Effect of phase I cardiopulmonary rehabilitation on patients with coronary artery bypass grafting: a Meta-analysis
10.3760/cma.j.issn.1674-2907.2019.32.008
- VernacularTitle:Ⅰ期心肺康复对冠状动脉旁路移植术后患者康复效果的Meta分析
- Author:
Xiaoyi LI
1
;
Mengya JING
;
Xueyun HAO
;
Ruiteng SUN
;
Guomin SONG
Author Information
1. 天津中医药大学研究生院 300160
- Keywords:
Meta analysis;
? Coronary artery bypass grafting;
? Coronary bypass;
? Phase I cardiopulmonary rehabilitation;
? Cardiac rehabilitation
- From:
Chinese Journal of Modern Nursing
2019;25(32):4163-4168
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To evaluate the rehabilitation effect of phase I cardiopulmonary rehabilitation on patients with coronary artery bypass grafting(CABG). Methods? Chinese and English databases were searched via computer including PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, VIP, with the time set as the database establishment date to 31st January of 2019, to obtain randomized controlled trials of phase I cardiopulmonary rehabilitation in CABG. Meta-analysis of the included studies was performed by RevMan 5.3 software. Results? A total of 8 studies were included, according to the Meta analysis, 6 min walking distance increased in the phase I cardiopulmonary rehabilitation patients group(MD=56.46,95%CI 32.82-80.09,P＜ 0.001), the percentage of forced vital capacity(FVC) in expected value(1%) increased (MD=7.30,95%CI 2.59-12.00,P=0.002), the percentage of forced expiratory volume in first second(FEV1) in the expected value(1%) increased (MD=7.93,95%CI 3.13-12.72,P=0.001), hospital stay decreased(MD=-5.35,95%CI -9.67--1.03,P=0.002), incidence of postoperative arrhythmia decreased(MD=0.42, 95%CI -0.21-0.85),P=0.002), but the improvement effect of quality of life was not significan(t P＞ 0.05). Conclusions? Phase I cardiopulmonary rehabilitation can improve the activity endurance, pulmonary function, shorten the hospitalization time and reduce the incidence of postoperative arrhythmia, but it can not significantly improve the quality of life. Due to the small number of included studies and the heterogeneity of some indicators, the results of this study still need to be verified by multicenter, large sample and high-quality randomized controlled trials.
