Ⅰ期心脏康复对冠状动脉旁路移植术后患者的短期疗效观察
发布时间：2019-02-14 14:29
【摘要】：目的:通过考察左心室射血分数、情绪评估分数及左右手肌力评估结果,对比加强Ⅰ期心脏康复训练和普通Ⅰ期心脏康复指导干预1周对冠状动脉旁路移植术(CABG)后患者的短期疗效。方法:选取阜外医院心脏外科病房2015-07至2015-10行CABG的患者254例,男性196例,女性58例,平均年龄(59.92±7.80)岁。工作小组术前即介入进行包含心脏康复内容的术前宣教,对所有患者进行超声心动图、情绪及左右手肌力的评估,术后第1天立即按照患者个人意愿进入试验组(n=160)及对照组(n=94),试验组由康复师每天一对一进行心脏康复指导,对照组心脏康复指导则由康复师在术前统一进行,一周后工作小组对两组患者的相应指标再次进行评估。主要关注左心室射血分数值;情绪评估采用9项病例健康问卷(PHQ-9)和7项广泛性焦虑(GAD-7)自评量表。结果:两组患者在左心室射血分数、PHQ-9抑郁评分、GAD-7焦虑评分、左右手握力等方面,差异无统计学意义。试验组患者术后左心室射血分数值[(62.88±5.21)%]较对照组[(59.00±9.83)%]略高,差异有统计学意义(P0.05);试验组患者PHQ-9抑郁评分及GAD-7焦虑评分较对照组略低,左右手握力均较对照组略高,但差异均无统计学意义。结论:本试验中,试验组患者虽然表现出了较为微弱的优势,但其大部分优势并无统计学意义,如患者术后情绪评估及左右手握力等,但试验组患者术后左心室射血分数略高于对照组患者,差异有统计学意义,说明即使是持续仅为一周的Ⅰ期心脏康复,患者还是可以获得较有意义的益处。
[Abstract]:Objective: to investigate the results of left ventricular ejection fraction (LVEF), emotional assessment score (ESR) and left and right hand muscle strength (LVEF). To compare the short-term effect of intensive stage I cardiac rehabilitation training and general stage I cardiac rehabilitation intervention on patients with coronary artery bypass grafting (CABG) for one week. Methods: 254 patients with CABG from 2015-07 to 2015-10 in Cardiac surgery ward of Fuwei Hospital were selected, including 196 males and 58 females, with an average age of (59.92 卤7.80) years. The working group interventional preoperatively, including cardiac rehabilitation, to assess the echocardiography, mood, and strength of the left and right hand in all patients. On the first day after operation, the patients were admitted to the experimental group (NN160) and the control group (nny94) according to the patient's personal wishes. The experimental group was given one to one cardiac rehabilitation instruction by the rehabilitator every day, while the control group was uniformly conducted by the rehabilitator before the operation. A week later, the working group re-evaluated the corresponding indicators for both groups of patients. The left ventricular ejection fraction (LVEF) was mainly studied, and 9 cases health questionnaire (PHQ-9) and 7 generalized anxiety scale (GAD-7) were used for emotional assessment. Results: there was no significant difference in left ventricular ejection fraction, PHQ-9 depression score, GAD-7 anxiety score, left and right hand grip strength between the two groups. The left ventricular ejection score in the experimental group [(62.88 卤5.21)%] was slightly higher than that in the control group [(59.00 卤9.83)%], the difference was statistically significant (P0.05). The scores of PHQ-9 depression and GAD-7 anxiety in the trial group were slightly lower than those in the control group, and the grip strength of the left and right hand was slightly higher than that of the control group, but the difference was not statistically significant. Conclusion: in this study, although the patients in the trial group showed weak advantages, most of the advantages were not statistically significant, such as postoperative emotional evaluation and grip strength of the left and right hand, etc. But the left ventricular ejection fraction in the trial group was slightly higher than that in the control group. The difference was statistically significant.
【作者单位】： 中国医学科学院北京协和医学院国家心血管病中心阜外医院心脏康复中心;中国中医科学院西苑医院心血管病中心;
【分类号】：R654.2
本文编号：2422292
[Abstract]:Objective: to investigate the results of left ventricular ejection fraction (LVEF), emotional assessment score (ESR) and left and right hand muscle strength (LVEF). To compare the short-term effect of intensive stage I cardiac rehabilitation training and general stage I cardiac rehabilitation intervention on patients with coronary artery bypass grafting (CABG) for one week. Methods: 254 patients with CABG from 2015-07 to 2015-10 in Cardiac surgery ward of Fuwei Hospital were selected, including 196 males and 58 females, with an average age of (59.92 卤7.80) years. The working group interventional preoperatively, including cardiac rehabilitation, to assess the echocardiography, mood, and strength of the left and right hand in all patients. On the first day after operation, the patients were admitted to the experimental group (NN160) and the control group (nny94) according to the patient's personal wishes. The experimental group was given one to one cardiac rehabilitation instruction by the rehabilitator every day, while the control group was uniformly conducted by the rehabilitator before the operation. A week later, the working group re-evaluated the corresponding indicators for both groups of patients. The left ventricular ejection fraction (LVEF) was mainly studied, and 9 cases health questionnaire (PHQ-9) and 7 generalized anxiety scale (GAD-7) were used for emotional assessment. Results: there was no significant difference in left ventricular ejection fraction, PHQ-9 depression score, GAD-7 anxiety score, left and right hand grip strength between the two groups. The left ventricular ejection score in the experimental group [(62.88 卤5.21)%] was slightly higher than that in the control group [(59.00 卤9.83)%], the difference was statistically significant (P0.05). The scores of PHQ-9 depression and GAD-7 anxiety in the trial group were slightly lower than those in the control group, and the grip strength of the left and right hand was slightly higher than that of the control group, but the difference was not statistically significant. Conclusion: in this study, although the patients in the trial group showed weak advantages, most of the advantages were not statistically significant, such as postoperative emotional evaluation and grip strength of the left and right hand, etc. But the left ventricular ejection fraction in the trial group was slightly higher than that in the control group. The difference was statistically significant.
【作者单位】： 中国医学科学院北京协和医学院国家心血管病中心阜外医院心脏康复中心;中国中医科学院西苑医院心血管病中心;
【分类号】：R654.2
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