摘要
目的:探讨Ⅰ期心脏康复对心脏瓣膜置换术后患者的影响。方法:选取2020年5月—2023年11月贵州医科大学第二附属医院收治的70例心脏瓣膜置换术后患者。根据随机数表法将其分为参照组和研究组,各35例。参照组术后给予常规干预,研究组术后给予Ⅰ期心脏康复。比较两组干预前及出院时心功能、6分钟步行试验距离、生活质量。结果:出院时,两组左室舒张末期内径、左室后壁厚度均降低,左室射血分数升高,研究组左室舒张末期内径、左室后壁厚度均低于参照组,左室射血分数高于参照组,差异有统计学意义(P<0.05)。出院时,两组6分钟步行试验距离升高,研究组6分钟步行试验距离高于参照组,差异有统计学意义(P<0.05)。出院时,两组生存质量量表(SF-36)评分升高,研究组SF-36评分高于参照组,差异有统计学意义(P<0.05)。结论:对心脏瓣膜置换术后患者实施Ⅰ期心脏康复,可取得更好的干预效果,利于改善患者心功能及术后运动耐力,帮助其早日恢复,进而积极提升其生活质量。
Objective:To investigate the effect of phaseⅠcardiac rehabilitation on patients after heart valve replacement surgery.Method:A total of 70 patients after heart valve replacement surgery admitted to the Second Affiliated Hospital of Guizhou Medical University from May 2020 to November 2023 were selected.According to random number table method,they were divided into reference group and study group,35 cases in each group.The reference group was given routine intervention after surgery,and the study group was given stageⅠcardiac rehabilitation after surgery.The cardiac function,6-min walking test distance and quality of life of the two groups were compared before intervention and at discharge.Result:At discharge,left ventricular end-diastolic diameter and posterior left ventricular wall thickness decreased in both groups,while left ventricular ejection fraction increased,left ventricular end-diastolic diameter and posterior left ventricular wall thickness in study group were lower than those in reference group,and left ventricular ejection fraction was higher than that in reference group,the differences were statistically significant(P<0.05).At discharge,the 6-min walking test distance of the two groups increased,and the 6-min walking test distance of the study group was higher than that of the reference group,the differences were statistically significant(P<0.05).At discharge,the score of quality of life scale(SF-36)of the two groups increased,and the SF-36 score of the study group was higher than that of the reference group,the differences were statistically significant(P<0.05).Conclusion:The implementation of stageⅠcardiac rehabilitation for patients after heart valve replacement surgery can achieve better intervention effects,which is conducive to improving patients'cardiac function and postoperative exercise endurance,helping them recover early,and then actively improving their quality of life.
作者
向立民
杨榕
姚玲
杨菲
蒋振钦
吴丹
XIANG Limin;YANG Rong;YAO Ling;YANG Fei;JIANG Zhenqin;WU Dan(The Second Affiliated Hospital of Guizhou Medical University,Kaili 556000,China;不详)
出处
《中外医学研究》
2024年第19期163-166,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
心脏瓣膜病
心脏瓣膜置换术
Ⅰ期心脏康复
心功能
Heart valve disease
Heart valve replacement surgery
StageⅠcardiac rehabilitation
Cardiac function
