摘要
目的分析运动康复对轻中度老年慢性心力衰竭(心衰)病人的影响。方法选取我院2020年1月至2022年12月期间收治的104例轻中度(NYHA心功能分级Ⅱ~Ⅲ级)老年慢性心衰病人,随机分为观察组和对照组,每组52例。对照组给予常规抗心衰治疗,观察组在常规抗心衰治疗基础上采用标准化运动负荷康复治疗,观察2组病人出院6个月后心脏功能、睡眠质量、运动耐量、生活质量变化及心血管不良事件发生率。结果观察组出院6个月后LVEF、心输出量(CO)及每搏输出量(SV)水平和明尼苏达心力衰竭生存质量量表(Minnesota Living with Heart Failure Questionnaire,MLHFQ)评分均高于对照组,6 min步行距离(6MWD)较对照组更长,匹兹堡睡眠质量量表(Pittsburgh Sleep Quality Inventory,PSQI)评分和出院6个月不良事件发生率(5.8%比15.4%)均低于对照组(P<0.05)。观察组平板运动时间较对照组更长,且随着平板运动的时间延长、速度加快、坡度增加,2组病人心率均较安静时明显增加,但观察组心率低于对照组(P<0.05)。结论标准化运动负荷康复指导可提高轻中度老年慢性心衰病人的心脏功能和运动耐量,改善病人睡眠质量,值得临床推广。
Objective To analyze the effect of exercise rehabilitation in the elderly patients with mild to moderate chronic heart failure(CHF).Methods From January 2020 to December 2022,104 elderly patients with mild to moderate CHF(New York Heart Association cardiac function classificationⅡ-Ⅲgrade)were randomly divided into two groups,with 52 cases in each group.The control group was given conventional anti-heart failure therapy,and the observation group was given standardized exercise load rehabilitation guidance based on the conventional anti-heart failure therapy.The changes of cardiac function,sleep quality,exercise tolerance,quality of life and the incidence rate of cardiovascular adverse events were observed and compared 6 months after discharge.Results The levels of left ventricular ejection fraction(LVEF),cardiac output(CO)and stroke volume(SV),the score of Minnesota Living with heart failure questionnaire(MLHFQ)and the 6-minute walk distance(6MWD)were significantly higher,while the score of Pittsburgh Sleep Quality Inventory(PSQI)and the incidence of adverse events 6 months after discharge were significantly lower in the observation group than those in the control group(P<0.05).The treadmill exercise time in the observation group was longer than that in the control group.With the extension of treadmill exercise time,acceleration of speed and increase of slope,the heart rate in the two groups was significantly increased,especially in the control group(P<0.05).Conclusions Standardized exercise load rehabilitation guidance can improve exercise tolerance and sleep quality of the elderly patients with mild to moderate CHF,which is worthy of clinical promotion.
作者
王小娇
王宁
崔宏
叶童
王晓明
WANG Xiaojiao;WANG Ning;CUI Hong;YE Tong;WANG Xiaoming(Department of Geriatrics,the First Affiliated Hospital,Air Force Medical University,Xi’an 710032,China)
出处
《实用老年医学》
CAS
2024年第8期775-778,共4页
Practical Geriatrics
基金
军队保健专项基金资助项目(19BJZ05)。
关键词
运动康复
老年人
慢性心力衰竭
疗效评价
exercise rehabilitation
aged
chronic heart failure
efficacy evaluation
