分阶段延伸的个性化心脏康复运动方案对慢性心力衰竭患者心功能和生活质量的影响  

Impact of Staged Extended Individualized Cardiac Rehabilitation Exercise Program on Cardiac Function and Quality of Life in Patients with Chronic Heart Failure

作　　者：王德祥 谢宗渊 王建军[1] WANG Dexiang;XIE Zongyuan;WANG Jianjun(Jinxi People's Hospital of Kunshan City,Jiangsu Province,Kunshan 215324,China)

机构地区：[1]江苏省昆山市锦溪人民医院,江苏昆山215324

出　　处：《中国医学创新》2023年第8期100-104,共5页Medical Innovation of China

基　　金：江苏省自然科学基金资助项目(BK20180467)。

摘　　要：目的:探究分阶段延伸的个性化心脏康复运动方案对慢性心力衰竭(CHF)患者心功能和生活质量的影响。方法:选取2019年5月-2021年5月昆山市锦溪人民医院收治的85例CHF患者,根据心脏康复干预方法的不同将其分为对照组和研究组。对照组(43例)患者予以常规心脏康复运动方案干预,研究组(42例)患者在常规干预基础上增加分阶段延伸的个性化心脏康复运动方案。比较两组患者心功能、运动耐量、生活质量的改善情况及再住院发生率。结果:干预前,两组左心室射血分数(LVEF)、左心室内径(LVD)和左室短轴缩短分数(LVFS)水平比较,差异均无统计学意义(P>0.05);干预后,两组LVEF、LVFS水平均较干预前升高,研究组均高于对照组,两组LVD水平均较干预前下降,研究组低于对照组(P<0.05)。干预前,两组6 min行走距离比较,差异无统计学意义(P>0.05);干预后,两组6 min行走距离均较干预前长,研究组长于对照组(P<0.05)。干预前,两组明尼苏达州心力衰竭生活质量问卷(MLHFQ)各领域评分比较,差异均无统计学意义(P>0.05);干预后,两组MLHFQ各领域评分均较干预前降低,研究组均低于对照组(P<0.05)。研究组再住院发生率低于对照组(P<0.05)。结论:对CHF患者应用分阶段延伸的个性化心脏康复运动方案进行干预,患者心功能、运动耐量及生活质量均有明显改善,且再住院发生情况明显减少,临床具有较好应用效果。Objective:To explore the effect of staged extended individualized cardiac rehabilitation exercise program on cardiac function and quality of life in patients with chronic heart failure(CHF).Method:A total of 85 patients with CHF admitted to Jinxi People's Hospital of Kunshan City from May 2019 to May 2021 were selected,they were divided into control group and study group according to different cardiac rehabilitation intervention methods.The control group(43 cases)received routine cardiac rehabilitation exercise program intervention,and the study group (42 cases) added staged extended individualized cardiac rehabilitation exercise program on the basisof routine intervention. The improvement of cardiac function, exercise tolerance, quality of life and the incidenceof re-hospitalization were compared between the two groups. Result: Before intervention, there were no significantdifferences in left ventricular ejection fraction (LVEF), left ventricular diameter (LVD) and left ventricular fractionshortening (LVFS) between the two groups (P>0.05);after intervention, the levels of LVEF and LVFS in both groupswere higher than those before intervention, those in the study group were higher than those in the control group, LVDlevels in both groups were lower than those before intervention, that in the study group was lower than that in thecontrol group (P<0.05). Before intervention, there was no significant difference in 6 min walking distance betweenthe two groups (P>0.05);after intervention, the 6 min walking distance in both groups were longer than those beforeintervention, that in the study group was higher than that in the control group (P<0.05). Before intervention, therewere no statistically significant differences in Minnesota life heart failure quality questionnaire (MLHFQ) scores inall fields between the two groups (P>0.05);after intervention, MLHFQ scores in all fields in both groups were lowerthan those before intervention, those in the study group were lower than those in the control group (P<0.05). Theincidenc

关 键 词：慢性心力衰竭 分阶段延伸 个性化心脏康复运动方案 心功能 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病] R493[医药卫生—内科学]