首页|间断负荷训练法对慢性心力衰竭患者运动耐力、心功能及生活质量的影响

间断负荷训练法对慢性心力衰竭患者运动耐力、心功能及生活质量的影响

扫码查看
目的 探讨间断负荷训练法对慢性心力衰竭(CHF)患者运动耐力、心功能及生活质量的影响.方法 选取2021年9月至2023年8月南京医科大学第一附属医院心血管内科收治的120例CHF患者为研究对象,按随机数字表法将其分为对照组和研究组,每组60例.对照组给予常规康复训练,研究组给予间断负荷训练法,两组持续训练3个月.比较两组干预前及干预3个月运动耐力、心功能和生活质量.结果 干预前,两组6 min步行距离比较,差异无统计学意义(P>0.05);干预3个月,两组6 min步行距离均长于干预前,且研究组长于对照组,差异有统计学意义(P<0.05).干预前,两组平均二尖瓣压力差(mMPG)、左室射血分数(LVEF)、左心房内径(LAD)和左心室质量指数(LVMI)比较,差异无统计学意义(P>0.05);干预3个月,两组mMPG、LVMI均低于干预前,LVEF均高于干预前,LAD均短于干预前,且研究组mMPG、LVMI均低于对照组,LVEF高于对照组,LAD短于对照组,差异有统计学意义(P<0.05).干预前,两组明尼苏达心力衰竭生活质量问卷(MLHFQ)各维度评分比较,差异无统计学意义(P>0.05);干预3个月,两组MLHFQ各维度评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05).结论 间断负荷训练法有助于改善CHF患者心功能,提高运动耐力,促进生活质量提高.
Influence of intermittent load training method on exercise tolerance,car-diac function,and quality of life in patients with chronic heart failure
Objective To explore influence of intermittent load training method on exercise tolerance,cardiac function,and quality of life in pa-tients with chronic heart failure.Methods A total of 120 patients with chronic heart failure admitted to Cardiovascular Department of the First Af-filiated Hospital with Nanjing Medical University from September 2021 to August 2023 were selected as study subjects.They were divided into the control group and the study group by using random number table method,with 60 patients in each group.The control group received routine reha-bilitation training,the study group received intermittent load training,and both groups continued training for three months.Exercise tolerance,heart function and quality of life between the two groups were compared before intervention and three-month after intervention.Results Before interven-tion,there was no statistically significant difference in six-minute walking distance between the two groups(P>0.05).Three-month after interven-tion,six-minute walking distance of the two groups was longer than before intervention,and that in the study group was shorter than that in the con-trol group,the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences in mean mitral valve pressure gradient(mMPG),left ventricular ejection fraction(LVEF),left atrial diameter(LAD),and left ventricular mass index(LVMI)between the two groups(P>0.05).Three-month after intervention,mMPG and LVMI in both groups were lower than before intervention,LVEF in both groups was higher than before intervention,LAD in both groups was shorter than before intervention,and mMPG and LVMI in the study group were lower than those in the control group,LVEF in the study group was higher than that in the control group,LAD in the study group was shorter than that in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differ-ences in the scores of each dimension of Minnesota living with heart failure questionnaire(MLHFQ)between the two groups(P>0.05).Three-month after intervention,the scores of each dimension of MLHFQ in both groups were lower than before intervention,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Intermittent load training can help im-prove heart function,exercise tolerance,and enhance quality of life in patients with chronic heart failure.

Intermittent load trainingChronic heart failureExercise toleranceCardiac functionQuality of life

史佳敏、秦童、王琳

展开 >

南京医科大学第一附属医院 江苏省人民医院心血管内科,江苏南京 210002

间断负荷训练法 慢性心力衰竭 运动耐力 心功能 生活质量

江苏省自然科学基金面上项目

BK20200937

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(18)
  • 24