中国临床医学2022，Vol.29Issue(4)：621-626,6.DOI:10.12025/j.issn.1008-6358.2022.20211186
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
Early exercise intervention at the bedside in patients undergoing cardiac rehabilitation after cardiac surgery
M.Rafi HAMIDI 1Ali Ateel DAIFOLADI 2Babrak SAYEDZADA 3刘欢 1魏来 1王春生 1陈轶洪 1弥守玲 1陆云涛 1丛硕 1王文硕 1Hosna HAMIDI 4杨晔 1M.Salim BAHRAMAND5
作者信息
- 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. 喀布尔Amir Hajizada医院心血管外科,喀布尔 1001,阿富汗
- 3. 法国母婴研究所心血管外科,咯布尔 1001,阿富汗
- 4. 世界卫生组织区域卫生组,喀布尔 1001,阿富汗
- 5. 红新月会卫生部,喀布尔 1001,阿富汗
- 折叠
摘要
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.关键词
心脏康复/成人心脏手术/6分钟步行测试/床旁干预Key words
cardiac rehabilitation/adult cardiac surgery/6-minute walk test/intervention at the bedside分类
医药卫生引用本文复制引用
M.Rafi HAMIDI,Ali Ateel DAIFOLADI,Babrak SAYEDZADA,刘欢,魏来,王春生,陈轶洪,弥守玲,陆云涛,丛硕,王文硕,Hosna HAMIDI,杨晔,M.Salim BAHRAMAND..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[J].中国临床医学,2022,29(4):621-626,6.
