摘要
目的:探讨急性心肌梗塞患者行心脏介入治疗术后早期康复运动对舒适的影响。方法:实验组在术后4～6h拔出脉鞘管,12h术侧肢体制动,12h后被动翻身,按摩腰背部肌肉,24h后开始康复运动,第四天下床;对照组绝对卧床72h,1星期后可下床。通过两组并发症发生率的比较,疼痛指数评估腰背痛、焦虑自评量评定焦虑。结果:两组出血情况,心脏并发症发生率没有明显差异,但术后24h、48h腰背痛和焦虑有明显差别。结论:术后24h行康复运动是安全的,且能有效提高患者的舒适度。
Objectives：To explore influences of doing rehabilitative exercise in the early days after operation on patients with AMI （acute myocardial infarction） who accepted intcrventional therapy. Methods： For experimental group： pulled out arterial sheath tube after 4 - 6h post-operation; kept side limb freeze for 12h;the passively turning over the body after 12h and massaged the muscle of waist and back; beginning to do rehabilitative exercise behind 24h ; and on the fourth day leaving the bed For control group ： kept in bed absolutely within 72h; and after 1 week leaving the bed We compared complications between the 2 groups, assessed waist and back ache by using the pain index and used self-evaluated table of anxiety to evaluate anxiety. Results：There were no obvious differences from bleed situation to cardiopathy complications between 2 groups But the ache of waist and back and anxiety appear significant distinction after 24h - 48h post- operation. Conclusions：It is safe to do rehabilitative exercise after 24h post-operation, and raise the patients, comfort degree effectively.
出处
《四川省卫生管理干部学院学报》
2005年第4期245-247,共3页
Journal of Sichuan Continuing Education College of Medical Sciences
关键词
急性心肌梗塞
介入治疗
康复运动
舒适
Acute myocardial infarction
Intervention therapy
Rehabilitative exercise
Comfort
