摘要
目的探讨运动康复训练在老年慢性心力衰竭(CHF)患者治疗中的作用。方法选取老年CHF患者93例,随机分为研究组46例与对照组47例。2组均采用常规治疗与护理,研究组在此基础上开展运动康复训练,观察2组心功能改善情况,比较干预前后心功能指标[左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)、左心房内径(LAD)、心肌质量指数(LVMI)及舒张早期峰值血流速度与舒张晚期峰值血流速度比(E/A)]及明尼苏达心力衰竭生活质量调查表(MLHFQ)评分。结果研究组总有效率为82. 6%,显著高于对照组的66. 0%(P <0. 05);干预后,2组LVEF、E/A较干预前显著升高,LVESD、LVEDD、LAD及LVMI则显著降低,且研究组各指标变化幅度均显著大于对照组(P <0. 05);干预后,2组MLHFQ评分均显著低于干预前,且研究组评分显著低于对照组(P <0. 05)。结论在常规治疗与护理的基础上对老年CHF患者开展运动康复训练,有助于患者心功能及生活质量的改善。
Objective To evaluate the effect of exercise rehabilitation training in the treatment of elderly patients with chronic heart failure(CHF).Methods Totally 93 elderly patients with CHF were randomly divided into research group(n=46)and control group(n=47).The patients in two groups all received routine treatment and nursing,while those in research group took exercise rehabilitation training.The improvement of heart function was observed,and the related heart function indexes[left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD),left atrial diameter(LAD),myocardial mass index(LVMI),and ratio of early diastolic peak blood flow velocity to late diastolic peak blood flow velocity(E/A)]and Minnesota heart failure questionnaire(MLHFQ)scores were compared between two groups before and after intervention.Results The overall response rate of research group was significantly higher than that of control group(82.6%vs.66.0%,P<0.05).After intervention,LVEE and E/A in two groups were increased,while LVESD,LVEDD,LAD and LVMI were decreased obviously,and the research group changed more significantly than the control group(P<0.05).After intervention,MLHFQ scores decreased conspicuously in two groups,but the research group was lower than the control group(P<0.05).Conclusion Based on routine treatment and nursing,exercise rehabilitation training can ameliorate the heart function and quality of life for the elderly patients with CHF.
作者
张海燕
ZHANG Haiyan(Department of Geriatrics,Huian Hospital of Huian City,Huian,Jiangsu,223001)
出处
《实用临床医药杂志》
CAS
2019年第4期70-72,77,共4页
Journal of Clinical Medicine in Practice
关键词
运动康复
慢性心力衰竭
心功能
生活质量
exercise rehabilitation
chronic heart failure
heart function
quality of life
