摘要
目的:分析急性心肌梗死伴室性心律失常的患者中,应用胺碘酮联合抗阻训练的干预效果。方法:选取佳木斯市中心医院2018年1月至2019年12月期间收治的86例急性心肌梗死伴室性心律失常患者,按照不同的治疗方法,将所有患者等分为观察组和对照组,各43例。对照组给予胺碘酮治疗,观察组给予胺碘酮联合抗阻训练治疗。观察两组治疗前后的心脏功能、6 min步行试验结果并进行比较。结果:治疗前两组患者的左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、心输出量(CO)水平比较,差异均无统计学意义(P>0.05);治疗后观察组患者的LVEF、CO高于对照组,LVEDD低于对照组,差异均具有统计学意义(P<0.05)。治疗前两组患者的6 min步行试验距离比较,差异无统计学意义(P>0.05);治疗后观察组患者的6 min步行试验距离长于对照组,差异具有统计学意义(P<0.05)。结论:在急性心肌梗死伴室性心律失常的患者中,给予胺碘酮联合抗阻训练,能够促进其心功能的恢复,且提高活动耐力,进一步促进患者的身体康复。
Objective To analyze the intervention effect of amiodarone combined with resistance training in patients with acute myocardial infarction and ventricular arrhythmia.Methods A total of 86 patients with acute myocardial infarction and ventricular arrhythmia admitted to Jiamusi Central Hospital from January 2018 to December 2019 were selected.According to different treatment methods,all patients were divided into observation group and control group.with 42 cases in each group.The control group was treated with amiodarone,and the observation group was treated with amiodarone combined with resistance training.The heart function and 6-min walk test of the two groups before and after treatment were observed and compared.Results Before treatment,there was no statistically significant difference in the levels of left ventricular ejection fraction(LVEF),left ventricular end diastolic dimension(LVEDD)and cardiac output(CO)between the two groups of patients(P>0.05);After treatment,the LVEF and CO of the observation group were higher than those of the control group,and the LVEDD was lower than that of the control group.The difference was statistically significant(P<0.05).The 6 min test distance comparison between the two groups before treatment was not statistically significant(P>0.05);After treatment,the 6-min walk test distance of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In patients with acute myocardial infarction and ventricular arrhythmia,application of amiodarone combined with resistance training can promote the recovery of their cardiac function,improve their activity endurance,and further promote their physical recovery.
作者
卢冬雪
何琦
LU Dong-xue;HE Qi(Jiamusi Central Hospital,Heilongjiang Jiamusi 154002)
出处
《深圳中西医结合杂志》
2021年第19期159-161,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
急性心肌梗死
室性心律失常
胺碘酮
抗阻训练
Acute myocardial infarction
Ventricular arrhythmia
Amiodarone
Resistance training
