安置永久性心脏起搏器患者的体能与心理康复  

Psychologic and physiologic rehabilitation in the patients with cardiac pacemaker

作　　者：林朝胜[1] 鲍卫东[1] 孟玲[2] 刘莹[1] 

机构地区：[1]沈阳军区总医院,沈阳市110015 [2]解放军总医院

出　　处：《心血管康复医学杂志》1999年第4期14-16,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :探讨安置永久性心脏起搏器患者的体能与心理最佳康复方法。方法 :观察 6 0例患者安置起搏器前后的症状、心电图、超声心动图、心功能、运动能力、生活质量等指标变化 ,并且指导康复训练。结果 :患者术后心率增加 ,相关症状好转或消失 ,生活质量提高到 级者 37例 (6 1.7% ) , 级者10例 (16 .7% ) ;最大运动时间和距离 :中年组大于老年组 ,心功能正常组大于心衰组。结论 :安置起搏器患者术后的心理治疗可使患者认识自己康复潜能 ,积极配合训练。Objective:To explore the better methods of medical rehabilitation for the patients with cardiac pacemaker(PM).Methods:Sixty patients with PM were studied in symptoms,signs,electrocardiogram,echocardiogram,heart function,movement ability,quality of life,etc.,before and after operation.They also received rehabilitation instruction.Results:After operation,the patients had a obviously improvement in heart rate,symptoms resulted from arrhythmia.The quality of life was increased up to Ⅱ class in 37 patients (61 7%) and to Ⅲ class in 10 patients (16 7%). The maximum movement time and distance of patients in the middle aged group and normal heart function group were much more than those in the aged group and the heart failure group.Conclusion:Medical rehabilitation for patients with PM include two spaces:Psychologic and physiologic.①Psychologic treatments make patients actively carry out rehabilitation movement;②Rehabilitation process must be based on state of heart and age. Author′s address Geriatric Department of Army Hospital in Shenyang,Shenyang,100853

关 键 词：永久性心脏起搏器 心功能 心理康复 心电图 术后 生活质量 康复程序 康复方法 正常 

分 类 号：R541[医药卫生—心血管疾病] R654.2[医药卫生—内科学]