心脏加速康复方案在心房颤动行导管射频消融术患者中的应用研究

doi:10.3761/j.issn.2096-7446.2023.01.003

摘要/Abstract

摘要： 目的探讨心脏加速康复方案在心房颤动行导管射频消融术患者中的应用效果。方法选取2020年1月—2021年12月在浙江省某三级甲等医院行房颤导管射频消融治疗的561例患者为研究对象,2021年1月—12月的358例患者为试验组,2020年1月—12月的203例患者为对照组,试验组采取心脏加速康复方案进行管理,对照组以常规方法进行管理。比较两组术后下床时间、住院时间、住院费用、术后并发症、房颤特异性生活质量、心功能改善情况及房颤复发率的差异。结果试验组术后下床时间较对照组提前4.9 h,住院时间缩短5.6 h,住院费用节约0.7万元（均P<0.001）;试验组术后生活质量评分高于对照组（P<0.05）;术后3个月左心室射血分数改善情况优于对照组,房颤复发率低于对照组（均P<0.05）。结论心脏加速康复方案有助于促进房颤导管消融术患者早期康复,缩短住院时间,同时有利于生活质量和心功能的改善,降低复发率。

关键词: 心房颤动, 射频导管消融术, 加速康复外科, 日间手术, 围手术期护理

Abstract: Objective To explore the effects of an enhanced rehabilitation program on patients undergoing radiofrequency catheter ablation for atrial fibrillation. Methods 561 patients undergoing radiofrequency catheter ablation for atrial fibrillation from January 2020 to December 2021 were included. Patients from January to December 2021 were included as the intervention group,and those from January to December 2020 patients as the control group. The intervention group was managed by enhanced rehabilitation program management,the control group was managed by conventional methods. And the differences of postoperative mobilization time,length of hospital stay,hospitalization cost,postoperative complications,Atrial Fibrillation Effect on Quality-of-Life,improvement of cardiac function and recurrence rate of atrial fibrillation between the two groups were compared. Results The patients in intervention group mobilized 4.9 h earlier,were discharged 5.6 h shorter,and costed 0.7 million less（P<0.001）. The score of postoperative quality of life in intervention group was higher（P<0.05）,the LVEF improvement was significantly better than control group,and recurrence rate was less than control group at 3 months after operation（P<0.05）. Conclusion The cardiac enhanced rehabilitation program helps to promote the early rehabilitation of patients with radiofrequency catheter ablation for artrial fibrillation,shorten the hospital stay,facilitate the improvement of quality of life and cardiac function,and reduce recurrence ate.

Key words: Atrial Fibrillation, Radiofrequency Catheter Ablation, Enhanced Recovery After Surgery, Day Surgery, Perioperative Nursing

祝海香, 王云鹤, 韩小雪, 陈青青, 杨帆, 王静. 心脏加速康复方案在心房颤动行导管射频消融术患者中的应用研究[J]. 中华急危重症护理杂志, 2023, 4(1): 22-28.

ZHU Haixiang, WANG Yunhe, HAN Xiaoxue, CHEN Qingqing, YANG Fan, WANG Jing. Application of cardiac enhanced rehabilitation management protocol in patients undergoing radiofrequency catheter ablation for atrial fibrillation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(1): 22-28.

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