康复运动对慢性心力衰竭患者心脏自主神经功能及生活质量的影响  

Effect of rehabilitation exercise on cardiac autonomic nerve function and quality of life in patients with chronic heart failure

作　　者：马庆平[1] 郇赛 顾莹[1] 刘敏[1] 孟莹 

机构地区：[1]山东省交通医院康复科,济南250000 [2]青岛市妇女儿童医院康复科

出　　处：《山西医药杂志》2017年第20期2422-2424,共3页Shanxi Medical Journal

摘　　要：目的探讨康复运动对慢性心力衰竭患者心脏自主神经功能及生活质量的影响。方法选取2016年1月至12月我院收治的96例慢性心力衰竭患者作为研究对象,按随机数字表法分为观察组和对照组,对照组接受慢性心力衰竭的常规药物治疗,观察组在此基础上采取康复运动干预,比较2组的心脏自主神经功能及生活质量。结果治疗前,2组的正常窦性RR间期的标准差(SDNN)、连续5min正常RR间期均值的标准差(SDANN)、正常相邻RR间期差值的均方根(rMSSD)、正常相邻RR间期差值>50ms所占的比例(pNN50)、低频功率(LF)、高频功率(HF)差异均无统计学意义(P>0.05);治疗后,观察组的SDNN、SDANN、rMSSD、pNN50、LF、HF均升高,且高于同期对照组,差异均有统计学意义(P<0.05)。治疗前,2组的体力限制、情绪、症状、社会限制得分差异均无统计学意义(P>0.05);治疗后,观察组的体力限制、情绪、症状、社会限制得分均降低,且低于同期对照组,差异均有统计学意义(P<0.05)。结论康复运动可明显改善慢性心力衰竭患者的心脏自主神经功能及生活质量。Objective To investigate the effect of rehabilitation exercise on cardiac autonomic nerve function and quality of life in patients with chronic heart failure. Methods Ninety-six patients with chronic heart failure treated in our hospital from January 2016 to December 2016 were randomly divided into the observation group and the control group. The control group received routine treatment of chronic heart failure, and the observation group received rehabilitation exercise intervention on this basis. The cardiac autonomic nerve function and quality of life were compared between the two groups. Results The SDNN, SDANN, rMSSD, pNNS0, LF and HF in the two groups had no statistical difference （P ~〉0.05）~ After treatment, the SDNN, SDANN, rMSSD, pNN50, LF, HF in the observation group were increased, and higher than those in the control group, the difference was statis- tically significant （ P〈0.05）. Before treatment, there were no statistically significant differences in physical re- striction, mood, symptom and social restriction between the two groups （ P〉0.05） ; After treatment, the scores of physical restriction, emotion, symptom and social restriction of the observation group were lower than before, and lower than those of the control group, the difference was statistically significant （ P〈0.05）. Conclusion Re- habilitation exercise can significantly improve the autonomic nerval function and quality of life in patients with chronic heart failure.

关 键 词：康复 心力衰竭 充血性 心脏自主神经功能 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]