心脏冠状动脉旁路术后的康复方案  

Rehabilitation following the coronary artery bypass graft

作　　者：黄真[1] 于文[1] 兰云[1] 陶凉[2] 杨虎[2] 张仁尧[2] 李岩[2] 庾华东[2] 黄永禧[1] 殷秀珍[1] 王进[2] 童琳[2] 吴栋[2] 

机构地区：[1]北京医科大学第一医院物理医学康复科,100034 [2]北京医科大学第一医院,100034

出　　处：《中华物理医学与康复杂志》1999年第4期203-205,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　探讨心脏冠状动脉旁路术 (CABG)后的康复特点及方案。方法　对 3 5例CABG术后患者进行以运动疗法为主的综合性康复 ,并对出院后患者实施有指导的家庭康复。结果　术后住院日平均 16.66d ,出院时亚极量运动试验测得的代谢当量 (METs)平均为 3 .64 ( 2 .5～ 5 )。追踪问卷调查及 7例在术后 1、3、6月复查结果表明 :患者功能储量明显提高 ,生活质量得以改善。结论　以运动疗法为主的综合性康复使CABG术后患者早日恢复体能 ,提高手术疗效。指导性的家庭康复可以预防复发 ,改善生活质量 。Objective To study the characteristics and protocols of rehabilitation following coronary artery bypass graft (CABG). Methods Thirty five patients underwent an inpatient and home based cardiac rehabilitation program after CABG. Results The average hospital stay following operation was 16.66 days, and the average METs prior to discharge, by a low maximal workload exercise testing was 3.64 . The data collected from a follow up questionnaire and the METs of 7 patients at 1,3,6 months post operation showed that the patients' working capacity,rate pressure product (RPP) and quality of life were improved. Conclusion The post CABG rehabilitation program could increase the efficacy of operation, and the home based cardiac rehabilitation program was safe and effective.

关 键 词：冠状动脉旁路 康复 运动试验 生活质量 

分 类 号：R654.209[医药卫生—外科学]