摘要
目的探讨七步法运动康复联合心脏康复操对冠心病心力衰竭患者心肺功能的影响.方法选择2019年4月—2021年9月本院收治的74例冠心病心力衰竭患者为研究对象,按照随机数字表法分为两组,每组37例.对照组进行心脏康复操训练,观察组在此基础上采用七步法运动康复,两组均干预3个月.比较干预前后两组患者的心肺功能及生活质量.结果干预前,两组的左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、6 min步行距离(6MWD)、无氧阈耗氧量(VO_(2)AT)、最大心率(HRmax)比较,组间差异无统计学意义(P>0.05);干预后,观察组的LVEF(46.73±4.06)%高于对照组的(39.56±3.52)%,6MWD(389.27±64.03)m长于对照组的(332.56±49.19)m,VO_(2)AT(12.54±1.97)mL/(kg·min)大于对照组的(10.47±1.57)mL/(kg·min),LVEDD(43.17±2.15)mm短于对照组的(55.28±3.36)mm,HRmax(90.04±4.12)次/min低于对照组的(93.55±4.51)次/min,组间差异有统计学意义(P<0.05).干预前,两组的简明健康状况量表(SF-36)评分比较,差异无统计学意义(P>0.05);干预后,观察组的SF-36评分为(67.39±5.84)分,高于对照组的(55.27±5.02)分,差异有统计学意义(P<0.05).结论七步法运动康复联合心脏康复操能改善冠心病心力衰竭患者的心肺功能,提升其生活质量,临床应用价值高.
Objective To investigate the effect of seven-step exercise rehabilitation combined with cardiac rehabilitation exercise on cardiorespiratory function in patients with coronary heart failure.Methods A total of 74 patients with coronary heart failure admitted to our hospital from April 2019 to September 2021 were selected as the research objects and were divided into two groups according to random number table method,with 37 cases in each group.The control group received cardiac rehabilitation exercise training,and the observation group received seven-step exercise rehabilitation on this basis.Both groups were intervened for 3 months.The cardiopulmonary function and quality of life were compared between the two groups before and after intervention.Results Before intervention,there were no significant differences in left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),6 min walking distance(6MWD),anaerobic threshold oxygen consumption(VO_(2)AT)and maximum heart rate(HRmax)between the two groups(P>0.05);after intervention,LVEF of the observation group was(46.73±4.06)%,which was higher than(39.56±3.52)%of the control group,the 6MWD was(389.27±64.03)m,which was longer than(332.56±49.19)m of the control group,the VO_(2)AT was(12.54±1.97)mL/(kg·min),which was higher than(10.47±1.57)mL/(kg·min)of the control group,the LVEDD was(43.17±2.15)mm,which was shorter than(55.28±3.36)mm of the control group,the HRmax of the observation group was(90.04±4.12)times/min,which was lower than(93.55±4.51)times/min of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no significant difference in the MOS item short from health survey(SF-36)score between the two groups(P>0.05);after intervention,the SF-36 score of the observation group was(67.39±5.84)points,higher than(55.27±5.02)points of the control group,the difference was statistically significant(P<0.05).Conclusion The seven-step exercise rehabilitation combined with cardiac rehabilitation exercise can improve cardiopulmonary function and quality of life in patients with coronary heart failure,and has high clinical application value.
作者
刘英英
刘建新
LIU Yingying;LIU Jianxin(Department of Outpatient,Jinan Tianqiao People's Hospital,Jinan Shandong,250031,China)
出处
《反射疗法与康复医学》
2023年第6期72-75,共4页
Reflexology And Rehabilitation Medicine
关键词
冠心病
心力衰竭
七步法运动康复
心脏康复操
心肺功能
Coronary heart disease
Heart failure
Seven-Step exercise rehabilitation
Heart rehabilitation exercise
Cardiopulmonary function
作者简介
刘英英(1983-),女,山东济南人,本科,主治医师,研究方向:冠心病治疗与康复。
