两周运动疗法对扩张型心肌病心力衰竭患者康复干预的有效性  

Effectiveness of two-week kinesitherapy on rehabilitation interventions in patients with heart failure of dilated cardiomyopathy

作　　者：韦瑛[1] 杨燕宁[1] 卢运红[1] 阮芳[1] 覃秀莲[1] 高忠兰[1] 宋红莲[1] 蒋妮燕[1] 李春容[1] 

机构地区：[1]广西医科大学第一附属医院心内科,广西壮族自治区南宁市530021

出　　处：《中国临床康复》2004年第33期7388-7389,共2页Chinese Journal of Clinical Rehabilitation

基　　金：美国Dreyfus健康基金会增进人类健康项目~~

摘　　要：目的:探讨康复运动疗法对扩张型心肌病心力衰竭患者的干预效果,为扩张型心肌病患者康复护理有效介入提供依据。方法:2002-06/2003-06广西医科大学一附院心内科住院患者共58例。纳入标准:经过临床、心电图、心脏B超检查确诊为扩张型心肌病,且心功能Ⅲ级以上的患者;排除标准:排除患有肺心病、高血压、糖尿病、尿毒症等所致心力衰竭的患者。实际纳入33例。随机将患者分为实验组18例,男15例,女3例;对照组15例,男13例,女2例。实验组患者在常规药物治疗的同时,采用2周康复运动疗法进行早期康复治疗。观察两组患者经过不同干预后,症状、心功能、精神状况改善所需天数及住院天数、住院费用比较结果。结果:实验组患者症状改善、心功能改善、精神状况改善所需天数,住院天数及住院费用均显著少于对照组(t=2.110～4.785,P<0.05～0.01)。实验组18例患者顺利完成2周康复运动而出院。其中2例患者行康复运动疗法10d出院,3例患者可在第3天进行室内活动,9例患者10d可上下楼层,6例患者可室外行走100～200m,无严重的心律失常、心力衰竭表现。患者出院后,门诊随访1～3个月,实验组心力衰竭1例,17例患者生活可以自理。对照组有2例发生心力衰竭,再次住院。结论:2周运动疗法可促进扩张型心肌病心力衰竭患者的康复,改善患者的预后?AIM: To investigate the intervention effect of 2-week rehabilitation kinesitherapy in patients with heart failure of dilated cardiomyopathy, and provide evidences for effective intervention of rehabilitation nursing for patients with dilated cardiomyopathy.METHODS: Totally 58 inpatients in the Department of Cardiology, the First Affiliated Hospital of Guangxi Medical University from June 2002 to June 2003 were selected. Inclusion criteria: Patients who were diagnosed to have dilated cardiomyopathy in clinic, electrocardiograph and heart B ultrasonic scope and had Ⅲgrade cardiac function; Exclusion criteria: Patients who had heart failure induced by pulmonary heart disease, hypertension, diabetes, uremia etc.. Totally 33 patients were included and were divided into experimental group(n=18, 15 males and 3 females),and control group (n=15,13 males and 2 females).Paitents in the experimental group were given routine medicine as well as two-week rehabilitation kinesitherapy.Symptoms,cardiac function, days of mental amelioration, days of hospitalization and hospitalizing costs of patients in the two groups after different interventions were compared.RESULTS:Symptoms, cardiac function, days of mental amelioration, days of hospitalization and hospitalizing costs of patients in the experimental group were significantly lower than those of the control group(t=2.110 to 4.785, P< 0.05 to 0.01).Eighteen patients in the experimental group smoothly accomplished the two-week rehabilitation kinesitherapy and left hospital. Among the patients, 2 were out of hospital after 10-day rehabilitation kinesitherapy, 3 could take exercises outside at the 3rd day, 9 could go up and down stairs at the 10th day, 6 could walk outside for 100-200 m, without serious arrhythmia, heart failure. The patients were followed up for 1-3 months by out-clinic department. There was one patient having heart failure and 17 lived by themselves in the experimental group. In the control group, 2 patients had heart failure and were hospitalized again.CONCLUSI

关 键 词：运动疗法 心肌病 充血性/康复 心力衰竭 充血性/康复 

分 类 号：R541.6[医药卫生—心血管疾病]