冠状动脉旁路移植术后早期心脏康复训练对患者生存质量的影响

目的探讨早期康复训练对冠状动脉旁路移植术后患者生存质量的影响。方法选择2011年1月～2012年12月首都医科大学电力教学医院行冠状动脉旁路移植术患者41例,分为康复治疗组21例和对照组20例。康复治疗组实施系统规范的康复训练,对照组给予常规护理。比较两组患者术后并发症、住院时间、术后15 d的6 min步行试验（6-MWT）和生存质量指标（SF-36）。结果①康复治疗组总并发症发生率[9.52%（2/21）]低于对照组[45.00%（9/20）],差异有高度统计学意义（P〈0.01）。②康复治疗组心理健康、躯体功能、疼痛、社会功能、活力等方面均优于对照组,差异有统计学意义（P〈0.05或P〈0.01）。③康复治疗组住院时间[（7.51±2.34）d]明显短于对照组[（12.32±4.26）d],6-MWT[（496.7±73.0）m]明显长于对照组[（304.2±45.1）m],差异有高度统计学意义（P〈0.01）。结论早期康复训练可以促进冠状动脉旁路移植术后患者的心脏康复,明显提高患者生存质量。

Effects of early rehabilit ation training on living quality of patients after coronary artery bypass grafing

Objective To investigate the influence of early rehabilitation training on living quality of patient after underwent bypass operation of coronary artery. Methods A total of 41 cases of coronary artery disease undergoing bypass operation of coronary artery in Electric Power Teaching Hospital of Capital Medical University from January 2011 to December 2012 were selected and divided into rehabilitation group with 21 cases and control group with 20 cases. Patients of rehabilitation group were treated with systematical and specific rehabilitation raining,while patient＇s of control group were carried out by conventional nursing care. Then postoperative complications,hospitalization days,result of 6 minutes walking test（6-MWT） at 15 days after operation and living quality indexes（SF-36） of the two groups were compared. Results ①The total incidence of complications in rehabilitation group [9.52%（2/21）] was lower than that in control group [45.00%（9/20）],the difference was statistically significant（P〈 0.01）. ②The psychological health,physical functioning,pain,social function,vitality in rehabilitation group were all better than those in control group,the differences were statistically significant（P 0.01 or P 〈0.05）. ③ Hospital stays in rehabilitation group [（7.51±2.34） d] was shorter than that in control group [（12.32±4.26） d],6-MWT in rehabilitation group [（496.7±73.0） m] was longer than that in control group [（304.2±45.1） m],the differences were statistically significant（P 〈0.01）. Conclusion Early rehabilitation training may promote heart rehabilitation of coronary artery disease patient＇s after underwent bypass operation of coronary artery and improve living quality of them apparently.