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[心肌梗死患者医院康复后的结果]

[Outcome after hospital rehabilitation of patients with myocardial infarct].

作者信息

Niederhauser H U, Müller M A, Steinbrunn W

出版信息

Schweiz Med Wochenschr. 1983 Dec 10;113(49):1837-40.

PMID:6676935
Abstract

A series of follow-ups were carried out in 947 patients who had 12 to 28 months previously (average 16.6 months) undergone a period of rehabilitation at this clinic in Gais . 17 patients were not traced, but from the remaining 930 patients, 35 (3.8%) had died of cardiac disorders, 21 had had nonfatal infarctions, and 51 patients had undergone aortocoronary bypass operation by the follow-up period. The prevalence and grade of angina pectoris (NYHA functional classification) in 816 patients from whom data was obtained remained unchanged. Even after exclusion of all patients with reinfarction or bypass surgery, there was no increase in the severity of angina pectoris in the remaining 752 patients. 705 patients had returned to work, 555 of whom were still in full employment and 118 part-time , while 32 remained active housewives. From the remaining 112 patients who were not working, 55 had retired. In conclusion, a stable course and high grade of employment were observed during the first year after infarction in patients who had undergone a course of rehabilitation at this clinic.

摘要

对947名患者进行了一系列随访,这些患者在12至28个月前(平均16.6个月)曾在盖斯的这家诊所接受过一段时间的康复治疗。17名患者失访,但在其余930名患者中,35名(3.8%)死于心脏疾病,21名发生过非致命性梗死,51名患者在随访期间接受了主动脉冠状动脉搭桥手术。在获得数据的816名患者中,心绞痛的患病率和分级(纽约心脏协会功能分级)保持不变。即使排除所有再梗死或搭桥手术患者,其余752名患者的心绞痛严重程度也没有增加。705名患者已重返工作岗位,其中555名仍全职工作,118名兼职工作,32名仍为家庭主妇。在其余112名未工作的患者中,55名已退休。总之,在这家诊所接受过康复治疗的患者在梗死发生后的第一年观察到病情稳定且就业水平较高。

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