摘要
目的:探讨运动疗法在老年慢性左心室射血保留的心力衰竭(HF-PEF)患者中的疗效。方法:将130例老年慢性HF-PEF患者分成两组,均给予常规药物,观察组额外给予运动疗法。分别于治疗前和治疗8周后,收集两组患者的6min步行距离、心功能级别、左室射血分数、血浆N端B型脑钠肽前体(NT-pro BNP)和生活质量评分等指标进行统计分析。另随访24周比较两组患者的心血管病再次入院率和病死率。结果:治疗后两组患者的各项指标均较前改善(P<0.05),且观察组各项指标(除左室射血分数)均明显优于对照组(P<0.05)。另观察组再次入院率明显小于对照组(P<0.05)。结论:在常规药物治疗的基础上给予运动疗法,可明显改善老年慢性HF-PEF患者的心脏功能,提高其运动耐力和生活质量。
Objective:To evaluate the efficacy of exercise therapy in elderly patients with chronic heart failure with preserved left ventricular ejection fraction(HF-PEF).Methods:130 elderly patients with chronic HF-PEF were divided into the observation group and the control group.The two groups were all received conventional medical treatment,but the observation group was given exercise therapy additionally.Before treatment and 8 weeks after treatment,the 6 minute walking distance,cardiac function level,left ventricular ejection fraction,plasma N terminal B type natriuretic peptide precursor(NT-proBNP)and quality of life score were collected and analyzed in two groups.After 24 weeks of follow-up,the readmission rate and fatality rate were compared between the two groups.Results:After treatment,all the indexes of the two groups were improved(P<0.05),and all indexes in the observation group(except left ventricular ejection fraction)were significantly better than those in the control group(P<0.05).The rate of readmission in the observation group was significantly lower than that of the control group(P<0.05).Conclusions:Exercise therapy based on routine drug therapy can significantly improve cardiac function,exercise endurance and quality of life in elderly patients with chronic HF-PEF.
作者
周茂松
孙晓玫
李莉
ZHOU Maosong;SUN Xiaomei;LI Li(The First People's Hospital of Huainan,Anhui Huainan 232007,China)
出处
《河北医学》
CAS
2018年第3期419-422,共4页
Hebei Medicine
基金
安徽省淮南市2015年度市级指导性计划项目
(编号:2015B41)
关键词
运动疗法
慢性心力衰竭
老年人
Exercise therapy
Chronic heart failure
The elderly
