摘要
目的:探讨体位适应性训练联合持续被动运动康复对冠状动脉旁路移植术(CABG)后患者的应用价值.方法:选择本院100例行CABG的冠心病患者,依据颜色分组法分为单一组(50例,行单一持续被动运动康复干预)及联合组(50例,在单一组的基础上联用体位适应性训练);两组均干预2个月,分析两组临床指标,心功能指标、认知功能、运动耐力、血清神经元特异性烯醇化酶(NSE)、中枢神经系统的特异性蛋白(S-100β蛋白)水平及满意度情况.结果:干预后,与单一组比较,联合组临床功能指标中首次下床时间、首次排气时间、住院时间均显著缩短,心功能指标中左室射血分数(LVEF)、心脏指数(CI)及左室短轴缩短分数(LVFS)和认知功能指标蒙特利尔认知功能评估量表(MoCA)得分、运动耐力指标6min步行距离显著增加,血清NSE[(19.93±1.90)μg/L 比(16.59±2.25)μg/L]、S-100β 蛋白[(6.72±0.34)μg/L 比(3.96±0.19)μg/L]水平均显著降低(P均=0.001).联合组满意度显著高于单一组(94.00％比80.00％,P=0.037).结论:体位适应性训练联合持续被动运动康复可显著改善CABG患者术后临床指标,促进心肺功能及认知功能恢复.
Abstract
Objective:To explore the application value of posture adaptation training combined with continuous pas-sive exercise rehabilitation for patients after coronary artery bypass grafting(CABG).Methods:A total of 100 pa-tients with coronary heart disease(CHD)undergoing CABG in our hospital were enrolled,divided into single group(n=50,received single continuous passive exercise rehabilitation intervention)and combined group(n=50,re-ceived posture adaptation training based on single group)according to color grouping method.Both groups were in-tervened for two months.Clinical indexes,cardiac function indexes,cognitive function,exercise endurance,serum levels of neuron specific enolase(NSE),S-100β protein and satisfaction were analyzed and compared between two groups.Results:Compared with single group after intervention,there were significant reductions in first out of bed time,first anal exhaust time and length of hospital stay,and significant rise in left ventricular ejection fraction(LVEF),cardiac index(CI),left ventricular fractional shortening(LVFS),score of Montreal cognitive assessment(MoCA)scale,6min walking distance,and significant reductions in serum levels of NSE[(19.93±1.90)μg/L vs.(16.59±2.25)μg/L]and S-100β protein[(6.72±0.34)μg/L vs.(3.96±0.19)μg/L]in combined group,P=0.001 all.Satisfaction in combined group was significantly higher than that of single group(94.00％vs.80.00％,P=0.037).Conclusion:Posture adaptation training combined with continuous passive exercise rehabilitation can sig-nificantly improve the clinical indexes,promote cardiopulmonary function and cognitive function recovery in pa-tients undergoing coronary artery bypass grafting after operation.
维普
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