摘要
目的分析心脏康复治疗对心力衰竭患者运动心肺功能的影响。方法选取河南(郑州)中汇心血管病医院2019年2月至2021年9月收治的60例慢性心力衰竭患者作为对象。依据随机数字表法分为对照组和观察组,每组30例。对照组患者接受常规康复治疗,观察组患者接受结合其心肺功能制定的运动处方等心脏康复治疗,治疗周期为1个月。治疗前后对患者实施24 h动态心电图监测并进行心率变异性(HRV)分析,通过心肺运动试验评价患者心肺运动功能,观察两组并发症发生情况。结果治疗后两组相邻两个窦性R-R间期差值大于50 ms的心搏数占比(PNN50)、相近窦性RR间期差值均方根(RMSSD)、24 h所有窦性RR间期标准差(SDNN)、24 h内5 min正常RR间期平均值标准差(SDANN)、高频(HF)、低频(LF)均高于治疗前,且观察组高于对照组(P<0.05);治疗后两组无氧阈值(AT)、峰值摄氧量(Peak VO)、Peak VO/心率(HR)高于治疗前,且观察组高于对照组(P<0.05),治疗后两组峰值功率(Peak WR)低于治疗前,且观察组低于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论心脏康复治疗能够有效提升心力衰竭患者的心肌供氧量,改善心脏功能,减少心力衰竭相关并发症的发生。
Objective To analyze the effect of cardiac rehabilitation on exercise cardiopulmonary function in patients with heart failure.Methods A total of 60 patients with chronic heart failure admitted to Zhonghui Cardiovascular Hospital of Henan(Zhengzhou)from February 2019 to September 2021 were selected as the subjects.According to the random number table,they were divided into control group and observation group,with 30 cases in each group.Patients in the control group received routine rehabilitation treatment,patients in the observation group received cardiac rehabilitation treatment such as exercise prescription formulated in combination with their cardiopulmonary function.The treatment period was 1 month.Before and after treatment,24-hour Holter monitoring and heart rate variability(HRV)analysis were performed on the patients.The cardiopulmonary exercise test was used to evaluate the cardiopulmonary function of the patients,and the complications of the two groups were observed.Results After treatment,percentage of adjacent NN intervals that differ from each other by more than 50 ms(PNN50),root mean square of successive differences(RMSSD),the standard deviation of normal-to-normal intervals(SDNN),the standard deviation of the average NN intervals calculated over short periods(SDANN),high frequency(HF)and low frequency(LF)of the two groups were higher than those before treatment,and those of the observation group were higher than those of the control group(P<0.05).The anaerobic threshold(AT),peak oxygen uptake(Peak VO)and Peak VO/heart rate(HR)of the two groups after treatment were higher than those before treatment,and those of the observation group were higher than those of the control group(P<0.05).The peak power(peak WR)of the two groups after treatment was lower than that before treatment,and that of the observation group was lower than that of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Cardiac rehabilitation thera
作者
杨平
胡军辉
罗珊珊
白传威
YANG Ping;HU Junhui;LUO Shanshan;BAI Chuanwei(The Second Department of Cardiology,Zhonghui Cardiovascular Hospital of Henan(Zhengzhou),Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2022年第16期2987-2990,共4页
Henan Medical Research
关键词
心力衰竭
心脏康复治疗
心率变异性
运动心肺功能
heart failure
cardiac rehabilitation therapy
heart rate variability
exercise cardiopulmonary function
