摘要
目的探讨心脏运动康复治疗对慢性心力衰竭患者心率变异性的影响及生活质量改善情况。方法对符合纳入排除标准的46例慢性心力衰竭患者随机分为2组,心肺运动康复组及对照组均进行慢性心力衰竭常规药物治疗,治疗组进行4周的心肺运动康复训练,在入组时及干预结束后2周随访,进行明尼苏达心力衰竭生存质量(Minnesota living with heart failure questionnaire,MLHFQ)量表评分。结果与入组时相比,4周干预后心肺运动康复组较对照组SDNN明显升高:111.77±11.00ms:100.76±5.68ms,差异有统计学意义(P<0.01);rmSSD明显升高,38.41±5.53ms:32.63±6.15ms,差异有统计学意义(P<0.05)。干预结束2周后随访进行MLHFQ评分,两组患者MLHFQ评分:36.00±4.47:40.18±5.77,差异有统计学意义(P<0.05)。结论心肺运动康复可以提高慢性心衰患者心率变异性,改善其生活质量。
Objective To investigate whether cardiopulmonary exercise rehabilitation can improve heart rate variability and quality of life in chronic heart failure patients. Methods Based on routine drug therapy,a total of 46 patients with chronic heart failurewere randomized to a cardiopulmonary exercise rehabilitationgroup or a control group. Rehabilitation group was received a 4-week cardiopulmonary exercise rehabilitation. Minnesota living with heart failure questionnaire（ MLHFQ） was assessed in the beginning of the trail and two weeks after the exercise training. Results After 4-week cardiopulmonary exercise rehabilitation,the SDNN significantly increased in the rehabilitation groupthan in the control group [111. 77 ± 11. 00 ms： 100. 76 ± 5. 68 ms,（ P〈0. 01） ]; rm SSD significantly increased in the rehabilitation groupthan in the control group [38. 41 ± 5. 53 ms： 32. 63 ± 6. 15 ms（ P〈0. 05） ]; In the follow-up the score of MLHFQ significantly increased in the rehabilitation groupthan in the control group [36. 00 ± 4. 47： 40. 18 ±5. 77（ P〈0. 05） ]. Conclusion Cardiopulmonary exercise rehabilitation can improve heart rate variability and quality of life in patients with chronic heart failure.
出处
《中国老年保健医学》
2018年第1期3-5,共3页
Chinese Journal of Geriatric Care
关键词
心肺运动康复
慢性心力衰竭
心率变异性
cardiopulmonary exercise rehabihtation, chronic heart failure, heart rate variability
