早期康复对起搏器植入术后患者效果及安全性评价

发布时间：2018-06-27 22:19

本文选题：心脏起搏器 + 人工　；参考：《中国全科医学》2017年20期

【摘要】：目的探讨早期康复对心脏起搏器植入术后患者生活质量、肩关节并发症及电极脱位事件发生的影响。方法选取2013—2015年绍兴市人民医院心内科行心脏永久起搏器植入术患者220例为研究对象。根据住院时间顺序编号,偶数为早期康复组(110例),奇数为传统治疗组(110例)。传统治疗组患者接受常规康复措施,早期康复组患者从术后6h开始由专人按照不同的程序、循序渐进的功能锻炼进行术后康复干预,术后12 h可下床活动。于术后两周、3个月时,采用SF-36评价患者生活质量,肩关节疼痛和功能障碍指数(SPADI)评价患者可能存在的肩关节疼痛、活动障碍情况,通过X线片评估电极脱位事件。结果早期康复组术后两周SF-36生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、心理健康、躯体健康总评及心理健康总评得分均高于传统治疗组(P0.05)。早期康复组术后3个月生理功能、生理职能、躯体疼痛、总体健康、社会功能、情感职能、心理健康、躯体健康总评及心理健康总评得分均高于传统治疗组(P0.05)。两组术后两周SPADI比较,差异无统计学意义(P0.05);早期康复组术后3个月SPADI低于传统治疗组(P0.05)。两组术后两周及术后3个月电极脱位事件发生率比较,差异均无统计学意义(P0.05)。结论与传统治疗相比,起搏器植入术后6h开始进行早期康复干预更有利于提高患者生活质量,降低肩关节疼痛和活动障碍,且并不增加电极脱位事件的发生。
[Abstract]:Objective to investigate the effects of early rehabilitation on quality of life, shoulder complications and electrode dislocation in patients with cardiac pacemaker implantation. Methods 220 patients undergoing cardiac pacemaker implantation in Department of Cardiology, Shaoxing people's Hospital from 2013 to 2015 were selected as subjects. According to the number of hospital stay, even number was early rehabilitation group (110 cases), odd number was traditional treatment group (110 cases). The patients in the traditional treatment group received routine rehabilitation measures, and the patients in the early rehabilitation group received rehabilitation intervention in accordance with different procedures and progressive functional exercises from 6 hours after operation. The patients in the early rehabilitation group could get out of bed at 12 hours after operation. At two weeks and three months after operation, the quality of life (QOL), shoulder pain and dysfunction index (SPADI) were evaluated by SF-36. Results the scores of SF-36 physiological function, somatic pain, general health, vitality, social function, emotional function, mental health, physical health and mental health in early rehabilitation group were higher than those in traditional treatment group two weeks after operation (P0.05). The scores of physiological function, somatic pain, general health, social function, emotional function, mental health, general evaluation of physical health and general evaluation of mental health in early rehabilitation group were higher than those in traditional treatment group 3 months after operation (P0.05). There was no significant difference in SPADI between the two groups two weeks after operation (P0.05), and SPADI in early rehabilitation group was lower than that in traditional treatment group 3 months after operation (P0.05). There was no significant difference in the incidence of electrode dislocation events between the two groups two weeks after operation and three months after operation (P0.05). Conclusion compared with the traditional treatment, the early rehabilitation intervention 6 hours after pacemaker implantation is more helpful to improve the quality of life, reduce shoulder pain and movement disorder, and do not increase the occurrence of electrode dislocation.
【作者单位】：浙江省绍兴市人民医院浙江大学绍兴医院心内科;
【基金】：浙江省绍兴市科技项目(2014B70059)
【分类号】：R54

【参考文献】