邓淑坤,周敏,周海琴,等.肺移植术后早期康复治疗对患者心肺功能的影响[J].中华物理医学与康复杂志,2020,42(10):899-902
扫码阅读全文
|
| 肺移植术后早期康复治疗对患者心肺功能的影响 |
|
| |
| DOI：10.3760/cma.j.issn.0254-1424.2020.10.009 |
| 中文关键词: 肺移植 康复治疗 心肺功能 |
| 英文关键词: Lung transplantation Rehabilitation therapy Cardiopulmonary function |
| 基金项目:南京医科大学科技发展基金项目（NMUB2018359） |
|
| 摘要点击次数: 4107 |
| 全文下载次数: 5374 |
| 中文摘要: |
| 目的 探讨肺移植术后早期康复治疗对患者心肺功能的影响。 方法 选取我院2017年6月至2017年12月肺移植术后患者40例，采用随机数字表法分为观察组和对照组，每组20例，2组患者术后生命体征稳定即接受康复宣教、药物治疗、营养支持、心理疏导等常规治疗，观察组在此基础上由物理治疗师监督行系统性早期肺康复治疗，包括体位转移、有氧训练、抗阻训练、呼吸训练等，3～5次/周，共训练4周；对照组由康复治疗师告知其有氧训练、呼吸训练、气道廓清等训练的方法，由患者自行康复治疗。分别于肺移植术前评估时及治疗4周后，采用床边肺功能仪评估2组患者的1秒用力呼气量占预计值比（FEV1%）、用力肺活量占预计值比(FVC%)、1秒用力呼气量/用力肺活量（FEV1/FVC），采用六分钟步行试验测定2组患者的六分钟步行距离（6MWD），采用改良Barthel指数（MBI）评定2组患者日常生活活动能力。 结果 治疗前，2组患者的FEV1%、FVC%、FEV1/FVC、6MWD、MBI评分组间比较，差异均无统计学意义（P>0.05）。治疗4周后，2组患者的上述指标较组内治疗前均有显著提高（P<0.05），且观察组治疗后各项指标［FEV1%(64.58±13.71)%、FVC% (71.38±7.05)%、FEV1/FVC(85.19±8.98)%、6MWD（394.25±95.14）m和MBI评分（83.55±6.12）分］显著优于对照组［FEV1% (52.21±15.22)%、FVC% (58.80±16.61)%、FEV1/FVC(72.77±16.02)%、6MWD（303.00±52.80）m和MBI评分（74.50±7.19）分］，组间差异均有统计学意义（P<0.05）。 结论 肺移植术后早期康复治疗有利于提高患者心肺功能，改善生活质量。 |
| 英文摘要: |
| Objective To explore the effect on cardiopulmonary function of early rehabilitation after lung transplantation. Methods Forty patients undergoing lung transplantation were randomly divided into an observation group and a control group, each of 20. Both groups received routine rehabilitation treatment, psychological counseling and health education about rehabilitation, medications and nutrition. The observation group was additionally given systematic early lung rehabilitation treatment as soon as their vital signs were stable after the operation. It included body position transfers, aerobic training, resistance training and breathing training 3 to 5 times a week for 4 weeks supervised by physical therapists. The control group were informed about methods of aerobic training, respiratory training and airway clearance but carried them out by themselves. The percentage of forced expiratory volume (FVC%), FVC in the first second (FEV1%,) and FEV1%/ FVC% of the two groups were evaluated using a bedside lung function instrument before the lung transplantation and after 4 weeks of treatment. The six-minute walking distances (6MWDs) of the two groups were compared and their facility in the activities of daily living was evaluated using the modified Barthel index (MBI). Results Before treatment, there was no significant difference in the average FEV1%, FVC%, FEV1%/FVC%, 6MWD or MBI ratings between the two groups. After the 4 weeks of treatment, both groups showed significant improvement in all of those measurements, on average. The observation group′s averages were, however, significantly better than those of the control group. Conclusion Early rehabilitation after lung transplantation helps to improve cardiopulmonary function and promote a better quality of life. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
