基于心肺运动试验的个体化运动康复处方在慢性心力衰竭患者中的应用效果  

Application effects of individualized exercise rehabilitation prescription based on cardiopulmonary exercise test in patients with chronic heart failure

作　　者：秦中辉 詹晓娟 李昊凌[1] QIN Zhonghui;ZHAN Xiaojuan;LI Haoling(Yellow River Sanmenxia Hospital,Sanmenxia 472000 Henan,China)

机构地区：[1]黄河三门峡医院,河南三门峡472000

出　　处：《中国民康医学》2021年第24期16-18,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于心肺运动试验的个体化运动康复处方在慢性心力衰竭患者中的应用效果。方法:选取97例慢性心力衰竭患者为研究对象,按照随机数字表法分为观察组49例与对照组48例。对照组给予常规运动康复指导,观察组通过心肺运动试验制订个体化运动康复处方,比较两组干预前后心功能指标[左室射血分数(LVEF)、6 min步行试验距离(6MWT)]水平和心肺运动试验指标[二氧化碳通气当量斜率(VE/VCO_(2) slope)、峰值摄氧量(Peak VO_(2))、最大代谢当量(MET_(max))]水平。结果:干预后,两组LVEF高于干预前,且观察组高于对照组,两组6MWT长于干预前,且观察组长于对照组,差异有统计学意义(P<0.05);干预后,两组VE/VCO_(2) slope均低于干预前,且观察组低于对照组,两组Peak VO_(2)、MET_(max)均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:基于心肺运动试验的个体化运动康复处方在慢性心力衰竭患者中的应用效果优于常规运动康复指导,可提高患者LVEF、Peak VO_(2)、MET_(max),延长6MWT,降低VE/VCO_(2) slope。Objective:To observe application effects of individualized exercise rehabilitation prescription based on cardiopulmonary exercise test in patients with chronic heart failure.Methods:97 patients with chronic heart failure were selected as the research objects,and were divided into observation group(49 cases)and control group(48 cases)according to the random number table method.The control group was given regular exercise rehabilitation guidance,while the observation group used the individualized exercise rehabilitation prescriptions based on cardiopulmonary exercise test,the cardiac function related indicator levels[left ventricular ejection fraction(LVEF),6-min walking test distance(6 MWT)]and the cardiopulmonary exercise test indicator levels[CO_(2) ventilation equivalent slope(VE/VCO_(2) slope),peak oxygen uptake(Peak)VO_(2),maximum metabolic equivalent(MET_(max))]were compared between the two groups.Results:After the intervention,the LVEF levels of the two groups were higher than those before the intervention,and that of the observation group was higher than that of the control group;the 6 MWT levels of the two groups were longer than those before the intervention,and that of the observation group was longer than that of the control group;and the differences were statistically significant(P<0.05).Further,after the intervention,the VE/VCO_(2) slopes of the two groups were lower than those before the intervention,and that of the observation group was lower than that of the control group;the peak VO_(2) and MET_(max) of the two groups were higher than those before the intervention,and those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:The individualized exercise rehabilitation prescription based on cardiopulmonary exercise test in the patients with chronic heart failure is superior to the conventional exercise rehabilitation guidance,it can increase the patients’LVEF,Peak VO_(2) and MET_(max) levels,extend the 6 MWT,a

关 键 词：慢性心力衰竭 心肺运动试验 运动康复 个体化 心功能 

分 类 号：R730.9[医药卫生—肿瘤]