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护理学报 ›› 2023, Vol. 30 ›› Issue (21): 75-78.doi: 10.16460/j.issn1008-9969.2023.21.075

• 临床护理※内科护理 • 上一篇    

经络叩击联合吐纳训练对经导管主动脉瓣置换术患者术后I期心脏康复的对照研究

杨秀梅, 王雨, 刘继红, 张树龙, 王海玥, 张欣廷, 纪代红   

  1. 大连大学附属中山医院 心脏中心,辽宁 大连 110000
  • 收稿日期:2023-08-18 出版日期:2023-11-10 发布日期:2023-12-07
  • 通讯作者: 纪代红（1969-）,辽宁大连人,女,本科学历,主任护师,硕士研究生导师。E-mail: yourfriend@163.com
  • 作者简介:杨秀梅（1969-）,辽宁大连人,女,本科学历,主任护师。
  • 基金资助:
    大连市中医药科学研究计划项目[大卫办函（2021）70号-21Z11031]

Effect of Meridian Percussion Combined with TCM Breathing Exercise on Postoperative Phase I Rehabilitation in patients undergoing transcatheter aortic valve replacement: a controlled study

YANG Xiu-mei, WANG Yu, LIU Ji-hong, ZHANG Shu-long, WANG Hai-yue, ZHANG Xin-ting, JI Dai-hong   

  1. Heart Center, Zhongshan Hospital Affiliated to Dalian University, Dalian 110000, China
  • Received:2023-08-18 Online:2023-11-10 Published:2023-12-07

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摘要： 目的 探讨经络叩击联合吐纳训练技术在经导管主动脉瓣置换术（transcatheter aortic valve replacement, TAVR）术后患者I期康复的应用及效果。方法 选择2021年1月—2022年6月于我院接受TAVR的患者作为研究对象,采用非同期对照法,对照组患者术后采用常规康复护理,观察组患者术后在常规康复护理+经络叩击联合吐纳训练。对比2组患者术后ICU监护天数、首次下床运动时间、术后住院天数、总住院天数;从术后卧床到能够接受6MWT的时间及6WMT距离。结果 2组患者一般资料差异无统计学意义（P>0.05）。2组在ICU住院小时数差异无统计学意义（P=0.742）;观察组术后住院天数和总住院天数较对照组明显缩短（P<0.001）;运动能力方面：观察组术后首次下床时间明显缩短（P<0.001）;与对照组相比,观察组从卧床到接受6MWT时间明显缩短（P<0.001）,观察组6WMT距离明显增加（P<0.001）。结论 中西医结合法（经络叩击联合吐纳训练+常规康复护理）对TAVR患者Ⅰ期康复护理效果优于常规康复护理,可缩短住院周期,提高运动能力恢复速度。

关键词: 经导管主动脉瓣置换术, 中西医结合, 经络叩击, 吐纳训练, 康复护理

Abstract: Objective To evaluate the effect of meridian percussion combined with TCM breathing exercise on postoperative phase I rehabilitation in patients undergoing transcatheter aortic valve replacement(TAVA). Methods Patients undergoing TAVR in our hospital from January 2021 to June 2022 were included, and a non-simultaneous control method was used. For control group, conventional post-TAVR nursing was performed. While for observation group, the patients received a combination of conventional rehabilitation nursing, meridian percussion and TCM breathing exercise. ICU duration, early ambulation time, post-operative and total hospitalization duration, the time between postoperative bed rest to complete the six-minute walking test (6MWT) and the walking distance in 6WMT in both groups were observed and compared. Results General information of the two groups showed no significant difference (P>0.05). ICU duration showed no difference between the two groups (P=0.742). Total and post-operative hospitalization duration were significantly shortened in the observation group(P<0.001). For functional exercise capacity, early ambulation time (P<0.001), and the time between postoperative bed rest to complete 6MWT were significantly shortened (P<0.001), and the walking distance in 6WMT significantly was improved (P<0.001) in observation group. Conclusion For post-TAVR phase 1 rehabilitation, compared to conventional nursing, our newly developed method of combined TCM and western medicine (meridian percussion combined with TCM breathing exercise) can shorten hospitalization duration and improve mobility function recovery.

Key words: TAVR, combined TCM and western medicine, meridian percussion, TCM breathing exercise, rehabilitation nursing

中图分类号: 

  • R473.54
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