综合康复护理在老年慢性心力衰竭患者中的应用  

Application of comprehensive rehabilitation care in elderly patients with chronic heart failure

作　　者：王永捷 赵好丹 侯莹莹 Wang Yongjie;Zhao Haodan;Hou Yingying(Department of Cardiovascular Medicine,Luoyang First People's Hospital,Luoyang Henan 471002,China;Department of Cardiology,Luoyang First People's Hospital,Luoyang Henan 471002,China)

机构地区：[1]洛阳市第一人民医院心血管内科,河南洛阳471002 [2]洛阳市第一人民医院心内科,河南洛阳471002

出　　处：《保健医学研究与实践》2022年第6期92-96,共5页Health Medicine Research and Practice

摘　　要：目的探讨综合康复护理在老年慢性心力衰竭患者中的应用价值。方法选取2020年3月—2021年9月洛阳市某医院收治的108例老年慢性心力衰竭患者,采用随机数字表法分为研究组与对照组,每组54例。对照组患者采用常规康复护理,研究组患者在对照组基础上采用综合康复护理。比较2组患者心脏储备功能、血管内皮功能、肺功能、运动耐量、心力衰竭再发率、明尼苏达心衰生活质量量表(MLHFQ)评分。结果研究组患者干预后左室射血分数(LVEF)、左心室舒张末期容积(LVEDV)均大于对照组,左心室收缩末期容积(LEVSV)小于对照组,差异均有统计学意义(P<0.05)。研究组患者干预后一氧化氮(NO)水平高于对照组,血管紧张素Ⅱ(AngⅡ)和内皮素-1(ET-1)水平低于对照组,差异均有统计学意义(P<0.05)。研究组患者干预后最大通气量(MVV)、最大肺活量(VCmax)、无氧阈(AT)、峰值摄氧量(VO2peak)均大于对照组,差异均有统计学意义(P<0.05)。研究组患者干预后运动终点抵达时间和6 min步行距离大于对照组,最大心率小于对照组,差异均有统计学意义(P<0.05)。研究组患者心力衰竭再发率为7.41%,低于对照组的27.78%,差异有统计学意义(P<0.05)。研究组患者干预后MLHFQ各领域评分均低于对照组,差异有统计学意义(P<0.05)。结论综合康复护理应用于老年慢性心力衰竭患者中,可改善患者血管内皮功能和心肺功能,提高运动耐量,降低疾病再发风险,提升生活质量。Objective To explore the application of comprehensive rehabilitation care in elderly patients with chronic heart failure.Methods A total of 108 elderly patients with chronic heart failure admitted to a hospital in Luoyang City from March 2020 to September 2021 were selected and assigned to an experimental group(n=54)and a control group(n=54)using the random number table method.Patients in the control group received routine rehabilitation care,and patients in the experimental group comprehensive rehabilitation care in addition to the routine rehabilitation.The cardiac reserve function,vascular endothelial function,pulmonary function,exercise tolerance,heart failure recurrence rate,and Minnesota Living with Heart Failure Questionnaire(MLHFQ)scores of the patients in the 2 groups were compared.Results The left ventricular ejection fraction(LVEF),and left ventricular end-diastolic volume(LVEDV)of patients in the experimental group were greater than those in the control group after the intervention,and the differences were statistically significant(P<0.05).Patients in the experimental group showed higher nitric oxide(NO)levels and lower angiotensinⅡ(AngⅡ),endothelin-1(ET-1)levels,and left ventricular end-systolic volume(LVESV),than those in the control group after the intervention,and the differences were all statistically significant(P<0.05).The maximal voluntary ventilation(MVV),maximal vital capacity(VCmax),anaerobic threshold(AT),and peak oxygen uptake(VO2peak)in the experimental group were all greater than those in the control group after the intervention,and the differences were all statistically significant(P<0.05).The arrival time of exercise endpoint and 6 min walk test distance in the experimental group were greater than those in the control group after the intervention,maximum heart rate in the experimental group were lower than those in the control group after the intervention,and the differences were statistically significant(P<0.05).The heart failure recurrence rate of patients in the experimental gr

关 键 词：老年慢性心力衰竭 综合康复护理 心脏储备功能 运动耐量 

分 类 号：R473.5[医药卫生—护理学]