上肢运动对心肌梗死患者再灌注率的影响

L. Yekehfallah, Maryam Joodaki, H. Javadi, A. Barikani
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引用次数: 1

摘要

背景心肌梗死(MI)是最常见的死亡和发病原因之一,具有社会经济危害。上肢运动作为心脏康复计划的一部分,是进一步MI和疾病改善的二级预防方法之一。目的探讨上肢运动对心肌梗死患者再入院率的影响。方法将54例心肌梗死患者随机分为干预组和对照组,每组27例。干预组进行上肢运动6周,每周两次,每次40分钟。两组的人口统计信息都是在锻炼计划之前和干预结束时获得的。此外,还完成了转诊医生和再次入院检查表。使用独立样本t检验和卡方检验对收集的数据进行分析。结果对照组再次入院的次数高于试验组;然而,在再次入院方面,组间差异并不显著(P=0.250)。此外,在再次住院的原因(P=0.434)和持续时间(P=0.095)方面,两组之间也没有显著差异。两组在转诊次数(P=0.231)和转诊原因方面的差异不显著(P=0.111)。结论上肢运动的参与对心肌梗死患者的再入院率和转诊率没有显著变化。因此,需要在这方面进行进一步调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Upper Limb Exercise on the Readmission Rate of Myocardial Infarction Patients
Background Myocardial infarction (MI) is among the most frequent causes of mortality and morbidity, with socioeconomic harms. Upper limb exercise, as part of cardiac rehabilitation program, is one of the secondary prevention methods of further MI and disease improvement. Objective The present study investigated the effect of upper limb sport on the rate of readmission in patients with myocardial infarction. Methods In this randomized clinical trial study, 54 patients with MI were randomly divided into two groups of 27 patients (intervention and control). The intervention group performed upper extremity exercise for 6 weeks, twice a week and for 40 minutes per session. The demographic information of both groups was obtained before the exercise program, and at the end of the intervention. Furthermore, a checklist for referral to physicians and readmissions was completed. The collected data were analyzed using Independent Sample t-test and Chi-squared test. Findings The number of readmission in the control group was higher than the test group; however, the group difference was not significant in terms of readmission (P=0.250). Moreover, in terms of the reasons of readmission (P=0.434), and the duration of readmission (P=0.095), there was no significant difference between the two groups. The difference between the two groups in terms of the number of referral to physician (P=0.231), and the reason for referral to physician, was not significant (P=0.111). Conclusion The involvement of upper extremity exercises did not significantly change the rate of readmission and referral to physician of patients with myocardial infarction. Thus, further investigations are required in this regard.
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