65例老年心肌梗死合并心律失常患者早期康复护理干预对其心功能及预后的影响分析

摘要

Objective To analyze the influence of early rehabilitation nursing intervention on cardiac function and recent prognosis of patients with myocardial infarction complicated with arrhythmia.Methods A total of 65 elderly acute myocardial infarction patients complicated with arrhythmia were randomly divided into control group (n =32) and observation group (n =33).The control group was treated with routine rehabilitation,while the observation group was treated by early rehabilitation nursing intervention.Before treatment and 4 weeks,3 months and 6 months after treatment,the systolic blood pressure,Killip score,heart rate,left ventricular systolic function,and stroke volume were compared between two groups,and myocardial infarction and mortality rate were compared as well.Results There were no significant differences in left ventricular ejection fraction,Killip classification,heart rate,left ventricular pressure rise between the two groups (P ＞ 0.05).With the pass of time,left ventricular ejection fraction,Killip grading,heart rate,left ventricular pressure rise,the maximum rate of each volume significantly improved in both groups,and left ventricular ejection fraction,left ventricular pressure rise,the maximum rate of each the amount in the observation group were significantly higher than the control group,Killip score,heart rate was less than the control group (P ＜ 0.05).In the observation group,after 4 weeks,3 months,6 months of treatment,the completion rate of treadmill walking test completion rate were significantly higher than the control group,the arrhythmia rate,impatient reinfarction rate and mortality were significantly lower than the control group (P ＜ 0.05).Conclusion Early rehabilitation nursing intervention can effectively improve the cardiac function of elderly patients with acute myocardial infarction complicated with arrhythmia,improve the prognosis of patients.%目的 分析早期康复护理干预对老年心肌梗死合并心律失常患者心功能及近期预后情况的影响.方法 选择本院收治的65例老年心肌梗死合并心律失常患者,将其随机分为对照组(32例)和观察组(33例),对照组患者采用传统心肌梗死康复法对患者实施常规康复护理,观察组患者采用早期康复护理干预.比较2组患者入组前、入组后4周、3个月、6个月后收缩压、Killip分级、心率、左室收缩功能、每博量,比较2组患者入组后4周、3个月、6个月的运动耐力(步行试验、踏车实验),比较2组患者入组后6个月内心律失常率、再梗死率、病死率.结果 2组患者入组前左室射血分数、Killip分级、心率、左室压力上升最大速率、每博量比较差异无统计学意义(P＞0.05);随着时间的推移,2组患者的左室射血分数、Kiltip分级、心率、左室压力上升最大速率、每博量均较入组前有显著改善,每一个观察时间点,观察组的左室射血分数、左室压力上升最大速率、每博量、均显著高于对照组,Killip分级、心率均小于对照组,上述指标组间比较差异有统计学意义(P＜0.05);观察组患者入组后4周、3个月、6个月步行试验完成率、踏车实验完成率均显著高于对照组,观察组患者入组6个月后心律失常率、心急再梗死率及病死率均显著低于对照组,组间比较差异有统计学意义(P＜0.05).结论 早期康复护理干预可有效改善老年心肌梗死合并心律失常患者的心功能,改善患者预后质量.