主动呼吸循环技术(ACBT)在成人患者心脏瓣膜置换术后快速康复中的应用研究  

Application of active respiratory circulation technique(ACBT)in rapid r ecovery after heart valve replacement in adult patients

作　　者：陶丽 赖杏 黄宝玉 朱燕梅 陈国秀 胡楝[1] TAO Li;LAI Xing;HUANG Baoyu;ZHU Yanmei;CHEN Guoxiu;HU Lian(Department of Cardiology,Gaozhou People’s Hospital,Gaozhou 525200,Chi na)

机构地区：[1]高州市人民医院心内外科,广东高州525200

出　　处：《当代医药论丛》2023年第6期178-180,共3页

基　　金：项目类别:茂名市科技计划立项项目,项目编号:2020319。

摘　　要：目的:研究主动呼吸循环技术在成人患者心脏瓣膜置换术后快速康复中的应用效果。方法:选取2019年1月—2022年1月在高州市人民医院接受心脏瓣膜置换术治疗的成人患者100例作为主要研究对象。按随机数表法将其分为对照组和观察组,每组各50例。对照组患者接受常规呼吸训练(包括缩唇式呼吸和腹式呼吸),观察组患者在术后康复护理中运用主动呼吸循环技术进行干预。比较两组患者的6 min步行距离、左心室射血分数、术后胸管拔除时间和术后住院时间。结果:(1)6 min步行距离:干预前,两组患者的6 min步行距离相比,差异无统计学意义(P>0.05)。干预后,两组患者的6 min步行距离均显著延长,且观察组患者的6 min步行距离长于对照组,差异有统计学意义(P<0.05)。(2)左心室射血分数:干预前,两组患者的左心室射血分数相比,差异无统计学意义(P>0.05)。干预后,两组患者的左心室射血分数均显著提高,且观察组患者的左心室射血分数高于对照组,差异有统计学意义(P<0.05)。(3)术后康复时间:与对照组相比,观察组的术后胸管拔除时间、术后住院时间均较短,差异有统计学意义(P<0.05)。结论:将主动呼吸循环技术运用在成人患者心脏瓣膜置换术后快速康复护理中可获得理想效果,不仅可以增强患者的行动能力,缩短术后康复时间,同时还可以改善心功能,值得推广。Objective:To study the effect of active respiratory circulation in rapid rehabilitation of adult patients after heart valve replacement.Methods:100 adult patients who received heart valve replacement in Gaozhou People’s Hospital from January 2019 to January 2022 were selected as the main subjects.They were divided into control group and observation group according to random number table method,50 cases in each group.Patients in the control group received routine breathing training(including lip contraction breathing and abdominal breathing),and patients in the observation group were treated with active respiratory circulation technology in postoperative rehabilitation nursing.The 6-min walking distance,left ventricular ejection fraction,postoperative thoracic tube removal time and postoperative hospital stay were compared between the two groups.Results:(1)6 min walking distance:Before intervention,there was no statistical significance in 6 min walking distance between the two groups(P>0.05).After intervention,the 6-min walking distance of both groups was significantly extended,and the 6-min walking distance of observation group was longer than that of control group,the difference was statistically significant(P<0.05).(2)Left ventricular ejection fraction:Before intervention,there was no statistical significance in left ventricular ejection fraction between the two groups(P>0.05).After intervention,the left ventricular ejection fraction of both groups was significantly increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).(3)Postoperative rehabilitation time:compared with the control group,the postoperative thoracic tube removal time and postoperative hospital stay in the observation group were shorter,and the difference was statistically significant(P<0.05).Conclusion:The application of active respiratory circulation technique in rapid rehabilitation nursing after heart valve replacement in adult patients can obtain ideal results,which can not

关 键 词：主动呼吸循环技术 呼吸训练 成人患者 心脏瓣膜置换术 术后快速康复 

分 类 号：R473[医药卫生—护理学]