中国循证心血管医学杂志2024,Vol.16Issue(12) :1524-1526.DOI:10.3969/j.issn.1674-4055.2024.12.25

心脏康复运动疗法对老年慢性心力衰竭患者的临床疗效研究

Clinical efficacy of cardiac rehabilitation exercise therapy in elderly patients with chronic heart failure

徐建辉 王婷婷 张平 李文韬 傅青岭
中国循证心血管医学杂志2024,Vol.16Issue(12) :1524-1526.DOI:10.3969/j.issn.1674-4055.2024.12.25

心脏康复运动疗法对老年慢性心力衰竭患者的临床疗效研究

Clinical efficacy of cardiac rehabilitation exercise therapy in elderly patients with chronic heart failure

徐建辉 1王婷婷 2张平 2李文韬 2傅青岭2
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作者信息

  • 1. 266000 青岛,中国人民解放军海军第971医院保健二科
  • 2. 266000 青岛,中国人民解放军海军第971医院心血管内科
  • 折叠

摘要

目的 观察心脏康复运动疗法对老年慢性心力衰竭患者的临床疗效.方法 选择2022年7月至2023年7月于海军第971医院就诊并确诊为慢性心力衰竭的老年患者70例,随机分为对照组和治疗组,每组各35例.对照组采用常规治疗,治疗组在对照组的基础上加用心脏康复运动疗法.比较两组患者的心功能、生活质量、运动耐力的变化情况.结果 治疗后两组患者的左心室射血分数(LVEF)均增加,治疗组增加幅度高于对照组;两组脑钠肽(BNP)均下降,治疗组低于对照组,差异有统计学意义(P<0.05).两组生活质量评分(SF-36)均高于治疗前,治疗组高于对照组,差异有统计学意义(P<0.05).两组6 min步行实验(6MWT)距离明显高于治疗前,治疗组较对照组显著改善,差异有统计学意义(P<0.05).结论 心脏康复运动对老年慢性心力衰竭患者的心脏功能的改善作用明显,可提高患者生活质量和运动耐力.

Abstract

Objective To observe the clinical efficacy of cardiac rehabilitationexercise therapy in elderly patients with chronic heart failure (CHF).Methods CHF patients (n=70) were chosen from the 971 Hospital of Chinese PLA Navy from July 2022 to July 2023.All patients were divided randomly into control group and treatment group (each n=35).The control group was given routine therapy and treatment group was additionally given cardiac rehabilitationexercise therapy.The indexes of heart function,quality of life (QOL) and changes ofexercise endurance were compared between 2 groups.Results After treatment,the level of left ventricular ejection fraction (LVEF) increased in 2 groups,and it was higher in treatment group than that in control group,and level of brain natriuretic peptide (BNP) decreased in 2 groups,and it was lower in treatment group than that in control group (P<0.05).The scores of MOS 36-item Short Form Health Survey (SF-36) increased in 2 groups and they were higher in treatment group than those in control group (P<0.05).After treatment,6-minute walk test (6MWT) was significantly higher than before,which was more significant in treatment group than that in control group (P<0.05).Conclusion Cardiac rehabilitation exercise has significant improving effects on heart function,QOL and exercise endurance in elderly patient with CHF.

关键词

慢性心力衰竭/心脏康复运动/心功能

Key words

Chronic heart failure/Cardiac rehabilitation exercise/Heart function

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出版年

2024
中国循证心血管医学杂志
中国人民解放军北京军区总医院

中国循证心血管医学杂志

CSTPCD
影响因子:1.272
ISSN:1674-4055
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