以代谢当量为依据的个体化心脏运动康复训练对慢性心衰患者的影响
Influences of individualized cardiac exercise rehabilitation training based on metabolic equivalent on cardiopulmonary functions,6MWT and quality of life in patients with chronic heart failure
卢文君 1廖奕华 1邓云梅 2马艳丽 1胡晶晶 1李媛媛 1陈芬 3王兆薇4
作者信息
- 1. 中国人民解放军95829部队医院心血管内科, 湖北武汉 430012
- 2. 中国人民解放军95829部队医院肿瘤科,湖北武汉 430012
- 3. 华中科技大学同济医学院附属协和医院心内科,湖北武汉 430022
- 4. 潜江市中心医院神经内科,湖北潜江 433199
- 折叠
摘要
目的 分析以代谢当量为依据的个体化心脏运动康复训练对慢性心衰患者心肺功能、6MWT及生活质量的影响.方法 本研究收集 2020年 6月～2022年 6月本院收治的 110例慢性心衰患者作为此次研究对象,按照随机数字表法分为对照组和观察组,每组 55例.对照组给予患者常规的康复指导,观察组在对照组基础上实施以代谢当量为依据的个体化心脏运动康复训练;采用心脏彩超测量患者的心功能指标;采用心肺功能仪器检测心肺功能指标;6 min步行试验(6MWT)检测患者运动耐力;采用明尼苏达心力衰竭生活质量量表(MLHFQ)来进行生活质量的评估.结果 观察组和对照组LVEF在干预后显著高于干预前(均P<0.01),LVESD和LVEDD显著低于干预前(均P<0.01),观察组LVEF在干预后显著高于对照组(均P<0.01),LVESD和LVEDD显著低于对照组(均P<0.01).观察组和对照组METs、峰值心率、VO2peak干预后均显著高于干预前(均P<0.01),VE/VCO2slope显著低于干预前(均 P<0.01),观察组 METs、峰值心率、VO2peak在干预后显著高于对照组(均 P<0.01),VE/VCO2slope显著低于对照组(均P<0.01).观察组和对照组 6MWT干预后均显著高于干预前(均P<0.01),观察组 6MWT在干预后显著高于对照组(P<0.01).观察组和对照组症状、心理情绪、体力和社会受限评分干预后均显著低于干预前(均P<0.01),观察组症状、心理情绪、体力和社会受限评分在干预后显著低于对照组(均P<0.01).结论 以代谢当量为依据的个体化心脏运动康复训练可以改善慢性心衰患者心肺功能,提高患者的6MWT及生活质量.
Abstract
AIM To analyze the influences of individualized cardiac exercise rehabilitation training based on metabolic equivalent on cardiopulmonary functions,6MWT and quality of life in patients with chronic heart failure.METHODS This study included 110 patients with chronic heart failure admitted to our hospital from June 2020 to June 2022 as research subjects and the patients were divided into control group and observation group according to the random number table,with 55 patients in each group.The patients in control group were given routine rehabilitation guidance,while the patients in observation group were given individualized cardiac exercise rehabilitation training based on metabolic equivalent on the basis of the control group.Cardiac functions were measured by color Doppler echocardiography and cardiopulmonary functions were measured by cardiopulmonary function instrument.6 minute walking test(6MWT)was used to measure the exercise tolerance and the Minnesota Living with Heart Failure Questionnaire(MLHFQ)was used to assess the quality of life.RESULTS LVEF in observation group and control group was obviously higher after the intervention than before intervention(all P<0.01)and LVESD and LVEDD were obviously lower than those before intervention(all P<0.01).LVEF in observation group was obviously higher than that in control group after intervention(all P<0.01),and LVESD and LVEDD in observation group were obviously lower than those in control group(all P<0.01).METs,peak heart rate and VO2peak in observation group and control group were obviously higher after the intervention than before intervention(all P<0.01)and VE/VCO2 slope was obviously lower than that before intervention(all P<0.01).METs,peak heart rate and VO2s peak in the observation group were obviously higher than those in the control group after intervention(all P<0.01),and VE/VCO2 slope was obviously lower than that in the control group(all P<0.01).6MWT in observation group and control group after intervention were obviously higher than those before intervention(all P<0.01)and 6MWT in observation group was obviously higher than that in control group after intervention(all P<0.01).The scores of symptoms,psychological emotion,physical strength and social limitation in the observation group and the control group were obviously lower after the intervention than before intervention(all P<0.01),and the scores of symptoms,psychological emotion,physical strength and social limitation in observation group were obviously lower than those in control group after intervention(all P<0.01).CONCLUSION The individualized cardiac exercise rehabilitation training based on metabolic equivalent can improve the cardiopulmonary functions,6MWT and quality of life in patients with chronic heart failure.
关键词
代谢当量/个体化心脏运动康复训练/慢性心衰/心肺功能/6MWT/生活质量Key words
metabolic equivalent/individualized cardiac exercise rehabilitation training/chronic heart failure/cardiopulmonary function/6MWT/quality of life引用本文复制引用
基金项目
湖北省重点研发计划(2022BCE062)
出版年
2024
NETL
NSTL
万方数据