探讨康复干预联合运动训练对老年慢性心力衰竭患者的疗效及对预后生活质量的影响  

Efficacy of rehabilitation intervention combined with exercise training on elderly patients with chronic heart failure and its impact on prognosis and quality of life

作　　者：周婧 黄晓玲 张艳艳 王琼燕 ZHOU Jing;HUANG Xiao-ling;ZHANG Yan-yan(Department of Geriatrics,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市第一医院老年病科,362000

出　　处：《中国现代药物应用》2023年第10期156-158,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 观察康复干预联合运动训练对老年慢性心力衰竭患者的疗效及对预后生活质量的影响。方法 80例老年慢性心力衰竭患者,按照随机数字表法分成对照组和研究组,各40例。对照组接受常规干预,研究组接受康复干预联合运动训练。比较两组患者干预后心功能改善效果,干预前后心功能指标、6 min步行距离(6MWD)及生活质量评分。结果 研究组干预总有效率100.00%高于对照组的85.00%,差异有统计学意义(P<0.05)。干预前,两组患者心输出量(CO)、左心室射血分数(LVEF)、6MWD及健康状况调查简表(SF-36)评分比较差异无统计学意义(P>0.05)。干预后,两组患者CO、LVEF及SF-36评分均明显高于本组干预前,6MWD长于本组干预前,且研究组CO(5.76±0.82)L/min、LVEF(45.68±6.25)%及SF-36评分(96.43±2.11)分均明显高于对照组的(4.26±0.97)L/min、(41.43±5.87)%、(93.43±3.63)分,6MWD(262.78±43.22)m长于对照组的(209.61±40.63)m,差异有统计学意义(P<0.05)。结论 对老年慢性心力衰竭患者实施康复干预联合运动训练,可显著改善患者心功能指标,提升6 MWD及生活质量,提升心脏康复效果。Objective To observe the efficacy of rehabilitation intervention combined with exercise training on elderly patients with chronic heart failure and its impact on prognosis and quality of life.Methods A total of 80 elderly patients with chronic heart failure were divided into control group and research group according to the random numerical table,with 40 cases in each group.The control group received routine intervention,and the research group received rehabilitation intervention combined with exercise training.The improvement effect of cardiac function,cardiac function index,6-min walking distance(6MWD)and quality of life score before and after intervention were compared between the two groups.Results The total effective rate was 100.00%in the research group,which was higher than that of 85.00%in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences between the two groups in terms of cardiac output(CO),left ventricular ejection fraction(LVEF),6MWD and 36-item short-form health survey(SF-36)score(P>0.05).After intervention,CO,LVEF and SF-36 scores in the two groups were significantly higher than those before intervention in this group,and 6MWD was higher than that before intervention in this group;the research group had CO of(5.76±0.82)L/min,LVEF of(45.68±6.25)%and SF-36 score of(96.43±2.11)points,which were significantly higher than those of(4.26±0.97)L/min,(41.43±5.87)%and(93.43±3.63)points in the control group;6MWD of(262.78±43.22)m in the research group was higher than that of(209.61±40.63)m in the control group;the differences were statistically significant(P<0.05).Conclusion In the intervention of elderly patients with chronic heart failure,the implementation of rehabilitation intervention combined with exercise training can significantly improve the cardiac function indicators of patients,improve the 6MWD and quality of life,and improve the effect of cardiac rehabilitation.

关 键 词：老年慢性心力衰竭 康复干预 运动训练 联合干预 康复效果 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]