杨珍珍,胥娜,郑文媛,卢安东,宋莉,张锦,张钲

• 1:兰州大学第一医院心脏中心甘肃省心血管疾病重点实验室甘肃省心血管病临床医学研究中心

摘要(Abstract)：

目的 回顾性分析体外膜肺氧合（ECMO）术后早期心脏康复的临床获益。方法连续入选2020年3月至2023年1月在兰州大学第一医院心脏中心接受ECMO支持治疗且分别于撤机前后进行心脏康复干预的重症患者76例。剔除中断治疗的4例，最终纳入72例。心脏康复干预方案为：渐进性康复训练方案，即由被动到主动，活动强度由弱到强，时间由短到长。根据心脏康复开始时机分为撤机前组（30例）和撤机后组（42例）。结果 两组患者临床基线资料比较，差异均无统计学意义（均P>0.05）。72例患者均未发生心脏康复相关的不良事件。撤机前组的住院天数（12.60±3.68）d比撤机后组（17.88±6.76）d缩短，差异有统计学意义（P=0.001）；出院前离床率撤机前组（73.3%）高于撤机后组（45.2%），差异有统计学意义（P=0.029）；两组间的转归比较差异无统计学意义（P=0.111）。结论 ECMO患者的早期心脏康复不仅安全可行，而且有助于缩短住院时间、提高出院时的离床率。

关键词(KeyWords)： 体外膜肺氧合;早期心脏康复;物理治疗

Abstract:

Keywords:

基金项目(Foundation): 甘肃省科技计划-重点研发计划项目（21YF5FA118）;甘肃省科技计划-青年基金项目（21JR7RA385）

作者(Author): 杨珍珍,胥娜,郑文媛,卢安东,宋莉,张锦,张钲

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