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目的探究在老年急性心肌梗死合并心力衰竭患者中应用早期康复方案与常规康复方案的效果。方法回顾分析2015年3月—2017年3月在该院住院治疗的60例急性心肌梗死并心力衰竭老年患者临床资料,按不同康复方案分两组,各30例,对照组行常规康复,观察组在其基础行早期康复,比较组间临床治疗效果及生活质量。结果观察组LVDD、LVEF、心衰控制时间、住院时间均优于对照组,再梗死、梗死后心绞痛低于对照组(P<0.05);观察组躯体功能、心理功能、社会功能、物质生活及GOLI评分较对照组优(P<0.05)。结论急性心肌梗死合并心力衰竭老年患者实施早期康复可有效改善心衰,预防心肌再梗死,减轻心绞痛,提高生活质量。
Objective To explore the effect of early rehabilitation and routine rehabilitation on elderly patients with acute myocardial infarction and heart failure. Methods The clinical data of 60 elderly patients with acute myocardial infarction and heart failure hospitalized in our hospital from March 2015 to March 2017 were retrospectively analyzed. The patients were divided into two groups according to different rehabilitation programs, 30 cases in each. The control group received routine rehabilitation and observed Groups were rehabilitated early in their baseline and the clinical outcomes and quality of life were compared between groups. Results The LVDD, LVEF, heart failure control and hospital stay in the observation group were better than those in the control group, and the infarction and infarction angina pectoris in the observation group were lower than those in the control group (P <0.05). The body function, psychological function, social function, GOLI score than the control group (P <0.05). Conclusions Early rehabilitation in elderly patients with acute myocardial infarction complicated with heart failure can effectively improve heart failure, prevent myocardial re-infarction, relieve angina and improve quality of life.