精准定制下个人康复运动对慢性心力衰竭患者心肺功能影响  

The Effect of Personal Rehabilitation Exercise on Cardiopulmonary Function of Patients with Chronic Heart Failure Under Precise Customization

作　　者：武会志 于海侠[1] 高玉军[1] 杨帆[1] 姚晶晶[1] 周景霞[1] WU Huizhi;YU Haixia;GAO Yujun(Chengde Center Hospital, Hebei Chengde 067000, China)

机构地区：[1]河北省承德市中心医院,河北承德067000

出　　处：《河北医学》2021年第11期1894-1897,共4页Hebei Medicine

基　　金：河北省承德市科学技术研究与发展计划项目,(编号:201706A025)。

摘　　要：目的:研究心力衰竭患者应用新活素联合精准定制下个人心脏康复运动治疗的预后。方法:纳入108例心力衰竭患者,按照随机法分为:对照组54例,观察组54例。观察组给予心衰的常规治疗及静脉滴注新活素联合精准定制下个人心脏康复运动治疗,而对照组只给予常规治疗,比较两组患者的心功能、血清NT-proBNP和治疗有效率。结果:治疗后,观察组的CO、CI、SV及LVEF明显较对照组高(P<0.01),血清NT-proBNP水平明显较对照组低(t=11.47,P<0.01);观察组与对照组患者治疗有效率分别为90.74%、72.23%,观察组明显较对照组高(χ2=7.25,P=0.03)。结论:应用新活素和精准定制下个人心脏康复运动联合治疗心力衰竭患者,可降低血清NT-proBNP水平,改善患者心功能及预后。Objective:To investigate the effect of neomycin combined with accurately customize cardiac rehabilitation exercise on the heart failure patients'prognosis.Methods:108 heart failure patients were divided into control group(54 cases)and study group(54 cases).The study group endured conventional treatment of chronic heart failure,intravenous infusion of neomycin combined with accurately customize cardiac rehabilitation exercise therapy.The control group endured routine treatment.The cardiac function,serum NT-proBNP levels and the total effective rate between the two groups were compared.Results:After treatment,the levels of LVEF,SV,CI and CO in the observation group were significantly higher than those in the control group(P<0.01),and the levels of NT-proBNP were significantly lower than those in the control group(t=11.47,P<0.01),the observation group's effective rate was 90.74%,which was significantly higher than the control group's 72.23%(χ2=7.25,P=0.03).Conclusion:The clinical effect of Neomycin and accurately customize cardiac rehabilitation exercise on heart failure is remarkable.It can reduce the level of serum NT-proBNP,improve the function of heart and the prognosis.

关 键 词：心力衰竭 新活素 心脏康复治疗 心功能 NT-PROBNP 

分 类 号：R541.6[医药卫生—心血管疾病]