抗阻运动联合有氧运动在慢性心力衰竭患者心脏康复中的应用研究  

Application research of resistance exercise combined with aerobic exercise in cardiac rehabilitation of patients with chronic heart failure

作　　者：卢小倩 朱秀娴[1] 田少鑫 曾西连 饶小玲 LU Xiao-qian;ZHU Xiu-xian;TIAN Shao-xin;ZENG Xi-lian;RAO Xiao-ling(CCU,People′s Hospital of Zhongshan City,Guangdong Province,Zhongshan528400,China)

机构地区：[1]广东省中山市人民医院CCU,广东中山528400

出　　处：《中国当代医药》2021年第23期69-72,共4页China Modern Medicine

基　　金：广东省中山市科技计划项目(2020A020511)。

摘　　要：目的探讨抗阻运动联合有氧运动在慢性心力衰竭(CHF)患者心脏康复中的应用效果。方法选取2019年8—12月广东省中山市人民医院收治的90例CHF患者作为研究对象,按照随机数字表法将其分为有氧运动组、抗阻运动组与联合运动组,每组各30例。有氧运动组患者采用有氧训练,抗阻运动组患者采用抗阻练习,联合运动组患者进行抗阻训练联合有氧训练。比较三组患者干预前和干预12周后的心功能[左心室射血分数(LVEF)、左心室舒张期内径(LVEDD)]、躯体功能[躯体功能量表(CM-PPT)]和生活质量[中国心血管患者生活质量评定问卷(CQQC)]评分。结果干预前,三组患者的LVEF、LVEDD、CM-PPT、CQQC评分比较,差异无统计学意义(P>0.05)。干预后,联合运动组患者的LVEF、CM-PPT、CQQC评分高于抗阻运动组和有氧运动组,且抗阻运动组患者的LVEF、CM-PPT、CQQC评分高于有氧运动组,差异有统计学意义(P<0.05);干预后,联合运动组患者的LVEDD低于抗阻运动组和有氧运动组,且抗阻运动组患者的LVEDD低于有氧运动组,差异有统计学意义(P<0.05)。结论抗阻运动联合有氧运动能够改善CHF患者的心功能,提高患者躯体功能,促进生活质量提升。Objective To explore the effect of resistance exercise combined with aerobic exercise in the cardiac rehabilitation of patients with chronic heart failure(CHF).Methods A total of 90 CHF patients admitted to People′s Hospital of Zhongshan City from August 2019 to December 2019 were selected as the research objects and divided into aerobic exercise group,resistance exercise group and combined exercise group according to the random number table method,with 30 cases in each group.The aerobic exercise group used aerobic training,the resistance exercise group used resistance exercises,and the combined exercise group used resistance training combined with aerobic training.Cardiac function(left ventricular ejection fraction[LVEF],left ventricular diastolic diameter[LVEDD]),physical function(Chinese version mini-physical performance test[CM-PPT])and quality of life(China questionnaire of quality of life in patients with cardiovascular diseases[CQQC])scores were compared between the three groups before intervention and 12 weeks after intervention.Results Before intervention,there was no statistically significant differences in the LVEF,LVEDD,CM-PPT and CQQC in the three groups(P>0.05).After intervention,the LVEF,CM-PPT and CQQC in the combined exercise group were higher than those in the resistance exercise group and the aerobic exercise group,the LVEF,CM-PPT and CQQC in the resistance exercise group were higher than those in the aerobic exercise group,and the differences were statistically significant(P<0.05).After intervention,the LVEDD of the combined exercise group was lower than that of the resistance exercise group and the aerobic exercise group,and the LVEDD of the resistance exercise group was lower than that of the aerobic exercise group,and the differences were statistically significant(P<0.05).Conclusion Resistance exercise combined with aerobic exercise can improve the heart function of patients with CHF,improve the physical function of patients,and promote the quality of life.

关 键 词：慢性心力衰竭 抗阻运动 有氧运动 心脏康复 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]