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冠状动脉旁路移植术后患者的心血管物理治疗对呼吸窦性心律失常的影响。

Cardiovascular Physiotherapy on Respiratory Sinus Arrhythmia of Patients Undergoing Coronary Artery Bypass Grafting.

机构信息

Faculty of Physiotherapy, Research Group in Cardiorespiratory Evaluation and Rehabilitation (GECARE), Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

Graduate Program in Physical Education, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

出版信息

Braz J Cardiovasc Surg. 2021 Jun 1;36(3):424-428. doi: 10.21470/1678-9741-2020-0276.

DOI:10.21470/1678-9741-2020-0276
PMID:33656830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8357390/
Abstract

Patients in the postoperative period of coronary artery bypass grafting (CABG) present respiratory and autonomic dysfunctions. In this sense, cardiovascular physiotherapy has been offered as an indispensable differential for the improvement of the prognosis of this population. Heart rate variability is a simple, noninvasive method to analyze autonomic modulation, as well as the accentuation maneuver of respiratory sinus arrhythmia, which demonstrates the parasympathetic autonomic control over the heart. Five patients undergoing cardiac surgery performed a protocol of cardiovascular physiotherapy in the postoperative period and had their data referring to the preoperative period, the 1st and 4th postoperative days analyzed.

摘要

冠状动脉旁路移植术(CABG)术后患者存在呼吸和自主功能障碍。从这个意义上说,心血管物理疗法已被作为改善该人群预后的不可或缺的鉴别方法。心率变异性是一种简单、无创的分析自主调节的方法,以及呼吸窦性心律失常的强调操作,这证明了迷走神经对心脏的自主控制。五名接受心脏手术的患者在术后期间进行了心血管物理疗法的方案,并对其术前、术后第 1 天和第 4 天的数据进行了分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade8/8357390/8f2a54783f87/rbccv-36-03-0424-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade8/8357390/8f2a54783f87/rbccv-36-03-0424-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade8/8357390/8f2a54783f87/rbccv-36-03-0424-g01.jpg

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本文引用的文献

1
Heart rate variability and cardiorespiratory coupling in obstructive sleep apnea: elderly compared with young.阻塞性睡眠呼吸暂停中的心率变异性和心肺耦合:老年人与年轻人的比较
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Sub-xyphoid pleural drain as a determinant of functional capacity and clinical results after off-pump coronary artery bypass surgery: a randomized clinical trial.
剑突下胸腔引流作为非体外循环冠状动脉搭桥术后功能能力和临床结果的决定因素:一项随机临床试验。
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Clin Physiol Funct Imaging. 2014 Nov;34(6):449-56. doi: 10.1111/cpf.12115. Epub 2013 Dec 26.
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Patient assessment and prevention of pulmonary side-effects in surgery.患者评估和手术中肺副作用的预防。
Curr Opin Anaesthesiol. 2011 Feb;24(1):2-7. doi: 10.1097/ACO.0b013e328341abb3.
8
Autonomic control of heart rate in patients with chronic cardiorespiratory disease and in healthy participants at rest and during a respiratory sinus arrhythmia maneuver.慢性心肺疾病患者及健康参与者在静息状态和进行呼吸性窦性心律不齐操作时心率的自主控制。
Rev Bras Fisioter. 2010 Mar-Apr;14(2):106-13. Epub 2010 May 7.
9
The role of heart rate variability in risk stratification for adverse postoperative cardiac events.心率变异性在术后不良心脏事件风险分层中的作用。
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10
The influences of positive end expiratory pressure (PEEP) associated with physiotherapy intervention in phase I cardiac rehabilitation.在心脏康复第一阶段,呼气末正压(PEEP)与物理治疗干预相关的影响。
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