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急性心肌梗死介入治疗后早期运动平板试验的临床应用 被引量:3

Early Clinical Application of Exercise Testing Soon After Percutaneous Coronary Intervention of Patient with Acute Myocardial Infarction
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摘要 目的探讨急性心肌梗死(AMI)患者介入治疗(PCI)后早期运动平板试验的临床意义。方法选择AMI患者30例行PCI术后1个月内行运动平板试验检查,分为老年组与非老年组对其运动量及运动时间等参数进行比较。结果30例患者无一例发生严重并发症。老年组与非老年组的最大运动量分别为(7.6±1.63)代谢当量(METS)和(10.60±1.88)METS(P<0.05),运动时间分别为(5.66±1.96)min和(7.41±1.64)min(P<0.05)。老年人介入治疗无一例发生严重并发症,运动量及运动时间均小于非老年人。结论AMI患者PCI术后早期运动平板试验是安全可行的。既能鉴别高危患者,又能为患者制定运动处方,可成为无并发症的PCI术后患者进行康复运动治疗前的常规检查。 [Objective]To investigate the clinical application of exercise testing soon after Percutaneous Coronary Interventrion (PCI) in patient with acute myocardial infarction (AMI). [ Methods] Thirty patients with acute myocardial infarction were given PCI. All were divided into elderly group (age ≥60 years) and nonelderly group (age〈60 years). The results of exercise capacity and time were compared between the two groups. [Results]No complications occurred in thirty patients. The maximal exercise capacity and time were lower and shorter in elderly group than those in the non-elderly group (7.6 ± 1.63) METS vs( 10.60 ± 1.88) METS(metabolie equivalents), ( P 〈0.05) and (5. 66±1.96) min vs(7. 41±1. 64) min ( P 〈0.05) respectively. [Conclusion]It is safe and practicable for the AMI patients after PCI to have exercise testing. The pa tients shoud be given exercise prescription according to the exercise testing. The exercise testing should be come a conventional test for AMI patients with PCI before starting rehabilitating exercise program.
出处 《医学临床研究》 CAS 2006年第11期1759-1760,共2页 Journal of Clinical Research
关键词 心肌梗塞/治疗 急性病 运动试验 myocardial infarction/TH aeule disease exercise test
作者简介 中南大学湘雅二医院在职研究生,期间内在广东省人民医院进修,工作单位为湖南省马王堆医院
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