心肺联合移植术后患者早期阶梯式运动康复方案的制订及实践

Development and practice of early progressive exercise rehabilitation program in patients after combined heart and lung transplantation

目的探讨早期阶梯式运动康复方案对心肺联合移植术后患者心肺功能及日常生活能力的影响。方法制订心肺联合移植术后患者早期阶梯式运动康复方案并分阶段实施。结果本研究中8例心肺联合移植术后患者在实施该方案后,出院时的第1秒用力呼气容积占预计肺活量比值为(64.45±12.15)%,第1秒用力呼气容积占用力肺活量比值为(62.85±12.86)%,左心室射血分数为(72.61±5.24)%,日常生活能力巴氏指数评分为(85.01±12.82)分,均高于从ICU返回病房时的数值;心率、呼吸频率、血氧饱和度均在正常范围内。结论实施早期阶梯式运动康复方案能够提高心肺联合移植术后患者的心肺功能以及日常生活自理能力。

Objective To explore the effects of early progressive exercise rehabilitation program on cardiopulmonary function and daily life ability of patients after combined heart and lung transplantation(CHLT).Methods The early progressive exercise rehabilitation program was established and implemented stage by stage for patients with CHLT.Results The forced expiratory volume in one second/prediction(FEV1/Pre)was(64.45±12.15)%in 8 patients with CHLT.The forced expiratory volume in one second/forced vital capacity(FEV1/FVC)was(62.85±12.86)%,and the left ventricular ejection fraction(LVEF)was(72.61±5.24)%,and Barthel Index(BI)score was(85.01±12.82),all of which were higher than those after returning from ICU.Heart rate,respiratory rate and blood oxygen saturation were all within the normal range.Conclusion Early progressive exercise rehabilitation program can improve cardiopulmonary function and self-care ability of daily life after CHLT.