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吸气肌训练在慢性心力衰竭患者中的应用效果

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目的:观察吸气肌训练在慢性心力衰竭患者中的应用效果.方法:选取 2021 年 5 月至 2023 年 5 月该院收治的 103 例慢性心力衰竭患者进行前瞻性研究,按照随机数字表法将其分为对照组 51 例和观察组 52 例.对照组采取常规心脏康复训练,观察组在对照组基础上采取吸气肌训练,比较两组训练前后心肺耐力指标[左心室射血分数(LVEF)、峰值摄氧量(VO2peak)、二氧化碳通气当量斜率(VE/VCO2)]、吸气肌功能指标[吸气峰流速(PIF)、最大吸气压(MIP)]和膈肌功能指标[膈肌增厚率(DTF)、吸气末膈肌厚度(DTei)、呼气末膈肌厚度(DTee)、膈肌移动度]水平.结果:训练后,观察组LVEF、VO2peak水平均高于对照组,VE/VCO2 水平低于对照组,差异有统计学意义(P<0.05);训练后,两组PIF、MIP水平均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);训练后,观察组DTF小于对照组,DTei、DTee、膈肌移动度均大于对照组,差异有统计学意义(P<0.05).结论:在常规心脏康复训练基础上采取吸气肌训练可提高慢性心力衰竭患者吸气肌功能指标水平,改善心肺耐力指标和膈肌功能指标水平,效果优于单纯常规心脏康复训练.
Application effects of inspiratory muscle training in patients with chronic heart failure
Objective:To observe application effects of inspiratory muscle training in patients with chronic heart failure.Methods:A prospective study was conducted on 103 patients with chronic heart failure admitted to this hospital from May 2021 to May 2023.According to the random number table method,they were divided into control group(51 cases)and observation group(52 cases).The control group received routine cardiac rehabilitation training,while the observation group received inspiratory muscle training on the basis of that of the control group.The cardiopulmonary endurance indexes[left ventricular ejection fraction(LVEF),peak oxygen uptake(VO2peak),ventilatory equivalent for carbon dioxide slope(VE/VCO2)]levels,the inspiratory muscle function indexes[peak inspiratory flow rate(PIF),maximum inspiratory pressure(MIP)]levels,and the diaphragm function indexes[diaphragmatic thickening rate(DTF),end-inspiratory diaphragmatic thickness(DTei),end-expiratory diaphragmatic thickness(DTee),diaphragm mobility]levels were compared between the two groups before and after the training.Results:After the training,the levels of LVEF and VO2peak in the observation group were higher than those in the control group,the level of VE/VCO2 was lower than that in the control group,and the differences were statistically significant(P<0.05).After the training,the levels of PIF and MIP in the two groups were higher than those before the training,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the training,the DTF of the observation group was smaller than that of the control group,the DTei,DTee and diaphragm mobility were larger than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine cardiac rehabilitation training,the inspiratory muscle training can improve the levels of inspiratory muscle function indexes in the patients with chronic heart failure,and improve the levels of cardiopulmonary endurance and diaphragmatic function indexes.Moreover,it is superior to single routine cardiac rehabilitation training.

Inspiratory muscle trainingChronic heart failureRoutine cardiac rehabilitation trainingCardiopulmonary enduranceInspiratory muscle functionDiaphragmatic function

李伟佳、黄辉、杨盛

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南阳医学高等专科学校第一附属医院特需病房,河南 南阳 473000

吸气肌训练 慢性心力衰竭 常规心脏康复训练 心肺耐力 吸气肌功能 膈肌功能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(8)
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