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早期床旁运动干预在心脏手术后患者心脏康复中的应用效果 |
M. Rafi HAMIDI,陈轶洪,弥守玲,陆云涛,丛硕,王文硕,Hosna HAMIDI,杨晔,M. Salim BAHRAMAND,Ali Ateel DAIFOLADI,Babrak SAYEDZADA,刘欢,魏来,王春生
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1.复旦大学附属中山医院心血管外科, 上海心血管病研究所, 上海 200032;2.世界卫生组织区域卫生组, 喀布尔 1001, 阿富汗;3.红新月会卫生部, 喀布尔 1001, 阿富汗;4.喀布尔Amir Hajizada医院心血管外科, 喀布尔 1001, 阿富汗;5.法国母婴研究所心血管外科, 咯布尔 1001, 阿富汗
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摘要: |
目的 评估早期床旁运动干预对心脏瓣膜手术后患者康复的影响。方法 纳入40例心脏瓣膜疾病患者,其中20例患者[(49.05±3.728)岁]术后第3、4、5天接受床旁运动干预(3 min/d,干预组),其余20例患者[(47.95±3.214)岁]未接受床旁运动干预(对照组)。术前进行心理教育,并通过标准化问卷简表对患者单独评估。通过指脉氧仪及6 min步行距离来评估心脏康复效果。结果 干预组心脏瓣膜患者术后3 d的SpO2水平高于对照组(P<0.05)。干预组术后5 d心率降至基线水平,低于对照组(P<0.05)。结论 初级床旁运动(3 min/d)可以提高SpO2、降低心率,进而改善患者基线状态,促进患者康复。 |
关键词: 心脏康复 成人心脏手术 6分钟步行测试 床旁干预 |
DOI:10.12025/j.issn.1008-6358.2022.20211186 |
分类号:R542.5 |
基金项目: |
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Early exercise intervention at the bedside in patients undergoing cardiac rehabilitation after cardiac surgery |
M. Rafi HAMIDI1,2, CHEN Yi-hong1,2, MI Shou-ling1,2, LU Yun-tao1,2, CONG Shuo1,2, WANG Wen-shuo1,2, Hosna HAMIDI3, YANG Ye1,2, M. Salim BAHRAMAND4, Ali Ateel DAIFOLADI5, Babrak SAYEDZADA6, LIU Huan1,2, WEI Lai1,2, WANG Chun-sheng1,2
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1.Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University;2.Shanghai Cardiovascular Institute, Shanghai 200032, China;3.Regional Health Cluster Coordinator, World Health Organization, Kabul 1001, Afghanistan;4.Afghan Red Crescent Society Health Department, Kabul 1001, Afghanistan;5.Department of Cardiovascular Surgery, Amir Hajizada Hospital, Kabul 1001, Afghanistan;6.Department of Cardiovascular Surgery, French Medical Institute for Mothers and Children, Kabul 1001, Afghanistan
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Abstract: |
Objective To evaluate the effects of early exercise intervention in patients who have undergone primary isolated valve surgery. Methods Forty patients scheduled for mitral, aortic, and/or tricuspid valve surgery were allocated to receive a supervised exercise intervention consisting of cycling for 3 min/d at the bedside after operation (intervention group, n=20, mean age[49.05±3.728] years) or to receive no exercise intervention (control group, n=20, mean age[47.95 ±3.214] years). Oxygen saturation (SpO2) was measured by pulse oximetry continuously before and after the 6-minute walk test. Psycho-educational counseling was provided, and patients were assessed using standard patient questionnaires. Results The arterial SpO2 level increased significantly in the intervention group after exercise compared with the control group (P<0.05). Heart rate returned to baseline in the intervention group postoperatively and was significantly lower than that in the control group (P<0.05). Conclusions A small amount of supervised cycling exercise at the bedside is a safe activity that may improve peripheral arterial SpO2 and reduce heart rate to the baseline level following longer distance walk before discharge in patients who have undergone isolated valve surgery. |
Key words: cardiac rehabilitation adult cardiac surgery 6-minute walk test intervention at the bedside |
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