目的 研究主动呼吸循环技术联合递增式抗阻运动对老年风湿性心脏病患者运动耐力的应用效果.方法 选取2021年10月至2022年10月在该院心脏康复科住院的老年风湿性心脏病患者120例作为研究对象,采用随机数字表法分为观察组和对照组,每组60例.对照组患者采用常规治疗及康复护理,观察组在前者基础上采用主动呼吸循环技术联合递增式抗阻运动.比较训练前1 d、训练后30 d时,两组患者30 s手臂屈曲、2 min踏步次数、6 min步行距离、心功能、护理满意度.结果 观察组患者训练后30 d,30 s手臂屈曲次数、2 min 踏步次数多于对照组[32.23(12.88,52.33)次 vs.23.46(1.77,44.48)次,(9.62±0.48)次 vs.(9.03±0.35)次],6 min 步行距离长于对照组[(427.59±20.36)m vs.(394.89±17.95)m],左心室射血分数(LVEF)、脑钠肽(BNP)水平高于对照组[(56.32±3.60)％vs.(52.23±3.13)％,(645.00±9.12)pg/mL vs.(637.00±9.16)pg/mL],非常满意比例高于对照组(78.33％vs.21.66％),差异均有统计学意义(P＜0.05).结论 主动呼吸循环技术联合递增式抗阻运动能有效改善老年风湿性心脏病患者双上肢屈曲活动能力及双下肢柔韧性、运动能力,改善四肢肌力和心功能.
Effect of active respiratory circulation technique combined with incremental resistance exercise on exercise tolerance in elderly patients with rheumatic heart disease
Objective To study the effect of active respiratory circulation combined with incremental resistance exercise on exercise endurance in elderly patients with rheumatic heart disease.Methods A total of 120 elderly patients with rheumatic heart disease hospitalized in the cardiac rehabilitation department of this hospital from October 2021 to October 2022 were selected as the study subjects and divided into the observa-tion group and control group by the random number table method,60 cases in each group.The patients in the control group were treated with the conventional treatment and rehabilitation nursing,and the observation group adopted the active respiratory circulation technique combined with incremental resistance exercise on the basis of the former.The 30 s arm flexion,2 min step test,6 min walking distance,cardiac function and nursing satisfaction on 1 d before training and 30 d after training were compared between the two groups.Re-sults The number of 30 s arm flexions and 2 min steps on 30 d after training in the observation group was higher than that in the control group[32.23(12.88,52.33)times vs.23.46(1.77,44.48)times,(9.62±0.48)times vs.(9.03±0.35)times],the 6-min walking distance was longer than that in the control group[(427.59±20.36)m vs.(394.89±17.95)m],the levels of LVEF and BNP were higher than those in the con-trol group[(56.32±3.60)％vs.(52.23±3.13)％,(645.00±9.12)pg/mL vs.(637.00±9.16)pg/mL],and the proportion of very satisfaction was higher than that in the control group(78.33％vs.21.66％),the differ-ences were statistically significant(P＜0.05).Conclusion Active respiration and circulation technology com-bined with incremental resistance exercise could effectively improve the flexion mobility ability of both upper limbs,the flexibility and exercise ability of both lower limbs,and improve the muscle strength of the limbs and cardiac function in elderly patients with rheumatic heart disease.
万方数据
维普
