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慢性稳定性心力衰竭患者运动治疗疗效分析

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目的:探讨对接受常规药物治疗的慢性心力衰竭( CHF)患者辅以运动治疗的疗效分析。方法238例确诊为 CHF、心功能 NYHA分级Ⅱ-Ⅳ的患者随机分成运动训练组和对照组。运动训练组患者在常规药物治疗的基础上,实施运动治疗,对照组行药物治疗,对两组患者随访5年,死亡、心力衰竭急性加重再入院为观察终点。结果与运动训练前比较,运动训练组在加强运动干预后6分钟步行距离,利钠肽( BNP)水平、心脏彩超左室舒张末期内径,左室射血分数、左室短轴缩短率水平显著改善(P值均<0.05);运动治疗组同对照组比较6分钟步行距离,利钠肽(BNP)水平、心脏彩超左室舒张末期内径,左室射血分数、左室短轴缩短率水平均有显著改善(P值均<0.05);运动治疗组与对照组比较在入院率和死亡率显著降低(P<0.05)。结论运动训练有利于提高CHF患者运动耐力,提高生存质量,巩固治疗效果,减少再入院率,提高5年生存率。
Efficacy of Rehabilitative Treatment on Chronic heart Failure in Hospitalized Patients with Routine Medication
Objective To investigate the therapeutic effect of rehabilitate care on chronic heart failure(CHF)in hospitalized patients receiving standard treatment. Methods A total of 238 hospitalized CHF patients were randomly divided into training group and control group .All the patients in the both two groups took routine medi-cation.Meanwhile,patients in training group were also given comprehensive rehabilitative care,including sports rehabilitation for five years.Results The 6-minute walk-ing distance in training group were significantly improved after the intervention (all P <0.05).Conclusion Comprehensive rehabilitation can improve the therapeutic effect and reduce the hospital stay and the treatment cost of hospitalized CHF patients .

Chronic congestive heart failureRehabilitative treatmentCurative effect

孙丽、郭晓玲

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内蒙古包头医学院第一附属医院,内蒙古 包头 014010

慢性充血性心力衰竭 运动训练 疗效

2014

中国保健营养(上旬刊)
全国卫生产业企业管理协会

中国保健营养(上旬刊)

ISSN:1004-7484
年,卷(期):2014.(4)
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