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中医康复治疗对老年慢性心力衰竭患者生活质量的影响研究

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目的 研究中医康复治疗对老年慢性心力衰竭患者生活质量的影响。方法 选取 98 例老年慢性心力衰竭患者,随机分为观察组(50 例)与对照组(48 例)。对照组实施常规方案治疗,观察组在对照组基础上实施中医康复治疗。比较两组患者治疗前后的心功能、生活质量。结果 治疗前两组患者左室射血分数(LVEF)、左室舒张末期内径(LVEDD),并且检测患者 6 min步行距离(6MWD)对比差异不显著(P>0。05);治疗后观察组LEVF(52。28±8。33)%、LVEDD(51。27±6。33)mm、6 MWD(381。49±60。76)m优于对照组的(44。16±7。15)%、(56。95±9。22)mm、(249。40±40。38)m,差异有统计学意义(P<0。05)。治疗前两组患者的生活质量评分对比差异不显著(P>0。05);治疗后观察组的生活质量评分(87。73±13。97)分比对照组的(81。49±13。19)分更好,差异有统计学意义(P<0。05)。结论 将中医康复治疗应用于老年慢性心力衰竭患者中,对改善患者的心功能和生活质量有重要意义,值得推荐。
Study on the effect of traditional Chinese medicine rehabilitation on the quality of life of elderly patients with chronic heart failure
Objective To study the effect of traditional Chinese medicine rehabilitation on the quality of life of elderly patients with chronic heart failure.Methods 98 elderly patients with chronic heart failure were randomly divided into an observation group(50 cases)and a control group(48 cases).The control group received conventional treatment,and the observation group received traditional Chinese medicine rehabilitation on the basis of the control group.The cardiac function and quality of life of the two groups were compared before and after treatment.Results Before treatment,there were no significant differences between the two groups in terms of left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)and 6-min walking distance(6MWD)(P>0.05).After treatment,the observation group had LEVF of(52.28±8.33)%,LVEDD of(51.27±6.33)mm,and 6 MWD of(381.49±60.76)m,which were better than(44.16±7.15)%,(56.95±9.22)mm,and(249.40±40.38)m in the control group.The difference was statistically significant(P<0.05).Before treatment,there was no significant difference in quality of life score between the two groups(P>0.05).After treatment,the quality of life score of(87.73±13.97)points in the observation group was better than(81.49±13.19)points in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of traditional Chinese medicine rehabilitation in elderly patients with chronic heart failure is of great significance to improve the patients'cardiac function and quality of life,and is worth recommending.

Traditional Chinese medicine rehabilitationChronic heart failureQuality of lifeCardiac function

吕晓莉、祁俊仙

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110101 沈阳市第二中医医院

110015 中国人民解放军北部战区总医院

中医康复 慢性心力衰竭 生活质量 心功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(16)