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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

25卷

期数:

2019年06期

页码:

590-594

栏目:

临床医学

出版日期:

2019-11-20

文章信息/Info

Title:

The effect of early rehabilitation after coronary artery bypass grafting on prognosis

文章编号:

1006-8147(2019)06-0590-05

作者:

孟祥雪;  邓伟丽;  刘文静;  万春晓

（天津医科大学总医院康复科，天津300052）

Author(s):

MENG Xiang-xue;  Deng Wei-li;  Liu Wen-jing;  WAN Chun-xiao

（Department of Physical and Rehabilitation Medicine, General Hospital, Tianjin Medical University, Tianjin 300052, China）

关键词:

冠状动脉旁路移植术; 心脏康复; 6分钟步行试验; 生活质量

Keywords:

coronary artery bypass grafting;  early rehabilitation; 6-minute walk test; quality of life

分类号:

R49

DOI:

-

文献标志码:

A

摘要:

目的：观察冠状动脉旁路移植术（CABG）后早期心脏康复对患者心肺耐力、情绪、住院日和出院后生活质量的影响。方法：2017年4月至2018年10月于天津医科大学总医院行CABG患者，随机分为康复组和常规护理组，各30例。两组均予以CABG常规护理，康复组术后第1天即行呼吸、运动训练，2次/日。结果：出院前康复组6分钟步行试验（6MWT）（P=0.018）、ICU住院时间（P=0.035）、离床时间（P=0.014）、汉密尔顿焦虑量表（HAMA）（P<0.001）、汉密尔顿抑郁量表（HAMD）（P=0.032）、住院日（P<0.001）及术后3个月健康调查简表（SF-36）中心理健康总评（P<0.001）优于常规护理组，心血管事件少于常规护理组。结论：早期心脏康复可改善CABG患者心肺耐力及情绪、缩短住院日，提高生活质量。

Abstract:

Objective: This study is aim to evaluate the effects of early cardiac rehabilitation after coronary artery bypass grafting （CABG） on cardiopulmonary endurance, mood,hospital stay and quality of life after discharge. Methods: 60 CABG patients（2017.4~2018.10）in Tianjin medical university general hospital were randomly divided into rehabilitation group and routine nursing group. Both groups were given routine care of CABG. Patients in the rehabilitation group received respiratory and exercise training from the first day after surgery,2 times/day. Results: Compared with routine nursing group, the 6-minute walking test（6MWT）（P=0.018）, hospital stay in ICU（P=0.035）, time away from bed（P=0.014）, Hamilton anxiety scale（HAMA）（P<0.001）, Hamilton depression scale（HAMA）（P=0.032）, hospitalization day（P<0.001） and mental component summary in the MOS item short from health survey（SF-36）（P<0.001） in the rehabilitation group were better before discharged, and cardiovascular events 3 months after discharge were lesser than the routine nursing group. Conclusion: Early cardiac rehabilitation can promote rapid recovery and improve life quality of CABG patients.

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[2]王永旺,喻文立,王清平,等.急性血小板分离或自体血回输对体外循环冠状动脉旁路移植术患者血液保护的影响[J].天津医科大学学报,2016,22(06):494.
　WANG Yong-wang,YU Wen-li,WANG Qing-ping,et al.Blood-saving effects of acute plateletpheresis and autologous blood transfusion in patients undergoing coronary artery bypass grafting by CPB[J].Journal of Tianjin Medical University,2016,22(06):494.
[3]王萌,宋衍秋,梁慧敏,等.冠状动脉旁路移植术后胸骨哆开发生的相关危险因素分析[J].天津医科大学学报,2022,28(04):418.
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备注/Memo

备注/Memo:

基金项目 天津市卫生局2016年重点发展项目（16KJ122），天津市自然科学基金重点项目（18JCZDJC98900）
作者简介 孟祥雪（1994-），女，硕士在读，研究方向：心脏康复研究；通信作者：万春晓，E-mail: wcx2226@163.com。

常用功能

更新日期/Last Update: 2020-01-20