循证康复模式在改善心脏起搏器植入术患者术后心功能的应用价值

Value of evidence-based rehabilitation model in improving postoperative cardiac function after cardiac pacemaker implantation

  • 摘要: 目的 研究循证康复模式在改善心脏起搏器植入术患者术后心功能中的应用价值。 方法 选取本院心血管科收治的拟行心脏起搏器植入术的68例患者为研究对象,按照随机数字表法分为2组。对照组34例采用常规术后照护,观察组34例增加循证康复模式。比较2组患者术后心功能指标、住院时间和并发症发生情况。 结果 观察组术后左心室射血分数(LVEF)和6 min步行试验(6MWT)结果均优于对照组,差异有统计学意义(P<0.05); 观察组患者术后并发症总发生率为11.76%, 低于对照组的32.35%, 差异有统计学意义(P<0.05); 观察组住院时间为(5.26±2.54)d, 显著短于对照组的(7.04±3.17)d(P<0.05)。 结论 应用循证康复模式在一定程度上能够降低心脏起搏器植入术后患者的并发症发生率,改善患者心功能,缩短患者住院时间,加速患者康复进程。

     

    Abstract: Objective To study the value of evidence-based rehabilitation model in improving postoperative cardiac function after cardiac pacemaker implantation. Methods A total of 68 patients admitted to our hospital were selected and divided into two groups according to random number table method. The control group(n=34)received routine postoperative care, while the observation group(n=34)additionally received evidence-based rehabilitation. Postoperative cardiac function index, length of hospital stay and incidence of complications were compared between the two groups. Results The postoperative left ventricular ejection fraction(LVEF)and 6-minute walking test(6MWT)in the observation group were both better than the control group(P< 0.05). The overall incidence of postoperative complications in the observation group was 11.76%, which was lower than 32.35% in the control group(P<0.05), and the length of hospital stay in the observation group was significantly shorter than that in the control group [(5.26±2.54)d vs.(7.04±3.17)d, P< 0.05]. Conclusion Application of evidence-based rehabilitation can reduce the incidence of complications, improve thecardiac function, shorten the hospital stay, and accelerate the rehabilitation process of patients.

     

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