Effect of respiratory rehabilitation before open cardiac surgery on respiratory function: a randomized clinical trial.
Effect of respiratory rehabilitation before open cardiac surgery on respiratory function: a randomized clinical trial.
复制标题
DOI：
10.15171/jcvtr.2015.03
复制
发表时间：
2015
影响因子：
1.1
通讯作者：
Sahebi R
中科院分区：
文献类型：
--
作者：
Shakouri SK;Salekzamani Y;Taghizadieh A;Sabbagh-Jadid H;Soleymani J;Sahebi L;Sahebi R
前言：冠状动脉旁路移植术后肺部并发症的预防是一个非常重要的问题。本研究的目的是评估术前肺康复对降低术后肺部并发症风险的作用。 方法：采用随机对照临床试验方法，将60例心脏手术患者随机分为A、B组。A组患者术前、术后均进行胸部物理治疗，而B组仅在术后进行胸部物理治疗。比较两组患者术前肺功能康复的效果。 结果：男39例（65%），女21例（35%），平均年龄（8.10 ± 9.56）岁。两组肺功能指标预测用力肺活量（FVC）（CI 95%：1.3 ~ 8.7）和预测峰值血流指数（PEF）（CI 95%：1.9 ~ 9.4）、ABG指标PCO 2指数（CI 95%：1.4 ~ 8.9）和平均血氧饱和度（平均Spo 2）（CI 95%：0.6 ~ 1.7）的平均差异均有统计学意义。 结论：建议术前进行肺功能康复训练，以减少心脏手术并发症
Introduction: Prevention of pulmonary complications after coronary artery bypass graft is attended as a very important issue. The aim of this study was to evaluate the role of pulmonary rehabilitation before surgery for reducing the risk of pulmonary complications after surgery. Methods: In a randomized clinical trial, 60 patients undergoing heart surgery were randomly divided into two groups A and B. Chest physiotherapy was performed before and after surgery on group A patients however it was done on group B’s, only after surgery. Effects of preoperative pulmonary rehabilitation were compared between two groups, using spirometry and arterial blood gas (ABG). Results: Thirty nine males (65%) and 21 females (35%) with mean age of 8.10 ± 9.56 were analyzed. The mean differences were statistically significant for predicted forced vital capacity (FVC) (CI 95%:1.3 to 8.7) and Predicted Peak Flow indices (PEF) (CI 95%: 1.9 to 9.4) of spirometry indicator, PCO2 index (of ABG parameter) (CI 95%: 1.4 to 8.9) and mean oxygen saturation (mean Spo2) (CI 95%: 0.6 to 1.7) of ABG index in two groups. Conclusion: The performance of pulmonary rehabilitation program before surgery is recommended, as it may result in the reduction of complications of heart surgery