摘要
目的探究心肺一体化心脏康复训练对老年慢性心力衰竭患者心功能、运动耐力及生活质量的影响.方法选择本院2020年2月—2022年2月收治的86例老年慢性心力衰竭患者,按随机数字表法分为对照组(n=43)和观察组(n=43).对照组采用常规干预,观察组进行心肺一体化心脏康复训练,均持续干预3个月.对比两组的心功能、运动耐力及生活质量.结果干预后,观察组的左心室舒张末期内径、左心室收缩末期内径均短于对照组,左心室射血分数高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的6 min步行距离为(526.73±25.47)m,长于对照组的(452.03±23.56)m,差异有统计学意义(P<0.05).干预后,观察组的生活质量综合评定问卷中躯体功能、心理功能、社会功能、物质生活状态评分均高于对照组,组间差异有统计学意义(P<0.05).结论心肺一体化心脏康复训练能有效改善老年慢性心力衰竭患者的心功能,增强其运动耐力,进而提高生活质量,值得临床推广使用.
Objective To explore the effect of cardiopulmonary integrated cardiac rehabilitation training on cardiac function,exercise endurance and quality of life in elderly patients with chronic heart failure.Methods A total of 86 elderly patients with chronic heart failure admitted to our hospital from February 2020 to February 2022 were selected and divided into the control group(n=43)and the observation group(n=43)according to the random number table method.The control group received routine intervention,while the observation group received cardiopulmonary integrated cardiac rehabilitation training.The intervention lasted for 3 months in both groups.The cardiac function,exercise endurance and quality of life were compared between the two groups.Results After intervention,the left ventricular end-diastolic diameter and left ventricular end-systolic diameter in the observation group were shorter than those in the control group,and the left ventricular ejection fraction was higher than that in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the 6-minute walking distance of the observation group was(526.73±25.47)m,which was longer than that of the control group(452.03±23.56)m,and the difference was statistically significant(P<0.05).After intervention,the scores of physical function,psychological function,social function and material life status in the generic quality of life inventory-74 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Cardiopulmonary integrated cardiac rehabilitation training can effectively improve the cardiac function of elderly patients with chronic heart failure,enhance their exercise endurance,and improve their quality of life,which is worthy of clinical application.
作者
刘垚秋
LIU Yaoqiu(Department of Cardiology,Qingdao Chengyang People's Hospital,Qingdao Shandong,266109,China)
出处
《反射疗法与康复医学》
2022年第19期95-98,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性心力衰竭
心肺一体化心脏康复训练
心功能
运动耐力
生活质量
Chronic heart failure
Cardiopulmonary integrated cardiac rehabilitation training
Cardiac function
Exercise endurance
Quality of life
作者简介
刘垚秋(1984-),女,山东青岛人,硕士研究生,主治医师,研究方向:心血管内科常见病诊治.
