Takeuchi M
Jpn Circ J. 1983 Jun;47(6):744-51. doi: 10.1253/jcj.47.744.
In order to investigate how rehabilitation during hospitalization influences the prognosis of patients with acute myocardial infarction, the authors investigated 496 cases, including 405 males and 91 females hospitalized in the institutes participating in the Cardiac Rehabilitation Research Conference, during the period of 10 years from 1969 through 1978. Patients' ages averaged 59.2 years for males and 66.5 years for females. The total number of deaths during the average follow-up period of 5 years and 7 months was 104 (21.0%), of which 73 cases of cardiac death were included, showing 14.7% of the total cases and 70.2% of the total deaths. The incidence of bed-ridden patients after discharge was as low as 1.0%, and the rate of returning to work varied according to age: it decreased from 86.7% to 9.3% with age, averaging 54.4%. The rate of rehabilitation performance in the hospitals was 73.7% for patients under 69 years of age and 48% for those under 70. The rate of cardiac death was 8.4% in the rehabilitated group (exercise group), and 27% in the non-rehabilitated (control) group, and the rates of returning to work were 50.2% and 25%, respectively, and there were significant differences in both the mortality rate and the working rate between these 2 groups (p less than 0.01). As for the severity of myocardial infarction, the more severe the disease, the wider the difference in the prognosis between the exercise and the control group.
为了研究住院期间的康复治疗如何影响急性心肌梗死患者的预后，作者对1969年至1978年这10年间参加心脏康复研究会议各机构收治的496例患者进行了调查，其中男性405例，女性91例。男性患者平均年龄59.2岁，女性患者平均年龄66.5岁。在平均5年7个月的随访期内，死亡总数为104例（21.0%），其中心脏死亡73例，占总病例数的14.7%，占总死亡数的70.2%。出院后卧床患者的发生率低至1.0%，重返工作岗位的比率随年龄而异：随年龄增长从86.7%降至9.3%，平均为54.4%。69岁以下患者在医院的康复完成率为73.7%，70岁以下患者为48%。康复组（运动组）的心脏死亡率为8.4%，未康复（对照组）组为27%，重返工作岗位的比率分别为50.2%和25%，两组在死亡率和工作率方面均存在显著差异（p<0.01）。至于心肌梗死的严重程度，病情越严重，运动组和对照组在预后方面的差异就越大。
