心血管门诊心脏康复训练对起搏器植入术后心脏功能改善作用  

Effect of cardiac rehabilitation training in cardiovascular clinic on cardiac function after pacemaker implantation

作　　者：屠艳梅[1] 张晶 王秋池[1] 朱业[3] TU Yanmei;ZHANG Jing;WANG Qiuchi;ZHU Ye(Department of Emergency,Jiangsu Subei People’s Hospital,Jiangsu Province,Yangzhou 225000,China;Department of Cardiovascular Medicine,Yangzhou Biomedical Engineering Center,Jiangsu Province,Yangzhou 225000,China;Department Cardiovascular Medicine,Jiangsu Subei People’s Hospital,Jiangsu Province,Yangzhou 225000,China)

机构地区：[1]江苏省苏北人民医院急诊科,江苏扬州225000 [2]江苏省扬州市生物医学工程中心心血管内科,江苏扬州225000 [3]江苏省苏北人民医院心血管内科,江苏扬州225000

出　　处：《中国医药导报》2022年第29期144-147,156,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81800250)。

摘　　要：目的探讨起搏器植入术后应用心血管门诊心脏康复训练方案对心脏功能的改善效果。方法选取2018年1月至2021年1月100例江苏省苏北人民医院行起搏器植入术后患者资料,利用倾向性评分匹配法对不同康复训练资料患者加以分组,其中对照组42例患者进行常规康复护理,门诊组42例患者进行心血管门诊心脏康复训练,随访3个月。比较两组植入术后患者心功能、运动耐力、功能锻炼执行率、上肢活动能力。结果门诊组术后3个月左室射血分数、6 min步行距离均高于本组术后次日及对照组术后3个月(P<0.05);门诊组执行日数、功能锻炼执行率均高于对照组(P<0.05);两组术后3个月后伸、前屈、外屈、内收角度均高于本组术后7 d,且门诊组高于对照组,差异有统计学意义(P<0.05)。结论心血管门诊心脏康复训练用于心脏起搏器植入术术后患者,能够有效改进心脏射血功能,提升运动耐力及功能锻炼执行力,促进上肢功能恢复。Objective To explore the effect of cardiac rehabilitation training program in cardiovascular clinic on the improvement of cardiac function after pacemaker implantation.Methods A total of 100 patients who underwent pacemaker implantation in Jiangsu Subei People’s Hospital from January 2018 to January 2021 were selected,the patients with different rehabilitation training data were divided into groups by propensity score matching method.The 42 cases in the control group received routine rehabilitation nursing,and 42 cases in the outpatient group received cardiac rehabilitation training in cardiovascular clinic,they were followed up for three months.Cardiac function,exercise endurance,performance rate of functional exercise,and upper limb mobility were compared between the two groups after implantation.Results The left ventricular ejection fraction and 6-minute walking distance of the outpatient group at three months after operation were higher than those of the day after operation and the control group at three months after operation(P<0.05).The number of execution days and the implementation rate of functional exercise in the outpatient group were higher than those in the control group(P<0.05).The angles of extension,forward flexion,external flexion and adduction in the two groups three months after operation were higher than those seven days after operation,and the outpatient group was higher than that in the control group(P<0.05).Conclusion Cardiac rehabilitation training in cardiovascular clinic for patients after cardiac pacemaker implantation can effectively improve cardiac ejection function,improve exercise endurance and functional exercise execution,and promote upper limb function recovery.

关 键 词：心血管 门诊 心脏康复训练 起搏器植入 

分 类 号：R473[医药卫生—护理学]