胺碘酮联合抗阻训练对急性心肌梗死 伴室性心律失常疗效分析
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(佳木斯市中心医院,黑龙江 佳木斯 154002)

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卢冬雪,女,主治医师,主要从事心血管内科工作。

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R 541

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The Effect of Amiodarone Combined with Resistance Training on Acute Myocardial Infarction with Ventricular Arrhythmia
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(Jiamusi Central Hospital, Heilongjiang Jiamusi 154002)

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    摘要:

    〔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。

    Abstract:

    〔Abstract〕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.

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  • 收稿日期:2021-06-24
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  • 在线发布日期: 2022-04-18
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