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早期活动在心脏的康复中起重要的作用.作者在本文中对在心肌梗塞24小时内开始的康复方案进行评价,并证实早期活动没有不利的影响.病例选择:共12名病人,其中女性2例,男性10例,年龄为35～75岁(平均为63岁)。均符合WHO 的三条诊断标准中的二条:典型的病史、心电图改变和心脏酶(乳酸脱氢酶和谷草转氨酶)升高,均因疑为心肌梗塞而入院治疗,在参加本研究之前其症状持续时间短于24小时.凡既往有心肌梗塞、严重的左心室衰竭或心源性休克者,或入院时有心律失常而需要抗心律失常药物治疗者均予摒除.方法:运动开始前测血压和脉搏,运动完后立即再测血压,运动结束后1分钟和3分钟测脉搏.如有任何胸痛、脉搏明显增快或心律失常,则密切观察,并嘱病人立即停止运动.每天检查心脏酶.运动在理疗师的指导下进行,并由其做全面记录.
Early activities play an important role in the rehabilitation of the heart.The authors in this article evaluate the rehabilitation program initiated within 24 hours of myocardial infarction and confirm no adverse effects on early activity.Case selection: A total of 12 patients, including 2 women Cases, 10 males, aged 35 to 75 years (mean, 63 years). Are in line with WHO’s three diagnostic criteria in two: a typical history, changes in ECG and heart enzymes (lactate dehydrogenase and aspartate aminotransferase) were elevated due to suspected myocardial infarction admitted to hospital before participating in the study the symptoms persist Time is shorter than 24 hours.All previous myocardial infarction, severe left ventricular failure or cardiogenic shock, or admitted to hospital with arrhythmia and anti-arrhythmic drug treatment were excluded.Methods: Before exercise to measure blood pressure and Pulse, blood pressure immediately after exercise, 1 minute after the end of exercise and 3 minutes to measure the pulse.If any chest pain, pulse significantly increased or arrhythmia, the close observation, and instruct the patient to stop exercising.Check heart enzymes daily. The exercise was performed under the guidance of a physiotherapist and fully documented by him.