预康复最大限度地提高了心脏性休克患者的功能性移动性,这些患者的心脏性休克支的是股脉动
Anju Bhardwaj1, Ismael A Salas de Armas1, Amanda Bergeron2
1From the Department of Advanced Cardiopulmonary Therapies and Transplantation, University of Texas Health Science Center at Houston, Houston, Texas.
概括
物理治疗 (PT) 安全地改善了在临时机械循环支持的重症患者的运动能力. 这种预康复策略在长期植入左心室辅助器件之前提高了功能状态.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 物理疗法物理治疗
背景情况:
- 物理治疗 (PT) 的好处是为重症患者建立的.
- 对于临时机械循环支持 (MCS) 患者的PT数据有限.
研究的目的:
- 评估PT的安全性和有效性在接受腹Impella器件的患者中.
- 评估在耐用左心室辅助器件 (dLVAD) 植入之前接受PT的患者的功能状态变化.
主要方法:
- 对37名接受巴Impella和PT的患者进行了回顾性研究.
- 急性护理后活动措施 (AM-PAC) 基本流动性工具用于功能评估.
- 从2017年2月到2022年1月收集的数据.
主要成果:
- 中位数AM-PAC得分显著增加,从Impella植入后的12.7增加到dLVAD植入前的18.4.
- 职能状况继续改善,在下放时达到20.7.
- 在研究期间没有报告PT相关的并发症.
结论:
- 对于暂时MCS的重症患者来说,PT是安全有效的.
- 在dLVAD植入之前,PT的预康复可以增强功能独立性.
- 表明以前被认为是模两可的候选人患者可以安全地参加PT.
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