目的 探讨心肺一体化康复训练对老年慢性心力衰竭(chronic heart failure，CHF)患者康复疗效的影响。方法 选取郑州大学第二附属医院2021年1月到2023年8月收治的老年CHF患者126例作为研究对象，随机数字表法分为常规康复训练组和心肺一体化康复训练组，各63例。常规康复训练组接受常规的康复训练方案，心肺一体化康复训练组在常规康复训练的基础上开展心肺一体化康复训练。干预6个月后，比较两组患者的康复效果、心功能[左心收缩末期的内径(left ventricular end-systolic diameter，LVESD)、左心舒张末期的内径(left ventricular end-diastolic diameter，LVEDD)、左心的射血分数(left ventricular ejection fraction，LVEF)]、肺功能[第1 秒用力呼气的容积(forced expiratory volume in the first second，FEV1)和用力肺活量(forced vital capacity，FVC)]、运动耐力6 min步行距离(6 min walking test distance，6 MWT)、生存质量[生活质量综合问卷(generic quality of life inventory-74，GQOLI-74)]和不良心血管事件发生率。结果 干预后，心肺一体化康复训练组康复总有效率为95。24％，高于常规康复训练组的80。95％(P＜0。05);干预后，心肺一体化康复训练组LVESD、LVEDD低于常规康复训练组，LVEF、FEV1、FVC、物质生活状态、躯体、社会、心理功能评分高于常规康复训练组，6MWT长于常规康复训练组(P＜0。05);干预期间，心肺一体化康复训练组不良心血管事件发生率为4。76％，低于常规康复训练组的17。46％(P＜0。05)。结论 心肺一体化康复训练可有效改善老年CHF患者的心、肺功能，提升运动耐力和康复效果，减少不良心血管事件的发生，进而改善患者的生存质量。
Rehabilitation effect of cardiopulmonary integrated rehabilitation training in elderly patients with chronic heart failure
Objective To investigate the rehabilitation effects of cardiopulmonary integrated rehabilitation training in elderly patients with chronic heart failure(CHF).Methods All 126 elderly CHF patients admitted to the Second Affiliated Hospital of Zhengzhou University from January 2021 to August 2023 were selected as the study objects,and they were divided into rou-tine rehabilitation training group and cardiopulmonary integrated rehabilitation training group by random number table method,63 cases in each group.The routine rehabilitation training group received the routine rehabilitation training program and car-diopulmonary integrated rehabilitation training group reveived cardiopulmonary integrated rehabilitation training on the basis of the routine rehabilitation training.After 6 months of the intervention,the rehabilitation effect,cardiac function[left ventricu-lar end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF)],lung function[forced expiratory volume in the first second(FEV1)and forced vital capacity(FVC)]and exer-cise endurance 6 min walking test distance(6MWT),quality of life generic quality of life inventory-74(GQOLI-74),and incidence of adverse cardiovascular events were compared between the two groups.Results After intervention,the total effec-tive rate of cardiopulmonary integrated rehabilitation training group was 95.24％,which was higher than that of routine reha-bilitation training group 80.95％(P＜0.05).After interventions,LVESD and LVEDD in cardiopulmonary integrated rehabili-tation training group were lower than those in routine rehabilitation training group,LVEF,FEV1,FVC,material life status,physical,social and psychological function quality of life scores were higher than those in routine rehabilitation training group,and 6MWT was longer than that in routine rehabilitation training group(P＜0.05).During the intervention period,the incidence of adverse cardiovascular events in the cardiopulmonary integrated rehabilitation training group was 4.76％,which was lower than that in the routine rehabilitation training group 17.46％(P＜0.05).Conclusion Cardiopulmonary in-tegrated rehabilitation training can effectively improve the heart and lung function of elderly patients with CHF,enhance exer-cise endurance and rehabilitation effect,reduce the occurrence of adverse cardiovascular events,and thus improve the quality of life of patients.
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