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[考虑长期观察数据的心肌梗死物理康复效果]

[Effectiveness of physical rehabilitation in myocardial infarct taking into account long-term observation data].

作者信息

Sledzevskaia I K, Il'iash M G

出版信息

Kardiologiia. 1978 Jan;18(1):111-4.

PMID:628132
Abstract

The article discusses the results of a one-year follow-up of 439 persons who had suffered from macrofocal or transmural myocardial infarction; aneurysm of the heart was suspected in 128 of them. Four to six months after recovery, 60.1% of patients with suspected aneurysm of the heart and 69.1% of those with transmural or macrofocal myocardial infarction were engaged in work involving small physical exertion. Mortality in the follow-up period after the end of the acute period of the disease was 8.6%, the incidence of recurrent myocardial infarction, 9.3%. Persons who had resumed work one year after recovery endured physical exertion better. There was no statistically significant difference in the frequency of recurrent myocardial infarction and in mortality depending on the size of the infarct suffered, while incapacity for work was encountered more frequently among persons in whom cardiac aneurysm has bee suspected.

摘要

本文讨论了对439例曾患大面积或透壁性心肌梗死患者进行的为期一年的随访结果;其中128例疑似患有心脏动脉瘤。康复后4至6个月,疑似心脏动脉瘤的患者中有60.1%以及透壁性或大面积心肌梗死的患者中有69.1%从事轻度体力劳动。疾病急性期结束后的随访期内死亡率为8.6%,心肌梗死复发率为9.3%。康复一年后恢复工作的人耐受体力劳动的能力更好。根据所患梗死面积大小,心肌梗死复发频率和死亡率并无统计学上的显著差异,而疑似患有心脏动脉瘤的人工作能力丧失的情况更为常见。

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