早期心脏康复训练对接受冠状动脉旁路移植术的老年患者心功能和生活质量的影响:回顾性研究

Linzhong Zhang, Meng Wang, Hui Song
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引用次数: 0

摘要

研究目的本研究旨在探讨早期心脏恢复训练对老年冠状动脉旁路移植术(CABG)患者心脏功能和生活质量的影响。研究方法选取2022年1月至2023年11月在我院接受CABG手术的老年患者为研究对象,对其临床资料进行回顾性分析。根据患者康复干预方式的不同,将其分为对照组(C 组)和研究组(R 组)。C 组接受常规康复干预,R 组接受早期心脏恢复训练干预。比较两组患者入院基线(T1)、术前 1 天(T2)、术后 7 天(T3)和术后 30 天(T4)的心脏功能指数和生活质量。结果显示在 T2 和 T4,C 组和 R 组的左心室射血分数(LVEF)水平和 6 分钟步行测试(6-MWT)均显著高于 T1(P < 0.05)。在 T3 期,两组的 LVEF 水平和 6-MWT 距离均显著低于 T1 期(P < 0.05)。与 T3 时的水平相比,C 组和 R 组在 T2 和 T4 时的 LVEF 水平、6-MWT 以及整体、身体、情感和社交水平均显著增加(P < 0.05)。在 T1,C 组的 LVEF 水平、6-MWT 以及整体、身体、情感和社交水平与 R 组相比无统计学意义(P > 0.05)。在 T2、T3 和 T4 期,R 组的 LVEF 水平、6-MWT 以及整体、身体、情感和社交水平均显著高于 C 组(P < 0.05)。结论早期心脏恢复训练能有效改善接受 CABG 手术的老年患者的心脏功能并提高其生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Early Cardiac Rehabilitation Training on Cardiac Function and Quality of Life in Elderly Patients Undergoing Coronary Artery Bypass Grafting: A Retrospective Study
Objective: This study aimed to explore the effect of early cardiac recovery training on the cardiac function and life quality of elderly patients undergoing coronary artery bypass grafting (CABG). Methods: Elderly patients who underwent CABG in our hospital from January 2022 to November 2023 were selected as the subjects, and their clinical data were retrospectively analyzed. In accordance with the different rehabilitation intervention methods of the patients, they were separated into control group (C group) and research group (R group). The C group received conventional rehabilitation intervention, and the R Group received early cardiac recovery training intervention. The cardiac function indices and quality of life of the two groups were compared at baseline (T1) at admission, 1 day before surgery (T2), 7 days after surgery (T3), and 30 days after surgery (T4). Results: At T2 and T4, the left ventricular ejection fraction (LVEF) levels and 6-min walking test (6-MWT) of the C and R groups were sharply higher than those at T1 (p < 0.05). At T3, the LVEF levels and 6-MWT distance of both groups were sharply lower than those at T1 (p < 0.05). Compared with the levels at T3, the LVEF levels; the 6-MWT; and the global, physical, emotional, and social levels of the C and R groups at T2 and T4 significantly increased (p < 0.05). At T1, the LVEF level; the 6-MWT; and the global, physical, emotional, and social levels of the C group was not statistically significant compared with those of the R group (p > 0.05). At T2, T3, and T4, the LVEF levels; the 6-MWT; and the global, physical, emotional, and social levels of the R group were sharply higher than those of the C group (p < 0.05). Conclusion: Early cardiac recovery training can effectively ameliorate the cardiac function and improve the quality of life of elderly patients undergoing CABG.
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