术前吸气肌训练对预防经导管三尖瓣置换术后肺部并发症的影响  

Effects of preoperative inspiratory muscle training on prevention of postoperative pulmonary complications in patients undergoing transcatheter tricuspid valve replacement

作　　者：王渝强 喻鹏铭[2,3] 何成奇 陈秒[1] 石峻 郭应强[1] WANG Yuqiang;YU Pengming;HE Chengqi;CHEN Miao;SHI Jun;GUO Yingqiang(Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Rehabilitation Medical Center,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Rehabilitation Key Laboratory of Sichuan Province,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院心脏大血管外科,成都610041 [2]四川大学华西医院康复医学中心,成都610041 [3]四川省康复重点实验室,成都610041

出　　处：《中国胸心血管外科临床杂志》2022年第9期1087-1092,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：三尖瓣又被称为“被遗忘的瓣膜”,原因是三尖瓣疾病存在很高的自然死亡率和手术死亡率。经导管三尖瓣置换术是治疗三尖瓣反流的一种创新型手术方式,极大改善了患者的预后,正逐渐在临床中推广。但是,术后肺部相关并发症仍然是影响心脏术后患者快速康复和导致死亡的主要原因。越来越多的医学专家开始使用术前吸气肌训练来减少心脏疾病患者的术后肺部并发症以及改善术后生活质量。然而,目前没有任何关于术前吸气肌训练对经导管三尖瓣置换术后患者肺部并发症影响的研究报道。因此,我们首次大胆猜想吸气肌训练能减少经导管三尖瓣置换术后患者肺部并发症,同时分析其治疗机制,并提出治疗建议。但这种康复干预措施目前在经导管三尖瓣置换术患者中缺乏实际的临床研究,在实施过程中可能会遇到未知的挑战,这或许是一个崭新的研究方向。Tricuspid valve,also known as"forgotten valve"because of the high natural and surgical mortality.Transcatheter tricuspid valve replacement is an innovative surgical method to treat tricuspid regurgitation,which improves the prognosis of patients and is gradually being popularized in clinics.However,postoperative pulmonary complications are still the main causes affecting the rapid recovery and death.More and more medical experts begin to use preoperative inspiratory muscle training to reduce postoperative pulmonary complications and improve the quality of life of patients after cardiac surgery.However,there was no report on the effect of preoperative inspiratory muscle training on pulmonary complications after transcatheter tricuspid valve replacement.Therefore,for the first time,we boldly speculate that inspiratory muscle training can reduce pulmonary complications after transcatheter tricuspid valve replacement,and put forward suggestions for its treatment mechanism and strategy.But this rehabilitation intervention lacks practical clinical research.Unknown challenges may also be encountered,which may be a new research direction.

关 键 词：经导管三尖瓣置换术 吸气肌训练 术后肺部并发症 康复 

分 类 号：R654.2[医药卫生—外科学]