: Thirty-two elderly AMI patients were divided into low-risk, middle-risk and high-risk groups and completed the rehabilitation program of 2 weeks, 3 weeks and 4 weeks respectively. Twenty-five of them were tested for active treadmill exercise before discharge. Results: Thirty patients completed the rehabilitation program as scheduled, and their quality of life and heart rate variability improved significantly. Before discharge, life could take care of themselves. The METS measured by 28 exercise tests was 5.17 ± 0.71. Conclusion: After the elderly patients with stable AMI are stable, it is feasible and safe to monitor early exercise rehabilitation under the correct medical treatment and improve their prognosis.