早期阶段性运动训练对心脏瓣膜置换患者术后患者的影响

Effect of early stage exercise training on patients after cardiac valve replacement

目的探讨早期阶段性运动训练对心脏瓣膜置换术后患者的影响。方法将本院2016年1月至2018年1月行心脏瓣膜置换术治疗的80例患者随机等分为对照组和干预组,对照组给予术后常规康复指导,干预组则接受早期阶段性运动训练,比较两组患者心功能、日常活动开始时间。结果干预组出院时6 min步行距离、左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)和左室射血分数(LVEF)测量值均较对照组高(P <0. 05);干预组床上主动活动、下床活动、自行到洗手间洗漱与走廊步行200 m的时间均较对照组短(P <0. 05)。结论对行心脏瓣膜置换术后患者实施早期阶段性运动训练,可显著改善患者心功能,有效提高患者日常生活能力。

Objective To explore the effect of early stage exercise training on patients after cardiac valve replacement.Methods To divide 80 cases of patients who underwent cardiac valve replacement in our hospital from January 2016 to January 2018 randomly into control group and intervention group with the same number of patients.The control group was given routine rehabilitation guidance,and the intervention group was given early stage exercise training.The heart function and daily activity start time of patients in the two groups were compared.Results The 6-minute walking distance,left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),and left ventricular ejection fractions(LVEF)measurements of patients in the intervention group were higher than that in the control group(P<0.05).The time of on-bed active activity,off-bed activity,self-washing in the bathroom and walking in the corridor for 200 meters among patients in the intervention group were shorter than that of the control group(P<0.05).Conclusion Early stage exercise training for patients undergoing cardiac valve replacement can improve the heart function of patients significantly as well as improve their daily living ability effectively.