综合心肺康复医疗对老年慢性心力衰竭患者心肺功能的影响  

Effect of comprehensive cardiopulmonary rehabilitation on cardiopulmonary function in elderly patients with chronic heart failure

作　　者：李小峰 齐万争[2] 胡馨月 李毅飞 LI Xiaofeng;QI Wanzheng;HU Xinyue;LI Yifei(Department ofEmergency,Shijiazhuang First Hospital,Shijiazhuang 050000,China)

机构地区：[1]石家庄市第一医院急诊科,石家庄050000 [2]石家庄市第一医院老年病科三病区,石家庄050000 [3]石家庄市第一医院国际部,石家庄050000 [4]石家庄市第一医院产科一病区,石家庄050000

出　　处：《空军医学杂志》2020年第5期430-432,共3页Medical Journal of Air Force

基　　金：2017年石家庄市科学技术研究与发展指导计划(171462343)。

摘　　要：目的分析综合性的康复医疗对老年慢性心力衰竭(chronic heart failure,CHF)患者心肺功能的影响及疗效分析,并从临床的角度去探讨综合康复的价值。方法选取从2017年5月-2018年5月在石家庄市第一医院住院治疗的78例老年CHF患者,根据护理干预措施的不同,分为试验组和对照组;试验组40例,对照组38例。2组均正常内科服药,试验组试验给予综合性的康复治疗措施;对照组给予常规康复治疗,观察2组患者治疗前后心肺功能指标的变化。结果治疗6个月后,试验组患者的治疗效果显著高于对照组,2组心率、血压、心肌耗氧量和6 min步行距离的变化,试验组的无氧阈(AT)、峰值氧脉搏及峰值氧摄取量均明显高于对照组(P<0.05),二氧化碳通气当量斜率明显低于对照组,差异有统计学意义(P<0.05)。结论综合心肺康复治疗可有效改善患者的生活能力,提高生活质量,值得临床应用推广。|Objective To analyze the effect of comprehensive rehabilitation medicine on cardiopulmonary function in elderly patients with chronic heart failure(CHF)and to analyze the therapeutic effect,and to explore the value of comprehensive rehabilitation from a clinical perspective.Methods 78 elderly patients with chronic heart failure who were hospitalized in Shijiazhuang first hospital from May 2017 to May 2018 were divided into an experimental group(40 patients)and a control group(38 patients)according to different nursing interventions.Both groups received normal medical medicine,40 cases in the experimental group were given comprehensive rehabilitation treatment measures;and 38 cases in the control group were given conventional rehabilitation treatment,and the changes of cardiopulmonary function indexes before and after treatment were observed in both groups.Results After 6 months of treatment,the treatment effect of the patients in the experimental group was significantly higher than that in the control group.The changes in heart rate,blood pressure,myocardial oxygen consumption,and 6-minute walking distance in the two groups of controls,the anaerobic threshold(AT)and peak value of the experimental group Oxygen pulse and peak oxygen intake were significantly higher than those of the control group(P<0.05),and the slope of carbon dioxide ventilation equivalent was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Comprehensive cardiopulmonary rehabilitation therapy can effectively improve patients'life ability and quality of life,which is worthy of clinical application and promotion.

关 键 词：综合性康复治疗 慢性心力衰竭 心肺功能 

分 类 号：R541.6[医药卫生—心血管疾病]