摘要
目的 评价不同运动强度对慢性心力衰竭患者心肺功能及康复情况的影响.方法 选择 2022 年 6 月—2023 年 6 月新疆喀什地区第一人民医院收治的 90例慢性心力衰竭患者为研究对象,以随机法将其分为A组、B组、C组,各 30 例.A组进行常规干预,B组进行低强度运动训练,C组进行高强度运动训练.对比三组的心肺功能指标、心功能指标、下肢肌力.结果 干预 6 个月后,三组无氧阈、峰值公斤摄氧量、峰值氧脉搏水平均高于干预前,且C组高于B组,B组高于A组,差异有统计学意义(P＜0.05).干预 6 个月后,三组左房内径、左室舒张末期内径比较,组间差异无统计学意义(P＞0.05).干预 6 个月后,三组左心室射血分数水平均高于干预前,且C组高于B组,B组高于A组,差异有统计学意义(P＜0.05).干预 6 个月后,三组下肢肌力测试次数均高于干预前,且C组高于B组,B组高于A组,差异有统计学意义(P＜0.05).结论 对慢性心力衰竭患者实施运动训练可改善其心肺功能,促进身体康复,且高强度运动训练的效果更为理想.
Abstract
Objective Evaluate the effects of different exercise intensities on cardiopulmonary function and rehabilitation status in patients with chronic heart failure.Methods Selecting 90 patients with chronic heart failure admitted to the First People's Hospital of Kashgar,Xinjiang from June 2022 to June 2023 as the research subjects,randomly divide them into Group A,Group B,and Group C,with 30 cases in each group.Group A received routine intervention,group B received low-intensity exercise training,and group C received high-intensity exercise training.Compare the cardiopulmonary function indicators,cardiac function indicators,and lower limb muscle strength of three groups.Results After 6 months of intervention,the anaerobic threshold,peak oxygen uptake per kilogram,and peak oxygen pulse rate of the three groups were higher than before intervention,and the C group was higher than the B group,and the B group was higher than the A group,the differences were statistically significant(P＜0.05).After 6 months of intervention,comparison of left atrial diameter and left ventricular end diastolic diameter among three groups,there were no statistically significant differences between groups(P＞0.05).After 6 months of intervention,the levels of left ventricular ejection fraction in all three groups were higher than before intervention,with group C was higher than group B and group B was higher than group A,the differences were statistically significant(P＜0.05).After 6 months of intervention,the number of lower limb muscle strength tests in all three groups was higher than before intervention,and the C group was higher than the B group,and the B group was higher than the A group,the differences were statistically significant(P＜0.05).Conclusion Implementing exercise training for patients with chronic heart failure can improve their cardiopulmonary function,promote physical rehabilitation,and the effect of high-intensity exercise training is more ideal.
NETL
NSTL
万方数据