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各位朋友：
大家好，现在是每天健康三分钟时间。我是安阳道简医院的护士任慧芳，
心脏康复的总目标是使患者的心脏功能达到最佳状态，提高生活质量和将心脏病事件再发的危险降到最低，常规有以下几个方面，做康复疗养。
1．定期体检，及时的药物治疗。
药物治疗是康复治疗的核心和保障，合理的药物治疗及患者良好的依从性可有效降低并发症、死亡率的进展
2.控制危险因素。
积极地控制危险因素对于心脏康复至关重要。包括控制血压、血脂、血糖等指标正常；保持体重；合理膳食；保证睡眠质量；戒烟戒酒等。
3、运动治疗。
运动是心脏康复的核心，其有益性和安全性已被证实，且具有不可替代的意义。适度运动既可增加患者耐力，也可改善缺血状态，有利心脏健康。建议一周至少运动3~5天，每次运动30~60分钟，将有氧运动、抗阻运动、柔韧性训练、平衡训练相结合，把运动强度控制在安全范围内。
另外年纪较大或腿脚不方便的老年人可以考虑体外反搏治疗。体外反搏是一种安全、有效的无创性机械辅助循环方法，利用包裹在人体下肢的气囊，在心脏舒张期对人体施加外压，将其下肢及臀部的血液驱回主动脉，从而增加心肌灌注压和供血，改善血管功能、改善血液循环及代谢，最终达到目的。
4、心理干预
心理治疗抑郁在心肌梗死后很常见，15%-20%的患者为重度抑郁，一些专家已经建议进行抑郁症的筛查
5.合理膳食，所有心肌梗塞患者都应接受有关健康饮食的建议，应根据个人的体重血脂水平血压和血糖情况综合考虑，有研究表明，每日补充多不饱和脂肪酸可以显著减少全因死亡和猝死率
那么今天的分享就到这里，祝大家生活愉快，身体健康！想了解更多的心血管康复知识，请关注我们，我们下期再见！
【英文版】
How to do cardiac rehabilitation for patients with myocardial infarction
Dear friends, nice to meet you!Now it is time for “health talk for three minutes every day”,My name is Ren Huifang, a nurse of Anyang Daojian Hospital and Henan Zhonghui Cardiovascular Hospital.The general goal of cardiac rehabilitation is to make the heart function of patients reach the best state, improve the quality of life and reduce the risk of recurrence of cardiovascular disease events to the minimum.Usually, patients can do cardiac rehabilitation through the following aspects.
Regular physical examination and timely drug treatment.
Drug therapy is the core and guarantee of rehabilitation treatment.Reasonable drug treatment and good patient compliance can effectively reduce the incidence of complications and mortality.
Control the risk factors.
Active control of risk factors is essential for cardiac rehabilitation.The measures to control the risk factors include the control of blood pressure, blood lipid, blood glucose and other indicators, weight control, reasonable diet, sleep quality assurance, smoking cessation and alcohol cessation.
Exercise therapy.
Exercise is the core of cardiac rehabilitation, which is irreplaceable, and its benefits and safety have been proved. Moderate exercise can not only increase patient's endurance, but also improve ischemic state, which is beneficial to heart health. You are advised to exercise at least 3-5 days a week, 30-60 minutes per time. You can combine aerobic exercise, resistance exercise, flexibility training and balance training, and remember to keep exercise intensity within a safe range. In addition, the elderly with older age or inconvenient legs and feet can consider external counterpulsation (ECP) .
ECP is a safe and effective noninvasive mechanical assisted circulation method. The air bag wrapped in the lower limbs is used to exert external pressure on the human body during the diastolic periodto drive the blood from the lower limbs and buttocks back to the aorta, so as to increase the myocardial perfusion pressure and blood supply,improve vascular function, blood circulation and metabolism, and finally achieve the purpose of adjuvant exercise therapy.
