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心脏瓣膜置换术后进入心脏康复的患者的吸气肌与功能表现

Inspiratory Muscle and Functional Performance of Patients Entering Cardiac Rehabilitation after Cardiac Valve Replacement.

作者信息

Gempel Sabine, Cohen Meryl, Milian Eryn, Vidret Melany, Smith Andrew, Jones Ian, Orozco Yessenia, Kirk-Sanchez Neva, Cahalin Lawrence P

机构信息

Department of Physical Therapy, University of Miami, Miller School of Medicine, Coral Gables, FL 33146, USA.

Department of Cardiac Rehabilitation, University of Miami Hospital, Miami, FL 33136, USA.

出版信息

J Cardiovasc Dev Dis. 2023 Mar 28;10(4):142. doi: 10.3390/jcdd10040142.

Abstract

Limited research has examined inspiratory muscle performance (IMP) and functional performance (FP) of patients after valve replacement surgery (VRS). The purpose of this study was to examine IMP as well as several measures of FP in patients post-VRS. The study results of 27 patients revealed that patients undergoing transcatheter VRS were significantly ( = 0.01) older than patients undergoing minimally invasive or median sternotomy VRS with the median sternotomy VRS group performing significantly ( < 0.05) better than the transcatheter VRS group in the 6-min walk test, 5x sit-to-stand test, and sustained maximal inspiratory pressure. The 6-min walk test and IMP measures in all groups were significantly ( < 0.001) lower than predicted values. Significant ( < 0.05) relationships were found between IMP and FP with greater IMP being associated with greater FP. Pre-operative and early post-operative rehabilitation may improve IMP and FP post-VRS.

摘要

仅有有限的研究对瓣膜置换手术(VRS)后患者的吸气肌功能(IMP)和功能表现(FP)进行了检查。本研究的目的是检查VRS后患者的IMP以及FP的多项指标。27例患者的研究结果显示,接受经导管VRS的患者比接受微创或正中开胸VRS的患者年龄显著更大( = 0.01),在6分钟步行试验、5次坐立试验和持续最大吸气压力方面,正中开胸VRS组的表现显著优于经导管VRS组( < 0.05)。所有组的6分钟步行试验和IMP指标均显著低于预测值( < 0.001)。发现IMP与FP之间存在显著关系( < 0.05),IMP越高,FP越高。术前和术后早期康复可能会改善VRS后的IMP和FP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7362/10141801/05c22d3625b4/jcdd-10-00142-g001a.jpg

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