摘要
目的分析基于代谢当量的康复运动在慢性稳定性心力衰竭患者中的应用效果。方法选取该院2020年5月—2022年12月收治的98例慢性稳定性心力衰竭患者为研究对象,使用随机数字表法将研究对象分为对照组与研究组。对照组(n=49)患者采取常规抗心力衰竭药物与对症治疗,并根据自身情况适当运动。研究组(n=49)患者用药治疗方案与对照组相同,在此基础上采取基于代谢当量的康复运动。比较两组患者的心功能指标、6 min步行距离(6MWD)、明尼苏达心力衰竭生活质量问卷(MLHFQ)评分,以及心血管不良事件发生率。结果干预后,研究组左室射血分数高于对照组,心输出量多于对照组,组间差异有统计学意义(P<0.05);研究组6MWD(350.60±17.53)m长于对照组,MLHFQ评分(46.65±9.85)分低于对照组,组间差异有统计学意义(P<0.05)。两组心血管不良事件发生率对比,差异无统计学意义(P>0.05)。结论基于代谢当量的康复运动能够有效促进慢性稳定性心力衰竭患者的心功能恢复,增强其运动耐量,保障生活质量,安全性较为理想。
Objective To analyze the application effect of rehabilitation exercise based on metabolic equivalence in patients with chronic stable heart failure.Methods A total of 98 patients with chronic stable heart failure admitted to the hospital from May 2020 to Dcember 2022 were selected and randomly divided into a control group and an observation group.The control group consisted of 49 patients who received routine drug treatment and exercised appropriately according to their own conditions.The treatment plan for 49 patients in the research group was the same as that of the control group,and rehabilitation exercise based on metabolic equivalence was adopted on this basis.Compare the cardiac function indicators,Six-Minute Walk Distance(6MWD),Mimesota Living with Heart Failure Qucstionnaire(MLHFQ)scores,and incidence of cardiovascular adverse events between the two groups of patients.Results After intervention,the left ventricular ejection fraction and cardiac output of the study group were higher than those of the control group,the differences between groups were statistically significant(P<0.05);the 6MWD(350.60±17.53)m of the study group was longer than that of the control group,and the MLHFQ score(46.65±9.85)points was lower than that of the control group,the differences between groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse cardiovascular events between the two groups(P<0.05).Conclusion Rehabilitation exercise based on metabolic equivalence can effectively promote the recovery of cardiac function in patients with chronic stable heart failure,enhance their exercise tolerance,ensure quality of life,and have ideal safety.
作者
赵秀芝
巩立春
张洁
李新
ZHAO Xiuzhi;GONG Lichun;ZHANG Jie;LI Xin(Department of Cardiology,Lixia District People's Hospital,Jinan Shandong,250014,China)
出处
《反射疗法与康复医学》
2023年第14期79-82,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性稳定性心力衰竭
康复运动
代谢当量
Chronic stable heart failure
Rehabilitation exercise
Metabolic equivalent
