中国康复理论与实践2025，Vol.31Issue(8)：958-964,7.DOI:10.3969/j.issn.1006-9771.2025.08.012
术前运动对脑室-腹腔分流术患者的效果
Effect of preoperative exercise on patients undergoing ventriculoperitoneal shunt
吕雪琴 1张通 1刘惠林 1刘建华 1李达 2王华伟1
作者信息
- 1. 首都医科大学康复医学院,北京市 100068||中国康复研究中心北京博爱医院,北京市 100068
- 2. 中国康复研究中心北京博爱医院,北京市 100068
- 折叠
摘要
Abstract
Objective To observe the effect of preoperative exercise on consciousness,lung function and recovery efficiency of patients undergoing ventriculoperitoneal shunt.
Methods A total of 54 patients undergoing elective ventriculoperitoneal shunt in Beijing Bo'ai Hospital from October,2024 to March,2025 were randomly divided into control group(n=27)and prerehabilitation group(n=27).The control group received routine preoperative treatment and nursing,while the prerehabilitation group additionally received exercise for two weeks.They were assessed with Coma Recovery Scale-Revised(CRS-R),and observed diaphragm mobility with sonography,before and three days after operation;and the time to first ambulation after surgery and length of stay in hospital were compared between two groups.
Results CRS-R scores improved in both groups after operation(|t|>5.451,P<0.001),and it was greater in the prehabilitation group than in the control group(t=2.812,P<0.01).CRS-R subscale scores improved in auditory and motor functions in the control group(|Z|>2.000,P<0.05),and they were improved in auditory,visual,motor,verbal and arousal functions in the prehabilitation group(|Z|>2.282,P<0.01).CRS-R subscale scores were greater in motor and arousal in the prehabilitation group than in the control group(|Z|>2.320,P<0.05).Diaphragmatic mobility improved in the prehabilitation group(t=-7.782,P<0.001),and it was better than in the control group(t=2.044,P<0.05).The time to first ambulation after surgery and length of stay in hospital were shorter in the prehabilitation group than in the control group(|t|>3.654,P<0.01).
Conclusion Preoperative exercise for patients undergoing elective ventriculoperitoneal shunt can improve the consciousness after operation,especially the level of motor and arousal,as well as the lung function,and accelerate the recovery process.关键词
脑室-腹腔分流术/术前运动/预康复Key words
ventriculoperitoneal shunt/preoperative exercise/prehabilitation分类
医药卫生引用本文复制引用
吕雪琴,张通,刘惠林,刘建华,李达,王华伟..术前运动对脑室-腹腔分流术患者的效果[J].中国康复理论与实践,2025,31(8):958-964,7.
