抗阻呼吸训练对慢性心力衰竭患者的心肺功能及焦虑情绪的影响

The Effect of Resistance Breathing Training on Cardiopulmonary Function and Anxiety in Pa-tients with Chronic Heart Failure

杨南华 ¹杨胜勇 ¹洪婉婷 ¹霍欣 ¹李冬来 ¹管晓波 ²陈超²

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作者信息

1. 上海市第二康复医院心脏康复科,上海 200431
2. 上海市民政第三精神卫生中心精神科,上海 200065
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摘要

[目的]探讨抗阻呼吸训练对慢性心力衰竭(CHF)患者的心肺功能及焦虑情绪的影响.[方法]128 例CHF稳定期患者随机分为观察组和对照组,每组 64 例.对照组患者给予CHF常规药物治疗 8 周,观察组在对照组治疗的基础上联合使用呼吸抗阻训练.患者干预前后分别进行肺功能[第 1 秒用力呼气容积(FEV1)、FEV1/用力肺活量(FEV1/FVC%)]、6 min步行试验(6 MWT)、呼吸困难量表(mMRC)、广泛性焦虑障碍量表[(GAD)-7]的测试,比较两组患者心肺功能、焦虑情绪状况及不良应发生情况.[结果]干预后,两组FEV1、FEV1/FVC均较干预前升高(P<0.05),且观察组各项指标高于对照组(P<0.05).观察组 mMRC分级较干预前好转(P<0.05);对照组 mMRC 分级与干预前比较,差异无统计学意义(P>0.05);观察组mMRC分级优于对照组(P<0.05).两组干预后 6 MWT 分级与干预前比较,差异无统计学意义(均P>0.05),且两组干预后 6 MWT分级比较,差异无统计学意义(P>0.05);两组 GAD-7 评分均较干预前降低(P<0.05),且观察组 GAD-7 评分低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).[结论]呼吸抗阻训练联合药物治疗能有效改善CHF患者的呼吸功能及肺通气功能,缓解患者负性情绪,为促进患者的康复提供了新治疗途径.

Abstract

[Objective]To explore the effect of resistance breathing training on cardiopulmonary function and anxiety in patients with chronic heart failure(CHF).[Methods]A total of 128 patients with stable CHF were randomly divided into an observation group and a control group,with 64 patients in each group.Both groups of patients were treated with conventional CHF drugs for 8 weeks,and the observation group received respiratory resistance training in combination with drug treatment.Before and after intervention,patients were tested for lung function(FEV1,FEV1/FVC%),6-minute walking test(6 MWT),dyspnea scale(mMRC),and generalized anxiety disorder(GAD)-7 scale,respectively.The cardiopulmonary function,anxiety state,and adverse reactions of the two groups of patients were compared.[Results]After intervention,FEV1 and FEV1/FVC in both groups increased compared to before intervention(P<0.05),and the observation group had higher indicators than the control group(P<0.05).The mMRC grading of the observation group im-proved compared to before intervention(P<0.05);There was no statistically significant difference in mMRC grading between the control group and before intervention(P>0.05),while the observation group had better mMRC grading than the control group(P<0.05).There was no statistically significant difference in 6 MWT grading between the two groups compared to before intervention(both P>0.05),and there was no statistical-ly significant difference in 6 MWT grading between the two groups(P>0.05);The GAD-7 scores of both groups decreased compared to before intervention(P<0.05),and the GAD-7 scores of the observation group were lower than those of the control group(P<0.05);There was no statistically significant difference in the incidence of adverse reactions between the two groups(P<0.05).[Conclusions]The combination of respira-tory resistance training and drug therapy can effectively improve the respiratory function and pulmonary venti-lation function of CHF patients,alleviate negative emotions,and provide a new therapeutic approach for pro-moting patient recovery.

关键词

心力衰竭/康复/慢性病/呼吸锻炼/心脏功能试验/焦虑

Key words

Heart Failure/RH/Chronic Disease/Breathing Exercises/Heart Function Tests/Anxiety

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基金项目

上海市宝山区卫健委专科项目(BSZK-2023-BP08)

上海市宝山区科技创新项目(18-E-39)

上海市第二康复医院院内研究科研项目(Y2020-22)

出版年

2024

医学临床研究

湖南省医学会

医学临床研究

影响因子：0.595

ISSN：1671-7171

参考文献量16

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