心肺康复对冠脉搭桥术后患者肺功能及运动耐力的-中国康复医学杂志.PDFVIP

ChineseJournalofRehabilitationMedicine, Nov.2013, Vol. 28, No.11 ·临床研究· 心肺康复对冠脉搭桥术后患者肺功能及 运动耐力的影响* 马跃文 朱佳琪 谷天祥 张玉海1 1 2 2 摘要 目的：探究早期院内心肺康复治疗对于冠脉搭桥术（CABG）后患者肺功能及运动耐力恢复的影响。 方法：选择冠脉搭桥术后住院患者40例，按手术日期分为康复组20例及对照组20例。对康复组患者予以术后第1 天至第14天的早期心肺康复治疗，内容包括：运动疗法、呼吸训练、心脏危险因素控制、疾病相关教育及心理咨询对 于对照组患者除常规护理外无特殊干预。两组患者均于手术后第15天以床头肺功能检查评价患者肺功能情况，以 6min步行试验（6MWT）评估患者运动耐力，并以SF-36量表评价患者生存质量情况。 结果：肺功能检查结果显示康复组患者第1秒钟用力呼气量（FEV1）占预计值百分比（FEV1占预计值%）数值显著高 于对照组（P0.01），用力肺活量（FVC）占预计值百分比（FVC占预计值%）数值明显高于对照组（P0.05），同样康复 组6min步行实验及SF-36量表(P0.05)评价结果亦优于对照组。 结论：对于CABG术后患者而言，早期适当的心肺康复训练有助于肺功能、运动耐力的恢复，是改善其术后恢复情 况，提高生存质量并最终影响疾病结局的重要治疗手段之一。 关键词 冠脉搭桥手术；心肺康复；肺功能 中图分类号：R493,R541 文献标识码：A 文章编号：1001-1242（2013）-11-1010-05 Cardiopulmonary rehabilitation on spirometry and exercise tolerance in hospitalized patients undergoing coronary artery bypass surgery/MA Yuewen, ZHU Jiaqi, GU Tianxiang, et al.//Chinese Journal of Reha⁃ bilitation Medicine, 2013, 28(11): 1010—1014 Abstract Objective: To verify whether the early postoperative cardiopulmonary rehabilitation might help to decrease respi- ratory dysfunction and increase exercise tolerance of patients post coronary artery bypass graft(CABG). Method: Forty patients after CABG were assigned to two groups. Twenty patients were included in a rehabilita- tive program of 2 weeks for postoperative respiratory training, exercise training, risk factor management, dis- ease counseling and psychosocial interventions. The other 20 patients received general advice and did not train the inspiratory muscle. Spirometry, the 6-min walking test (6MWT) and short-form health survey-36 item (SF-36) were evaluated in both groups on the 15th day after operation. Result: After cardiopulmonary rehabilitation the forced expiratory volume in first seco