早期心肺康复在儿童腋下切口心脏手术中的应用  

Application of Early Cardiopulmonary Rehabilitation Therapy in Congenital Heart Disease Surgery via Right Subaxillary Incision

作　　者：许果[1] 程凤琴 王继相[1] 佘凯 熊伟[1] 白上林[1] Xu Guo;Cheng Fengqin;Wang Jixiang(Sichuan Mianyang 404 Hospital(The Second Affiliated Hospital of North Sichuan Medical College),Sichuan 621000,China)

机构地区：[1]四川省绵阳市四0四医院(川北医学院第二附属医院)心脏大血管外科

出　　处：《医学研究杂志》2019年第5期162-164,142,共4页Journal of Medical Research

摘　　要：目的探讨早期心肺康复在右侧腋下小切口儿童心脏手术后康复中的作用。方法选取笔者医院2015年1月~2016年12月行右侧腋下小切口心脏手术的64例患儿,随机分为对照组和实验组各32例,对照组实施传统心脏术后康复治疗,实验组在对照组基础上实施早期心肺康复治疗,比较两组患者术后WeeFIM评分、机械通气时间、ICU住院时间、术后住院时间、并发症发生率、术后左心室射血分数(LVEF)、用力肺活量(FVC)、第1秒用力呼气量(FEV1)和6min步行距离(6MWD)。结果两组患者术后机械通气时间、ICU住院时间比较,差异无统计学意义(P>0.05),实验组术后WeeFIM评分、并发症发生率、FEV1、FVC及6MWD显著好于对照组(P<0.01),术后住院时间、术后LVEF明显好于对照组(P<0.05)。结论对右侧腋下小切口心脏手术患者实施早期心肺康复治疗,可以明显改善患者心肺功能,减少并发症,缩短住院时间。儿童心脏手术后接受早期心肺康复治疗是安全、有效的。Objective To discuss the effect of early cardiopulmonary rehabilitation therapy in children after cardiac surgery through right subaxillary incision.Methods From January of 2015 to December of 2016,64 patients undergoing cardiac surgery through right subaxillary incision were randomly divided into two groups:experimental group( n =32) and control group( n =32).The early cardiopulmonary rehabilitation treatment and conventional treatment were implemented respectively for experimental group and control group.After the treatment,the WeeFIM score,mechanical ventilation time,ICU hospitalization time,hospitalization time,the incidence of complications,left ventricular ejection fraction(LVEF),forced vital capacity(FVC),forced expiratory volume in first second(FEV 1),6 minute walking distance(6MWD) were compared between two groups.Results There were no statistical differences between the two groups in mechanical ventilation time and ICU hospitalization time( P >0.05).The WeeFIM score、FEV1、FVC、6MWD and LVEF after surgery in experimental group were significantly higher than that in control group( P <0.05),and the incidences of complications and hospitalization time were significantly lower than that in control group( P <0.05).Conclusion It is safe and effective for the children undergoing right subaxillary incision cardiac surgery to accept early cardiopulmonary rehabilitation therapy,which can significantly improve cardiopulmonary function,and reduce the incidence of complications,also shorten the hospitalization time.

关 键 词：早期心肺康复 儿童 腋下切口 心脏手术 

分 类 号：R654.2[医药卫生—外科学] R493[医药卫生—临床医学]