电动辅助康复训练对慢性心力衰竭患者心功能的影响  

Electronically aided rehabilitation exercise to improve the cardiac function of patients with chronic hear failure

作　　者：朱宏宇[1] 胡安祥[2] 周传骥 韩金国 胡伟[1] 司福中[1] 杨国梁[1] 

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]山东省滕州市妇幼保健院

出　　处：《中华物理医学与康复杂志》2010年第11期849-852,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的 观察电动辅助康复训练对慢性心力衰竭（CHF）患者心功能的影响.方法 将60例CHF患者随机分为治疗组及对照组,2组患者均给予常规药物治疗,治疗组在此基础上采用电动辅助训练装置进行心脏功能康复训练.于治疗前、治疗3个月后对2组患者心功能进行评定,评定指标包括：美国纽约心脏病协会（NYHA）心脏功能分级、左心室射血分数（LVEF）、左室舒张末期内径（LVEDD）、血浆B型脑利钠肽（BNP）水平、6min步行距离等.结果 2组患者分别经3个月治疗后,发现其各项心功能指标均较治疗前明显好转;且以治疗组患者的改善幅度相对较显著,与对照组间差异均具有统计学意义（P〈0.01或0.05）.结论 在常规药物干预基础上采用电动辅助训练装置对CHF患者进行心脏功能康复训练,能进一步提高CHF患者心功能,改善其运动耐力,且治疗过程中患者依从性较好,安全性较高.Objective To study the effect of assistive functional rehabilitation exercise on cardiac functioning of patients with chronic heart failure （CHF）. Methods Sixty CHF patients were divided randomly into a treatment group （the rehabilitation group） and a control group, with 30 in each group. All the patients were administered routine therapy. In the treatment group, the patients were administered rehabilitation exercises with the assistance of a electric equipment made by the authors, daily for 5 days a week for a total of 3 months. The New York Heart Association （NYHA） cardiac function grading, the left ventricular ejection fraction（LVEF）, the left ventricular end diastolic diameter （LVEDD） and the brain natriuretic peptide （BNP） level in plasma as well as the 6 min walking range were observed in both groups before and after treatment. Results After 3-months of treatment, the NYHA grading, LVEF, LVEDD, BNP level in plasma and 6 min walking range were all significantly improved in both groups when compared with those before the treatment, with the treatment group improved to a significantly larger extent than the control group （ p〈0.05 ）. Conclusion Assistive rehabilitation exercise in addition to the routine therapy can significantly help improve the cardiac function in CHF patients.

关 键 词：电动辅助训练 慢性心力衰竭 心脏功能 

分 类 号：R541.6[医药卫生—心血管疾病]