急性心肌梗塞患者早期活动问题的探讨

Early rehabilitation of AMI patients in hospital

  • Abstract: According to the routine care for AMI patient in the past years, it needed to confine the patient completely in bed at least for 3—4 weeks, bringing a lot of inconvenience or even more complications to the patient indeed. Recently an early rehabilitation programme in the hospital for part of the AMI patients without severe compication was carried out and the result was compared with that in addmitted in 1981 without significant statistical difference. The benifits of early mobilisa tion are: 1. reduction of hospitalisation stay; 2. early return to work activity; 3. better psychologicol motivation of the patient and his family with less anxiety.Base on this observation, we suggest AMI patients into two groups according to a series of parameters within 72 hours after admission. One is high-risk group and another the general group. Only the general group patients can fit to the early rehabilitation activity program. In early stage of AMI, the instability of the cardiac electricic activity and left ventricular function are important factor effecting the early mobilization. The finding out of an optimal monitory method to guide the early mobilization and to further reduce the mortality of AMI requires more investigation.

     

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