摘要
目的:探讨慢性心力衰竭采取药物联合心脏康复治疗的临床效果。方法:选取2018年11月-2019年11月于笔者所在医院接受治疗的108例慢性心力衰竭患者,采取随机数字表法将其分为对照组(54例)与联合组(54例)。对照组采取常规药物治疗,联合组在对照组基础上实施心脏康复治疗。比较两组治疗前后NT-proBNP水平、6 min步行试验距离及治疗效果。结果:治疗前,两组NT-proBNP水平比较差异无统计学意义(P>0.05);治疗后两组NT-proBNP水平均较治疗前降低,且联合组低于对照组,差异有统计学意义(P<0.05)。治疗前两组6 min步行试验距离比较,差异无统计学意义(P>0.05);治疗后两组6 min步行试验距离均较治疗前有所提升,且联合组长于对照组,差异有统计学意义(P<0.05)。联合组与对照组治疗总有效率分别为94.44%、77.78%,联合组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论:慢性心力衰竭患者在药物治疗基础上联合心脏康复治疗可显著改善患者心功能,效果显著。
Objective:To explore the clinical effect of drugs combined with heart rehabilitation therapy for chronic heart failure.Method:From November 2018 to November 2019,108 patients with chronic heart failure who were treated in our hospital were selected and divided into the control group (54 cases) and the combined group (54 cases) by random number table method.The control group was treated with routine drugs.The combined group was treated with heart rehabilitation on the basis of the control group.The NT-proBNP level,6 min walking distance and treatment effect were compared between the two groups before and after treatment.Result:Before treatment,there was no statistically significant difference in NT-proBNP level between the two groups (P>0.05).After treatment,the levels of NT-probNP in both groups were lower than before treatment,and the combined group was lower than the control group,the differences were statistically significant (P<0.05).Before treatment,there was no statistical significance in the 6 min walking distance between the two groups (P>0.05).After treatment,the 6 min walking distance in both groups were increase than those before treatment,and the combined group was longer than the control group,the differences were statistically significant (P<0.05).The total effective rates of the combined group and the control group were 94.44% and 77.78%,respectively.The total effective rate of the combined group was higher than that of the control group,the difference was statistically significant (P<0.05).Conclusion:Chronic heart failure patients on the basis of drug therapy combined with heart rehabilitation therapy can significantly improve the patients’ heart function,the effect is significant.
作者
罗海珍
任宁
洪伟
陈耕
敖华成
LUO Haizhen;REN Ning;HONG Wei;CHEN Geng;AO Huacheng(Fuding City Hospital,Fuding 355200,China)
出处
《中外医学研究》
2020年第28期4-6,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
慢性心力衰竭
心脏康复
药物治疗
临床效果
Chronic heart failure
Heart rehabilitation
Drug therapy
Clinical efficacy
