Effect of perioperative modified rehabilitation training exercise in patients undergoing permanent pace-maker implantation and prognosis analysis / 心血管康复医学杂志

ABSTRACT

Objective:To explore effect of perioperative modified rehabilitation training exercise in patients undergo-ing permanent pacemaker implantation and their prognosis.Methods:A total of 123 patients undergoing permanent pacemaker implantation were enrolled.According their hospitalization time,they were randomly divided into reha-bilitation training group(n=63)and modified rehabilitation training group(n=60).Postoperative 4d incision pain score, training time standard-reaching rate and action specification within one week after surgery were compared between two groups.On third month after surgery,incidence rate of surgical side shoulder pain was followed up,DASH simplified sco-ring table was used to assess daily living capacity and patient satisfaction etc.,and results were statistically analyzed.Re-sultsAfter permanent pacemaker implantation,compared with rehabilitation training group,there were significant reduc-tions in incidence rates of venous thrombosis(6.35% vs.0%),surgical shoulder pain(17.5% vs.5.0%)and DASH score [(17.05 ± 4.48)scores vs.(14.02 ± 3.85)scores,P<0.05 or <0.01],and significant rise in patient satisfaction(85.7%vs.96.6%),training time standard-reaching rate(28.5% vs.76.7%)and action specification rate(33.3% vs.68.3%) in modified rehabilitation training group,P<0.05 or <0.01. Conclusion:Perioperative modified rehabilitation training exercise can increase effect for rehabilitation training,reduce incidence of complications and improve daily living capacity in patients undergoing permanent pacemaker implantation.