早期运动联合呼吸康复在心肾联合移植中的应用  

The application of early exercise combined with respiratory rehabilitation in combined heart and kidney transplantation

作　　者：曾菊花 雷志影 孙煦勇 吴基华[1] 蓝柳根[1] 文宁 黄丽娜 樊德净 梁翠宴 周洁惠 Zeng Juhua;Lei Zhiying;Sun Xuyong;Wu Jihua;Lan Liugen;Wen Ning;Huang Lina;Fan Dejing;Liang Cuiyan;Zhou Jiehui(Institute of Transplantation Medicine,The Second Affiliated Hospital of Guangxi Medical University,Guangxi Clinical Research Center for Organ Transplantation,Guangxi Key Laboratory of Organ Donation and Transplantation,Guangxi Nanning 530007,China)

机构地区：[1]广西医科大学第二附属医院移植医学研究所,广西器官移植临床医学研究中心,广西器官捐献与移植研究重点实验室,广西南宁530007

出　　处：《实用器官移植电子杂志》2024年第4期303-309,共7页Practical Journal of Organ Transplantation(Electronic Version)

基　　金：广西壮族自治区卫计委自筹经费课题(ZA20220621)。

摘　　要：目的总结早期运动联合呼吸康复在心肾联合移植中的应用2例,为心肾联合移植受者行早期运动联合呼吸康复提供临床实践理论。方法选取2020年11月至2021年3月在广西医科大学第二附属医院移植医学中心行心肾联合移植后进行早期运动联合呼吸康复受者临床资料,采用病例回顾性分析,收集受者临床及随访资料,分析受者焦虑抑郁评分、肌力评分、营养评分、血栓评分、血气分析指标及术后随访肺部感染指标。结果2例心肾联合移植行早期运动联合呼吸康复受者,术后焦虑及抑郁评分明显下降,术后肌力、营养及血栓评分明显改善,受者动脉血氧分压(arterial partial pressure of oxygen,PaO_(2))、血氧饱和度(arterial oxygen saturation,SaO_(2))升高,动脉血二氧化碳分压(partial pressure of carbon dioxide,PaCO_(2))降低,随访2年未出现肺部感染。结论早期运动联合呼吸康复可改善心肾联合受者心理状态,改善受者血气分析指标,提高受者运动耐力,为心肾联合移植实施早期运动联合呼吸康复提供临床实践理论指导。Objective To summarize the application of early exercise combined with respiratory rehabilitation in two cases of heart-kidney transplantation,and to provide clinical practice theory for patients with heart-kidney transplantation.Methods From November 2020 to March 2021,two patients who underwent early exercise combined with respiratory rehabilitation after heart-kidney transplantation in transplantation medicine Center,the Second Affiliated Hospital of Guangxi Medical University were selected.The clinical and follow-up data of the patients were collected and analyzed,and the anxiety and depression score,muscle strength score,nutrition score,thrombus score,blood gas analysis index and postoperative follow-up pulmonary infection index were analyzed.Results The scores of anxiety and depression were significantly decreased,the scores of muscle strength,nutrition and thrombosis were significantly improved,PaO_(2)(arterial partial pressure of oxygen),SaO_(2)(arterial oxygen saturation)were increased and PaCO_(2)(partial pressure of carbon dioxide)was decreased in two patients who underwent early exercise combined with respiratory rehabilitation after heart-kidney transplantation.No pulmonary infection occurred during two years of follow-up.Conclusion Early exercise combined with respiratory rehabilitation can provide theoretical guidance and improve the psychological state,blood gas analysis index and exercise endurance of patients with heart-kidney combined transplantation.

关 键 词：心肾联合移植 早期运动 呼吸康复 

分 类 号：R699.2[医药卫生—泌尿科学]