早期活动方案对冠脉搭桥术后患者谵妄的影响

Effect of Early Exercise on Delirium after Coronary Artery Bypass Grafting

目的:探讨早期活动方案对冠脉搭桥术(CABG)后患者谵妄的影响。方法:将2016年6～10月未实施早期活动方案的CABG 52例患者作为对照组,实施常规康复措施。2016年11月～2017年4月实施早期活动方案的CABG 52例患者作为干预组,在常规康复措施基础上实施早期活动方案。比较两组谵妄发生率、谵妄持续时间、住ICU时间。结果:两组谵妄发生率、持续时间、住ICU时间比较差异有统计学意义(P <0. 05)。结论:早期活动方案可降低CABG后患者谵妄发生率,促进患者康复,改善患者预后,缩短住ICU时间。

Objective To explore the effect of early exercise program on delirium after coronary artery bypass grafting. Methods： A totalof 52 patients with coronary artery bypass grafting who did not use the early exercise program from June to October 2016 were selected ascontrol group and received routine rehabilitation measures. From November 2016 to April 2017, 52 patients with coronary artery bypassgrafting who used the early activity program were used as intervention groups to implement early activity programs based on routine rehabilitation measures. The incidence of delirium, duration of delirium and ICU time were compared between the two groups. Results： There was asignificant difference between the two groups in the incidence of delirium, duration of delirium and time of ICU（ P 〈 0. 05） . Conclusion：Early activity program can reduce the incidence of delirium after coronary artery bypass grafting, promote the recovery of patients, improvethe prognosis of patients, and shorten the stay time in ICU.