The effects of five days of intensive preoperative inspiratory muscle training on postoperative complications and outcome in patients having cardiac surgery: a randomized controlled trial

被引：58

作者：

Chen, Xiaoyu ^{[1
,2
]}

Hou, Lin ^{[1
,2
]}

Zhang, Yuanyuan ^{[1
,2
]}

Liu, Xiangjing ^{[1
]}

Shao, Bohan ^{[1
]}

Yuan, Bo ^{[1
]}

Li, Jing ^{[1
]}

Li, Min ^{[3
]}

Cheng, Hong ^{[3
]}

Teng, Lei ^{[3
]}

Guo, Mingdi ^{[3
]}

Wang, Zhengqing ^{[3
]}

Chen, Tienan ^{[3
]}

Liu, Jianjun ^{[3
]}

Liu, Yaping ^{[3
]}

Liu, Zhigang ^{[3
]}

Liu, Xiaocheng ^{[3
]}

Guo, Qi ^{[1
,2
]}

机构：

[1] Tianjin Med Univ, Cardiovasc Clin Coll, TEDA Int Cardiovasc Hosp, Dept Rehabil Med, 61 Third Ave, Tianjin 300457, Peoples R China

[2] Tianjin Med Univ, Dept Rehabil Med, Tianjin, Peoples R China

[3] Tianjin Med Univ, Cardiovasc Clin Coll, TEDA Int Cardiovasc Hosp, Dept Cardiac Surg, Tianjin, Peoples R China

来源：

CLINICAL REHABILITATION | 2019年 / 33卷 / 05期

关键词：

Cardiac surgery; inspiratory muscle training; length of stay; postoperative pulmonary complications; LUNG-FUNCTION TESTS; LENGTH-OF-STAY; PULMONARY COMPLICATIONS; REGRESSION EQUATIONS; REFERENCE VALUES; HIGH-RISK; BYPASS; REHABILITATION; DYSFUNCTION; STRENGTH;

D O I：

10.1177/0269215519828212

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To determine the prophylactic efficacy of short-term intensive preoperative inspiratory muscle training on the incidence of postoperative pulmonary complications in patients scheduled for cardiac surgery. Design: Single-blind, randomized controlled pilot study. Setting: TEDA International Cardiovascular Hospital, China. Subjects: In total, 197 subjects aged > 50 years scheduled for cardiac surgery were selected. Intervention: The intervention group (n = 98) received five days of preoperative inspiratory muscle training on top of the usual care received by the patients in the control group (n = 99). Main measures: The primary outcome variable was the occurrence of postoperative pulmonary complications. The secondary outcome variables were inspiratory muscle strength, lung function and length of hospitalization. Results: After cardiac surgery, a total of 10 (10.2%) of the 98 patients in the intervention group and 27 (27.3%) of 99 patients in the control group had postoperative pulmonary complications (risk ratio, 0.23; 95% confidence interval (CI), 0.09-0.58, P = 0.002). The study revealed that, compared with the control group, the intervention group had a significant increase in inspiratory muscle strength (by 10.48 cm H2O, P < 0.001), forced expiratory volume in the first second of expiration (FEV1) %predicted (by 3.75%, P = 0.030), forced vital capacity (FVC) %predicted (by 4.15%, P = 0.008) and maximal voluntary ventilation (MVV) %predicted (by 6.44%, P = 0.034). Length of hospital stay was 7.51 (2.83) days in the intervention group and 9.38 (3.10) days in the control group (P = 0.039). Conclusion: A five-day intensive pattern of preoperative inspiratory muscle training reduced the incidence of postoperative pulmonary complications and duration of postoperative hospitalization in patients undergoing cardiac surgery.

引用

页码：913 / 922

页数：10

共 28 条

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