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20多年前,文献有报道对曾患心肌梗塞的患者施行运动锻练的治疗。现在尽管对其安全性、益处和运动耐受性似乎已确定,但关于这种治疗的远期效果,包括存活率、发病率和生活质量等问题有争议。文献中虽然已有一些关于心肌梗塞后康复方案的随机、对照研究的报道,但众说不一,没有得出确切的答案。不过,总的印象是这种治疗有利于降低死亡率。这些报道大多数都只包括对饮食、吸烟和心理支持的咨询,忽视了对这些患者护理的一个重要评价指标——远期随访。
More than 20 years ago, there have been reports in the literature of exercise training for patients who have had myocardial infarction. Now that the safety, benefits and exercise tolerance appear to have been established, the long-term effects of such treatment, including survival, morbidity and quality of life, are controversial. Although there have been some reports in the literature about randomized, controlled studies on post-MI rehabilitation programs, they have different opinions and do not give definitive answers. However, the general impression is that this treatment is good for reducing mortality. Most of these reports include counseling on diet, smoking and psychosocial support, neglecting an important measure of care for these patients - long-term follow-up.