Department of Nursing, Nantong First People's Hospital, The Second Affiliated Hospital of Nantong University, Nantong, China.
Department of Thoracic and Cardiovascular Surgery, Nantong First People's Hospital, The Second Affiliated Hospital of Nantong University, Nantong, China.
Contrast Media Mol Imaging. 2022 Aug 10;2022:4590037. doi: 10.1155/2022/4590037. eCollection 2022.
The purpose of this study was to analyze the effect of early exercise rehabilitation on cardiopulmonary function and quality of life in patients after coronary artery bypass grafting (CABG). Eighty patients with coronary heart disease who underwent CABG from April 2020 to April 2022 were divided into the study group ( = 40) and control group ( = 40). The control group was given conventional treatment and routine care after CABG, and the study group received early exercise rehabilitation according to the control group. The cardiac function indexes, 6-minute walking test (6MWT), and cardiopulmonary function indexes and quality of life of the two groups were compared before and after the intervention, and the length of hospitalization and hospital costs as well as the occurrence of pulmonary complications in both groups were recorded. Left ventricular ejection fraction (LVEF) was significantly higher ( < 0.05), and left ventricular end-diastolic dimension (LVEDD) and left ventricular end-systolic diameter (LVESD) were significantly lower ( < 0.05) in the study group than in the control group after the intervention; 6MWT, maximal oxygen consumption (VO2max), and anaerobic threshold (AT) were significantly higher ( < 0.05) in the study group than in the control group after the intervention; physical function (PF), role physical (RP), general health (GH), and role emotional (RE) dimension scores were significantly higher ( < 0.05) in the study group compared with the control group after the intervention The differences in the scores of the remaining dimensions were not statistically significant ( > 0.05); the total hospitalization time in the test group was significantly shorter than that in the control group ( < 0.05), the hospitalization cost was significantly less than that in the control group ( < 0.05), and the total incidence of pulmonary infection and hypoxemia was significantly lower than that in the control group ( < 0.05). Early exercise rehabilitation can effectively improve cardiopulmonary function and exercise tolerance and improve the quality of life of patients after CABG.
本研究旨在分析早期运动康复对冠状动脉旁路移植术后（CABG）患者心肺功能和生活质量的影响。选取 2020 年 4 月至 2022 年 4 月期间因冠心病行 CABG 的 80 例患者，根据随机数字表法分为研究组（n=40）和对照组（n=40）。对照组患者 CABG 术后给予常规治疗和常规护理，研究组在对照组基础上给予早期运动康复。比较两组患者干预前后的心功能指标、6 分钟步行试验（6MWT）及心肺功能指标和生活质量，记录两组患者住院时间、住院费用及肺部并发症发生情况。干预后，研究组左心室射血分数（LVEF）明显高于对照组（P<0.05），左心室舒张末期内径（LVEDD）和左心室收缩末期内径（LVESD）明显低于对照组（P<0.05）；6MWT、最大摄氧量（VO2max）和无氧阈（AT）明显高于对照组（P<0.05）；干预后，研究组生理职能（PF）、躯体疼痛（RP）、一般健康状况（GH）和精力（RE）维度评分明显高于对照组（P<0.05），其余维度评分差异无统计学意义（P>0.05）；研究组总住院时间明显短于对照组（P<0.05），住院费用明显少于对照组（P<0.05），肺部感染和低氧血症总发生率明显低于对照组（P<0.05）。早期运动康复能有效改善 CABG 患者心肺功能和运动耐力，提高生活质量。
