心脏功能训练对脑梗死患者康复疗效的影响  

Influence of two types of rehabilitation on cardiac function and motor function of patients with cerebral infarction

作　　者：李德洋[1] 杨国梁[2] 司福中[3] 郭洪[4] 赵军 田传鑫 

机构地区：[1]山东省滕州市中心人民医院神经内科,滕州277500 [2]山东省滕州市中医医院神经内科 [3]山东省滕州市中医医院心血管内科 [4]山东省滕州市中医医院检验科 [5]北京中国康复中心

出　　处：《中华物理医学与康复杂志》2007年第7期442-446,共5页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的对伴有心脏功能不全的脑梗死患者进行心脏功能及运动功能康复训练,观察能否改善患者的心脏功能进而提高其运动功能康复疗效以及探讨该疗法的可行性。方法将81例伴有心脏功能不全的脑梗死患者随机分为治疗组(41例)和对照组(40例)。2组患者均给予常规药物治疗,治疗组同时给予心脏功能及运动功能康复训练,对照组患者只给予运动功能康复训练,疗程均为8周。观察2组患者治疗前、后纽约心脏病协会(NYHA)心脏功能分级以及各项心脏功能相关指标、运动功能和日常生活活动能力评分等变化情况。结果治疗组患者治疗后心功能NYHA分级、左心室射血分数(LVEF)、血浆B型脑利钠利尿肽(BNP)水平、6min步行距离以及运动功能和日常生活活动能力评分等均明显优于对照组(P<0.05)。结论对伴有心功能不全的脑梗死患者同时进行心脏功能及运动功能康复训练,不但能提高其心脏功能,还能进一步提高运动功能康复疗效,并且具有安全性高、可行性强等优点。Objective To study whether two types of rehabilitation used in patients with cerebral infarction complicated with cardiac insufficiency can improve the cardiac function and the effect and feasibility of motor function rehabilitation. Methods A total of 81 patients with cerebral infarction accompanied by cardiac insufficiency were divided randomly into a treatment group （41 cases） and a control group （40 cases）. On the basis of routine pharma- cotherapy, cardiac function and motor function rehabilitation was given to the treatment group while only motor func- tion rehabilitation was given to the control group for a total of 8 weeks. The New York Heart Association （NYHA） cardiac function grading system and cardiac function related indice as well as motor function and activity of daily living （ADL） scoring of the two groups were observed before and after treatment. Results After treatment, NYHA cardiac function grading, left ventricle ejection fraction （LVEF） , type B brain natriuretic peptide （BNP） in plasma and 6 min walking range and motor function and ADL scoring in the treatment group were markedly superior to those in the control group （ P 〈 0.05 ）. Conclusion Performing the two types of rehabilitation can not only improve cardiac function of patients with cerebral infarction accompanied by cardiac insufficiency, but also improve effect of motor function rehabilitation.

关 键 词：脑梗死 心脏功能不全 康复训练 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R49[医药卫生—临床医学]