术前预康复训练对二尖瓣修复术患者的影响价值分析  

Analysis of the influence value of pre-rehabilitation on patients undergoing mitral valve repair

作　　者：孙飞亚 李中杰 SUN Fei-ya;LI Zhong-jie

机构地区：[1]河南科技大学第一附属医院心胸外科,471000 [2]河南科技大学第一附属医院急诊重症,471000

出　　处：《中国疗养医学》2023年第5期513-516,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的研究运用呼吸功能训练器进行术前预康复训练对二尖瓣修复术患者术后康复时间、心功能及血清学指标的影响。方法选取河南科技大学第一附属医院2021年5月至2022年5月期间80例行二尖瓣修复术患者随机分组,对照组40例给予常规呼吸训练,观察组40例给予呼吸功能训练器进行术前预康复训练,对比两组患者术后康复时间、心功能、血清学指标和并发症。结果观察组干预后,舒张早期二尖瓣血流速度与舒张早期二尖瓣环运动速度比值(E/e')、左房容积指数(LAVI)水平低于对照组,左室射血分数(LVEF)、6 min步行试验(6MWT)水平高于对照组(P<0.05);观察组干预后,微小核糖核酸-29b(miR-29b)、超氧化物歧化酶(SOD)水平均高于对照组;观察组患者术后ICU住院时间、带呼吸机时间及总住院时间均低于对照组(P<0.05);两组患者术后肺部感染、心律失常、心功能不全等并发症发生率比较,差异无统计学意义(P>0.05)。结论运用呼吸功能训练器进行术前预康复训练对二尖瓣修复术患者效果确切,能够改善患者心功能,提高康复速度。Objective To study the effect of pre-rehabilitation training using are respiratory function training device on the postoperative rehabilitation time,cardiac function and serological indicators of patients undergoing mitral valve repair.Methods A total of 80 patients who underwent mitral valve repair in the First Affiliated Hospital of Henan University of Science and Technology from May 2021 to May 2022 were randomly assigned to control group and observation group,with 40 in each group.Patients in control group were given routine breathing training,and those in the observation group were given respiratory function training.The postoperative recovery time,cardiac function,serological indicators and complications were compared between the two groups.Results After interventions,the ratio of early diastolic mitral valve blood flow velocity to early diastolic mitral valve ring velocity(E/e'),and left atrial volume index(LAVI)in the observation group were significantly lower than those in the control group,while the left ventricular ejection fraction(LVEF),and 6-min walk test(6MWT)were significantly higher(P<0.05).After interventions,the levels of microRNA-29b(miR-29b)and superoxide dismutase(SOD)in the observation group were significantly higher than those in the control group.The postoperative hospitalization time in ICU,ventilator time and total length of stay in the observation group were significantly lower than those in the control group(P<0.05).The incidence of postoperative complications like pulmonary infection,arrhythmia and cardiac insufficiency was comparable in the two groups(P>0.05).Conclusion Using a respiratory function training device for pre-rehabilitation has a definite effect on patients undergoing mitral valve repair,which can improve the cardiac function and speed up the rehabilitation.

关 键 词：心功能 呼吸功能训练器 二尖瓣修复术 康复 

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