埋藏式心脏起搏器植入术后康复操临床应用与研究

摘要

目的 对比研究埋藏式心脏起搏器植入术后康复操的临床应用效果.方法 选择2017年1月至12月佛山市第一人民医院心血管内科收治的行埋藏式心脏起搏器植入术患者100例,根据护理方法不同分为治疗组和对照组,每组50例.对照组患者埋藏式心脏起搏器植入术后接受常规护理;治疗组患者采用起搏器术后康复操进行康复训练.于术后第7d对两组患者并发症的发生情况进行观察和记录,对比两组患者的满意度和住院时间;对比术后30 d两组患者的生活自理能力和肩关节功能锻炼依从性.结果 术后7d肩关节疼痛的发生率治疗组患者为12％,对照组为46％,两者比较差异有统计学意义(P＜0.05);治疗组患者的肩关节疼痛NRS评分为(2.76±1.31)分,低于对照组患者的(3.69±1.45)分,两者比较差异有统计学意义(P＜0.05).治疗组患者满意率(96％)高于对照组患者(84％),两者比较差异有统计学意义(P＜0.05);治疗组患者住院时间为(7.52±1.12)d,短于对照组患者的(8.23±1.23)d,两者比较差异有统计学意义(P＜0.05).术后30 d治疗组患者的生活自理能力良好率(96％)高于对照组(82％),两者比较差异有统计学意义(P＜0.05);治疗组患者的肩关节锻炼依从性(94％)高于对照组(80％),两者比较差异有统计学意义(P＜0.05). 结论 早期进行起搏器术后康复操锻炼,能够使患者起搏器植入术后肩关节疼痛的发生率减少,疼痛评分降低,缩短住院时间,提高满意度和依从性,提高术后的生活自理能力,促进患者的快速康复.%Objective To study the clinical effect of rehabilitation exercise after implantation of implantable pacemaker.Methods From January to December,2017,100 patients implanted implantable cardiac pacemaker at our department were divided into a treatment group and a control group according to the different nursing methods,50 cases for each group.The control group received routine nursing care after implanting pacemaker,and the treatment group took rehabilitation training by doing rehabilitation exercise after pacemaker implantation.The complications of the two groups were observed and recorded on the 7th day after operation.The satisfaction degree and hospitalization time of the two groups were compared.The self-care ability of life and the compliance of shoulder joint function exercise were compared between the two groups 30 days after operation.Results 7 days after operation,the incidence of shoulder joint pain was 12％ in the treatment group and 46％ in the control group (P ＜ 0.05);and the NRS score of shoulder joint pain was lower in the treatment group than in the control group [(2.76±1.31) vs.(3.69±1.45),P ＜ 0.05].The satisfaction rate of the treatment group was significantly higher than that of the control group (96％ vs.84％,P ＜ 0.05).The hospitalization time of the treatment group was significantly shorter than that of the control group [(7.52± 1.12) days vs.(8.23±1.23) days,P ＜ 0.05].30 days after operation,the treatment group had a higher rate of self-care ability than the control group (96％ vs.82％,P ＜ 0.05).The compliance of shoulder joint exercise was higher in the treatment group than in the control group (94％ vs.80％,P ＜ 0.05).Conclusions Early rehabilitation exercise after pacemaker implantation can reduce the incidence of shoulder joint pain,decrease the pain score,shorten the hospitalization time,and improve the patients' satisfaction,compliance,ability of postoperative self-care,and the recovery.