I期心肺康复护理提高冠状动脉旁路移植术患者心肺功能的临床效果研究

doi:10.3969/j.issn.1672-1756.2017.11.028

I期心肺康复护理提高冠状动脉旁路移植术患者心肺功能的临床效果研究

吴岳代琦张艳明杜柳李庆印

中国医学科学院阜外医院心脏康复中心，100037，北京市（吴岳，杜柳）；护理部（代琦，张艳明，李庆印）

出版日期:2017-11-25 发布日期:2017-11-25
基金资助:
2011年度国家临床重点专科建设项目（卫办医政函[2011] 873号）；北京协和医学院“协和青年科研基金”（2017330024）

Effectiveness of early phase I cardiopulmonary rehabilitation nursing on cardio-pulmonary function in patients with Coronary Artery Bypass Grafting

Online:2017-11-25 Published:2017-11-25

摘要/Abstract

摘要： 目的：分析I期心肺康复护理对冠状动脉旁路移植术（CABG)患者心功能、心肺功能的影响，评价其的临床效果。方法：采取便利抽样的方法选取CABG患者100例，采用随机数字分组的方法将其分为康复组和对照组，各50例。对照组给予一般治疗和护理，康复组执行I期心肺康复护理干预，包括进阶的运动康复治疗方案和呼吸锻炼，涵盖心脏康复内容的疾病教育。两组患者均于术前和出院前进行超声检查，出院前行6分钟步行实验（6MWT)测试。结果：I期心肺康复护理措施干预后，康复组患者LVED下降，具有统计学差异（P<0.05）LVEF无统计学差异（P<0.05）。出院前心肺功能比较：6分钟步行实验距离无统计学差异（P>0.05），VO2max比较有统计学差异（P<0.05）。结论：I期心肺康复护理能显著增加CABG术患者的VO2max，提高患者心肺功能和有氧运动耐力；本研究证实了CABG术患者I期心肺康复护理的临床获益，为心脏康复纳入护理常规工作提供参考，在临床上的复制和推广具有可行性。

Abstract: Objective: To explore the effects of cardiopulmonary rehabilitation nursing on cardio-pulmonary function of inpatients with Coronary Artery Bypass Grafting (CABG). Methods: Convenient sampling method was applied. Totally 100 subjects were randomly located into rehabilitation group and control group. Both groups accepted general nursing care. The rehabilitation group also accepted the cardiopulmonary rehabilitation nursing, which included exercise therapy, respiratory training and patient education, with kinesitherapy as the central regimen. Before and after the surgery, the ultrasonic examination and cardiopulmonary exercise testing were conducted to evaluate the patients' cardio-pulmonary function. Results: There were no significant differences between rehabilitation group and control group in cardio-pulmonary function before nursing intervention. After nursing intervention, there was significant differences between the two group in the LVED (P<0.05). The VO2max of rehabilitation group in CPET is statistically higher than the control group (P<0.05). Conclusion: Early phase I cardiopulmonary rehabilitation nursing can improve the cardio-pulmonary function and aerobic endurance on the inpatients after CABG. It is suggested that the cardiopulmonary rehabilitation nursing to be performed in the related nursing practice.

吴岳代琦张艳明杜柳李庆印. I期心肺康复护理提高冠状动脉旁路移植术患者心肺功能的临床效果研究[J]. , 2017, 17(11): 1571-1576.