《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (06): 348-349.

• 临床研究 • 上一篇    下一篇

心脏瓣膜术后患者的康复护理探讨

郑彩娥; 张荀芳; 缪丽华   

  1. 浙江省康复中心 浙江杭州市 310024
  • 收稿日期:2002-11-26 出版日期:2003-06-25 发布日期:2003-06-25

Effect of rehabilitation nursing on patients after cardiac valve surgery

ZHENG Cai-e,ZHANG Xun-fang,MIAO Li-hua   

  1. Rehabilitation Center of Zhejiang Province,Hangzhou 310024,Zhejiang,China
  • Received:2002-11-26 Published:2003-06-25 Online:2003-06-25

PDF (PC)

被引次数

12

摘要： 目的探讨康复护理、康复运动训练对心脏瓣膜术后患者的疗效。方法对26例心脏瓣膜术后患者进行全面身心评定,制定个体康复护理措施,进行20天康复运动训练,同时做好心理康复、健康教育。结果经康复运动训练和康复护理后,患者的心功能提高1—2级;运动负荷提高、运动时间延长(P<0.01),安静状态下及运动时间、负荷相等时的心率、血压、心率—血压二项乘积,以及心电图S-T段压低幅度明显改善(P<0.01—0.05)。结论康复护理及运动训练可以减少心脏瓣膜术后患者的并发症,增加心脏贮备能力,降低心肌耗氧量,改善心肌缺血,提高患者的心肺功能和生活质量。

关键词: 心脏瓣膜术, 康复护理, 运动训练

Abstract: ObjectiveTo study the effect of the rehabilitation nursing and movement training on patients after cardiac valve surgery.Methods26 cases who accepted cardiac valve surgery were assessed with psycho-physiological and cardiac function, then make single rehabilitation nursing measures. Movement training was being done for 20 days as well as mental convalescence and health education of rehabilitation.ResultsCardiac function of all cases was promoted 1-2 grade after rehabilitation. Exercise stress was raised and movement time was prolonged than that of before rehabilitation (P<0.01). The heart rate, systolic pressure, diastolic pressure, binomial product (HR×SBP) ane the lowered S-T segment were also improved significantly after rehabilitation whether in the state at rest or motion with equal time and stress (P<0.01-0.05).ConclusionsRehabilitation nursing and movement training can reduce complications after cardiac valve surgery, raise cardiac reserve, and lower myocardial oxygen consumption. Meanwhile, it can improve myocardial ischemia and raise cardio-pulmonary function. It also can improve quantity of patients' life.

Key words: cardiac valve surgery, rehabilitation nursing, movement training