摘要
目的:研究急性心肌梗死患者术后深呼吸、咳嗽训练的疗效。方法:选取本院2013年4月-2014年4月收治的86例急性心肌梗死患者的临床资料,所有患者均接受手术治疗,根据数字随机分组法原则,将患者分为两组,每组各43例。对照组给予常规训练,观察组在常规训练基础上给予深呼吸、咳嗽训练,比较两组患者的心功能分级情况、住院时间、Barther指数、室性心律失常、心肌梗死再发生率。结果:(1)与对照组比较,观察组心功能改善情况更好,差异有统计学意义(P<0.05)。(2)与对照组比较,观察组的住院时间更短,Barther指数更高,差异均有统计学意义(P<0.05)。(3)观察组室性心律失常、心肌梗死再发生率分别为6.98%、4.65%,对照组分别为9.30%、13.95%。两组室性心律失常发生率比较差异无统计学意义(P>0.05)。观察组心肌梗死再发生率低于对照组,差异有统计学意义(P<0.05)。结论:通过对急性心肌梗死患者术后给予深呼吸、咳嗽训练,可使患者心功能得以改善,降低心肌梗死再发生率,控制室性心律失常的发生率,值得临床推广应用。
Objective： To research the efficacy of the deep breath and cough training for the patients with acute myocardial infarction.Method：The clinical data of the 86 patients with acute myocardial infarction who came to our hospital for treatment from April 2013 to April 2014 was collected. Basing on the principle of random number, all the 86 patients were treated by operation and divided into two groups, the observation group and control group,43 patients in each group. The patients in the control group were given regular training while the patients in the observation group were given training of deep breath and cough on the basis of regular training. The cardiac function classification, length of stay, Barther index, ventricular arrhythmias and reoccurrence of myocardial infarction of the two groups of patients were compared.Result：（1）The cardiac function of the patients in observation group improved better than that of control group, which was statistically significant（P〈0.05）.（2）Comparing with the control group, the length of stay of the patients in observation group was shorter with higher Barther index. The difference between the two groups was statistically significant（P〈0.05）.（3）Ventricular arrhythmias and reoccurrence of myocardial infarction of the observation group were respectively 6.98% and 4.65% while that of the control group were respectively 9.30% and 13.95%. There was not too much difference in ventricular arrhythmias between the two groups so it had not statistical significance（P〉0.05）. Reoccurrence of myocardial infarction of the observation group was lower than that of the control group, which was statistically significant（P〈0.05）.Conclusion：Through giving training of deep breath and cough to the patients with acute myocardial infarction, their cardiac function can be improved, reoccurrence of myocardial infarction can be lowered and the ventricular arrhythmias can be controlled. It is worth application and population.
出处
《中国医学创新》
CAS
2015年第14期85-88,共4页
Medical Innovation of China
关键词
急性心急梗死
深呼吸
咳嗽训练
Acute myocardial infarction
Deep breath
Cough training
