摘要
目的探讨运动康复指导下心脏康复在慢性心力衰竭患者中的临床应用价值。方法选取2017年3月至2018年9月濮阳市油田总医院收治的慢性心力衰竭80例为研究对象,按照随机数字表法分为观察组与对照组,每组40例。对照组实施慢性心力衰竭常规健康宣教与康复指导,重点通过电话远程指导,并定期门诊复查。观察组在对照组的基础上实施心脏康复运动指导,对所有患者均门诊随访1个月。比较两组干预前后心脏彩色多普勒超声指标变化,分析干预过程中两组心房脑钠肽(BNP)水平变化趋势,比较干预后两组生活质量(诺丁汉健康调查问卷)与睡眠质量(匹兹堡睡眠质量指数量表),计算两组1年生存率。结果干预后观察组左心室舒张末期内径(LVED)和左心室收缩末期内径(LVES)水平低于对照组(P<0.05);射血分数(EF)水平高于对照组(P<0.05);干预后1 d、10 d及随访1个月时,观察组BNP水平均显著低于对照组(P<0.05);干预后观察组生活质量和睡眠得分均显著低于对照组(P<0.05);观察组1年生存率显著高于对照组(P<0.05)。结论针对慢性心力衰竭患者实施心脏康复运动指导干预,可在一定程度上延缓心室重构进展,减少心肌损伤,改善患者生活质量与睡眠质量,延长其生存时间。
Objective To explore the clinical application value of cardiac rehabilitation under the guidance of exercise rehabilitation in patients with chronic heart failure.Methods A total of 80 cases with chronic heart failure admitted in Puyang Oilfield General Hospital from March 2017 to September 2018 were selected as research objects and randomly divided into observation group and control group,40 cases in each group.The control group were received routine health education and rehabilitation guidance for chronic heart failure,with emphasis on remote guidance by telephone and regular outpatient review.The observation group were implemented the cardiac rehabilitation exercise guidance on the basis of the control group.All patients were followed up for 1 month in outpatient department.Then the changes of cardiac color Doppler ultrasound indexes before and after the intervention were compared between the two groups.The change trends of BNP levels in the two groups during the intervention were analyzed.The life quality assessed by the Nottingham Health Questionnaire and the sleep quality assessed by the Pittsburgh Sleep Quality Score in the two groups after the intervention were compared,and the 1-year survival rates of the two groups were calculated.Results After intervention,left ventricular end-diastolic diameter(LVED)and left ventricular end-systolic diameter(LVES)in the observation group were lower than those of the control group(P<0.05),ejection fractions(EF)level was higher than that of the control group(P<0.05).One day after intervention,10 days after intervention and one month after follow-up,BNP levels in the observation group were significantly lower than those in the control group(P<0.05).After the intervention,the scores of life quality and the sleep quality in the observation group were significantly lower than those in the control group(P<0.05).The one-year survival rate in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The implementation of cardiac rehabilitation exercise guidance intervention for patients with chronic heart failure can delay the progress of ventricular remodeling to a certain extent,reduce myocardial injury,so it can improve the quality of life and sleep of patients and prolong their survival time.
作者
常冰冰
CHANG Bing-bing(Department of Internal Medicine-Cardiovascular,Puyang Oilfield General Hospital,Puyang,Henan 457001,China)
出处
《慢性病学杂志》
2020年第6期803-806,共4页
Chronic Pathematology Journal
关键词
运动康复
心脏康复
慢性心力衰竭
心脏结构
生活质量
生存时间
Exercise rehabilitation
Cardiac rehabilitation
Chronic heart failure
Heart structure
Quality of life
Survival time
作者简介
通信作者:常冰冰,大学本科,主管护师,研究方向:心内科护理,E-mail:zhangzhihong1979@163.com
