心脏康复运动疗法对老年冠心病慢性心力衰竭的效果观察及生存质量评分影响分析  

Observation on effect of cardiac rehabilitation exercise therapy in elderly patients with coronary heart disease and chronic heart failure and its impact on QOL score

作　　者：舒逸[1] SHU Yi(Hankou Hospital,Hubei,Wuhan 430000,China)

机构地区：[1]武汉市汉口医院,湖北武汉430000

出　　处：《中国医药科学》2021年第9期229-232,共4页China Medicine And Pharmacy

摘　　要：目的探讨老年冠心病慢性心力衰竭患者选用心脏康复运动疗法的价值及对生存质量(QOL)的影响。方法选取2018年2月至2020年2月我院接收的92例老年冠心病慢性心力衰竭(CHF)患者进行前瞻性研究,采用随机数字表法分为两组,对照组46例选用常规药物治疗,观察组46例在对照组基础上选用心脏康复运动疗法,统计两组临床疗效、生存质量、心功能、临床指标。结果观察组临床疗效(97.83%)高于对照组(84.78%),差异有统计学意义(P<0.05)。治疗后观察组生存质量高于对照组,差异有统计学意义(P<0.05)。观察组心功能优于对照组,差异有统计学意义(P<0.05)。观察组6 min步行距离(395.71±18.96)m长于对照组,BNP前体水平(BNP)(404.68±115.94)pg/ml低于对照组,差异有统计学意义(P<0.05)。结论心脏康复运动疗法在老年冠心病CHF患者治疗中更具优势,可明显改善其生存质量、心功能,亦可延长6 min步行距离,值得借鉴。Objective To investigate the value of cardiac rehabilitation exercise therapy and its influence on quality of life(QOL)in elderly patients with coronary heart disease(CHD)and chronic heart failure(CHF).Methods A total of 92 elderly patients with CHD complicated with CHF admitted to our hospital from February 2018 to February 2020 were selected for a prospective study.They were randomly divided into two groups,46 cases in the control group were treated with conventional drugs,and 46 cases in the observation group were treated with cardiac rehabilitation exercise therapy on the basis of the control group.The clinical efficacy,the quality of life(QOL),the cardiac function and clinical indicators of the two groups were counted.Results The clinical efficacy was higher in the observation group(97.83%)than that in the control group(84.78%),with statistically significant difference(P<0.05).After treatment,the QOL was higher in the observation group than that in the control group,with statistically significant difference(P<0.05).The cardiac function was better in the observation group than that in the control group,with statistically significant difference(P<0.05).The 6-minute walking distance(6MWT)of the observation group was(395.71±18.96)m,which was longer than that of the control group.The level of BNP precursor was lower in the observation group(404.68±115.94)pg/ml than that in the control group,with statistically significant difference(P<0.05).Conclusion Cardiac rehabilitation exercise therapy has more advantages in the treatment of elderly patients with CHD complicated with CHF,which can obviously improve their QOL and cardiac function,and can also prolong 6MWT.Thus,it is worthy of application.

关 键 词：心脏康复运动疗法 老年 冠心病 慢性心力衰竭 生存质量评分 

分 类 号：R541.6[医药卫生—心血管疾病] R541.4[医药卫生—内科学]