高龄经皮冠脉介入治疗患者早期康复训练的效果  

Study of early rehabilitation programme in elderly patients after percutaneous coronary intervention

作　　者：涂国红[1] 王佳[1] 侯惠如[2] 李晓倩[1] 鲁晓春[1] 李艳敏[1] 肖丹[1] 

机构地区：[1]解放军总医院南楼心脏监护室,北京100853 [2]解放军总医院护理部,北京100853

出　　处：《中华现代护理杂志》2012年第30期3621-3623,共3页Chinese Journal of Modern Nursing

基　　金：解放军总医院科技创新苗圃基金项目（11KMM54）

摘　　要：目的观察老年患者在经皮冠脉介入（PCI）术后早期康复训练的疗效和安全性。方法入选高龄老年PCI术后患者96人，随机分为康复组和对照组各48例。在康复组，患者按临床训练路径行早期康复训练计划，对照组按常规治疗，比较两组行超声心电图指标和并发症发生情况。结果住院期间，两组的超声心动图指标包括左室舒张末内径（P=0．090）、左室收缩末内径（P=0．765）、左室射血分数（P：0．957）等参数差异无统计学意义，但术后并发症发生率康复组明显低于对照组，其中烦躁（8．33％比27．08％），失眠（14．58％比39．58％），腹胀（6．25％比33．33％），腰背酸痛（4．17％比29．17％），穿刺点出血（2．08％比16．67％），差异均有统计学意义（x。值分别为5．790，7．596，11．090，10．800，6．008；P均〈0．05）。结论高龄老年患者在PCI术后早期行康复锻炼是安全的，可以明显减少术后并发症发生。Objective To investigate the efficacy and safety of early rehabilitation programme in elderly patients after percutaneous coronary intervention （PCI）. Methods A total of 96 elderly patients treated by PCI were randomly divided into rehabilitation group and control group. In rehabilitation group, the patients received the early cardiac rehabilitation programs, while the control group received the traditional rehabilitation therapy. The echocardiography and complications of two groups were observed and compared. Results During hospitalization, the left ventricular end diastolic diameter,left ventricular end systolic diameter, left ventricular posterior wall thickness and left ventricular ejection fraction in the two groups were no significant difference （P 〉 0.05 ）. While the complications incidence of rehabilitation group such as irritability （8. 33% vs 27.08% ）, insomnia （ 14. 58% vs 39.58% ） ,abdominal distension （6.25% vs 33.33% ）, low back pain（4. 17% vs 29. 17% ） ,point-pricking bleeding （2.08% vs 16.67% ） were significantly lower than that in the control group （X2 =5.790,7.596,11. 090,10. 800, 6.008 ,respectively ;P 〈 0.05 ）. Conclusions Early postoperative cardiac rehabilitation program in elderly patients with PCI is safe and helpful, which can significantly reduce the incidence of complications.

关 键 词：康复护理 临床路径 老年人 经皮冠脉介入术 

分 类 号：R473.5[医药卫生—护理学]