Meng-jie PAN, Fang LIU, Liu ZHANG, Ya-nan GUO, Zhi-ping XU. Effect of early rehabilitation exercise on cardiopulmonary function and deep vein thrombosis after cardiac pacemaker implantation in the elderly[J]. Chinese Heart Journal, 2022, 34(4): 408-412. DOI: 10.12125/j.chj.202108122
    Citation: Meng-jie PAN, Fang LIU, Liu ZHANG, Ya-nan GUO, Zhi-ping XU. Effect of early rehabilitation exercise on cardiopulmonary function and deep vein thrombosis after cardiac pacemaker implantation in the elderly[J]. Chinese Heart Journal, 2022, 34(4): 408-412. DOI: 10.12125/j.chj.202108122

    Effect of early rehabilitation exercise on cardiopulmonary function and deep vein thrombosis after cardiac pacemaker implantation in the elderly

    •   AIM   To explore the effects of early rehabilitation exercises on the heart and lung function and deep vein thrombosis after cardiac pacemaker implantation in the elderly.
        METHODS  A total of 106 patients undergoing cardiac pacemaker implantation who were diagnosed and treated in our hospital from January 2017 to December 2018 were selected as the research subjects. According to different rehabilitation programs, the patients were divided into study group and control group, with 53 cases in each group. Routine rehabilitation nursing was implemented in control group and early rehabilitation exercise nursing was implemented in study group. Operation time, normal activity time out of bed, hospitalization time, changes in cardiopulmonary function, complications, quality of life and treatment satisfaction were analyzed and compared between the two groups.
        RESULTS  The activity time out of bed and hospital stay time in the study group were significantly less than those in the control group (P<0.01). The LVEF and FEV1/FVC in the two groups of were significantly increased at 1 week and 1 month after the operation, and the recovery at 1 month after the operation was better than that at the 1 week after the operation. The recovery of the patients in the study group was better than that in the control group (P<0.01). The incidence of deep vein thrombosis in the study group was 3.77%, which was significantly lower than that in the control group and the incidence of complications in the study group was also significantly lower than that in the control group (P<0.01). The quality of life in the two groups improved significantly at 1 week and 1 month after operation and the improvement in the study group was significantly better than that in the control group (P<0.01). The rehabilitation exercise satisfaction in the study group was significantly higher than that in the control group (P<0.01).
        CONCLUSION   Scientific and reasonable early rehabilitation exercise not only effectively improves the cardiopulmonary function of patients undergoing cardiac pacemaker implantation, shortens the hospital stay time and the activity time out of bed, but also reduces the occurrence of complications such as deep vein thrombosis. Personalized early rehabilitation exercises improves the quality of life and treatment satisfaction of patients, thereby improving the rehabilitation effect and is worthy of clinical promotion.
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