早期抗阻力训练对冠脉搭桥术患者术后康复进程的影响  

Effect of early resistance training on the postoperative recovery process of patients undergoing coronary artery bypass grafting surgery

作　　者：康磊[1] 陈蓉蓉 KANG Lei;CHEN Rong-rong(Department of Cardiac Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院心脏外科,上海200025

出　　处：《川北医学院学报》2024年第10期1428-1431,共4页Journal of North Sichuan Medical College

基　　金：上海市卫生健康委员会科研项目(20234Y0081)。

摘　　要：目的:探讨早期抗阻力训练对冠脉搭桥术患者术后康复进程的影响。方法:选取160例行冠脉搭桥术患者为研究对象,按照术后护理方式不同分为观察组和对照组,每组各80例。对照组患者术后给予常规运动康复护理干预;观察组患者在对照组基础上给予早期抗阻力训练干预,两组均持续干预7 d。比较两组患者干预后恢复情况[住院时间、下床活动时间、首次排气时间、6 min内步行距离]、心功能指标[左室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、左室收缩末期内径(LVESD)]、机体功能状态[机体西雅图心绞痛量表(SAQ)评分]及生活质量[健康状况调查简表(SF-36)评分]。结果:干预后,观察组患者住院时间、下床活动时间、首次排气时间均短于对照组(P<0.05);6 min内步行距离大于对照组(P<0.05);干预后,两组患者LVEF、SAQ评分、SF-36评分均升高(P<0.05),且观察组高于对照组;LVEDD、LVESD均降低(P<0.05),且观察组低于对照组(P<0.05)。结论:早期抗阻力训练可促进冠脉搭桥术患者术后恢复,加速患者康复,改善患者心功能,提高生活质量,值得临床推广。Objective:To study the effect of early resistance training on the postoperative recovery process of patients undergoing coronary artery bypass grafting.Methods:160 patients undergoing coronary artery bypass grafting were selected as the research objects and divided into observation group and control group according to different postoperative nursing methods,with 80 cases in each group.Patients in the control group were given routine exercise rehabilitation nursing intervention after operation,patients in the observation group were given early resistance training intervention on the basis of the control group,and both groups continued to intervene for 7 days.The recovery status(length of hospital stay,time to get out of bed,time to first exhaust,walking distance within 6 minutes),cardiac function indicators[left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),left ventricular end systolic diameter(LVESD)],body functional status[Seattle Angina Pectoris Questionnaire(SAQ)scores],and and quality of life[Short Form Health Survey(SF-36)scores]of the two groups of patients before and after intervention were compared.Results:After intervention,the hospitalization time,bed activity time,and first exhaust time in the observation group was shorter than those of the control group(P<0.05),walking distance within 6 minutes was greater than that of the control group(P<0.05).After intervention,the LVEF,SAQ scores,and SF-36 scores increased in the two groups,and the observation group was higher than the control group(P<0.05).LVEDD and LVESD were both reduced(P<0.05),and the observation group was lower than the control group(P<0.05).Conclusion:Early resistance training can improve the postoperative recovery of patients undergoing coronary artery bypass grafting,accelerate their recovery,and improve their heart function and quality of life.It is worth promoting clinically.

关 键 词：抗阻力训练 冠脉搭桥术 西雅图心绞痛量表 健康状况调查简表 

分 类 号：R654.2[医药卫生—外科学]