康复训练对脑梗死患者心脏功能影响  

The effects of rehabilitation training on cardiac function in cerebral infarct patients

作　　者：杨国梁[1] 司福中[1] 李德洋[2] 郭宏[2] 赵军[3] 田传鑫 

机构地区：[1]山东省滕州市中医医院,滕州277500 [2]山东省滕州市中心人民医院 [3]中国康复研究中心

出　　处：《中华物理医学与康复杂志》2006年第10期690-692,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的探讨康复训练对合并心功能不全的脑梗死患者心功能的影响。方法将59例心功能不全的脑梗死患者随机分为治疗组(29例)和对照组(30例),在常规药物治疗的基础上,治疗组给予运动功能康复训练,两组疗程均为2个月。观察两组治疗前、后心功能(NYHA)分级及心功能相关指标的变化。结果治疗组治疗后心功能NYHA分级、左室射血分数(LVEF)、血浆B型脑利钠利尿肽(BNP)水平及6 min步行距离改善明显优于对照组(P均＜0．05)。结论康复训练可以提高具有心功能不全的脑梗死患者的心脏功能。Objective To study the effects of rehabilitation （RT） on cardiac function in cerebral infarct （CIF） patients with cardiac insufficiency （ CIS）. Methods Fifty-nine CIF patients with CIS were randomly divided into a treatment group （ T group, n = 29 ） and a control group （ n = 30） , and all patients were treated with routine pharmacotherapy for 2 months. In addition, RT was administrated in the T group at the same time. The grading of the New York Heart Association （NYHA） and the changes in cardiac function associated index were observed in both groups before and after treatment. Results Compared with the control group, NYHA grades, left ventricle ejection fraction（LVEF） , the levels of brain natriuretic peptide（BNP） in the blood plasma, and the 6min walking range of the T group patients were all significantly improved after treatment （ P 〈 0.05 ）. Conclusion RT can improve cardiac function in CIF patients with CIS.

关 键 词：脑梗死 心功能不全 康复训练 

分 类 号：R49[医药卫生—康复医学] R743.33[医药卫生—临床医学]