呼吸训练联合行走训练对慢性心力衰竭患者运动耐力及心功能的影响  

Effects of breathing training combined with walking training on exercise tolerance and cardiac function in patients with chronic heart failure

作　　者：田艳玲 刘娜[1] 李聪 陈颂歌[1] Tian Yanling;Liu Na;Li Cong;Chen Songge(Cardiovascular Comprehensive Ward I,Henan Provincial People's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院心血管综合一病区,郑州450000

出　　处：《中国实用医刊》2023年第9期68-70,共3页Chinese Journal of Practical Medicine

摘　　要：目的:探讨呼吸训练与行走训练联合干预对慢性心力衰竭(CHF)患者运动耐力及心功能的影响。方法:抽取河南省人民医院2020年1月至2022年6月收治的80例CHF患者,按双色球法分为两组,每组40例。对照组采用常规护理,观察组在对照组基础上加呼吸训练与行走训练联合干预。比较两组干预效果。结果:干预前,两组运动耐力(6 min步行距离)、心功能[左室射血分数(LVEF)、左室舒张末期容积(LVEDV)]、负面心理情绪(焦虑评分、抑郁评分)比较差异未见统计学意义(P>0.05);干预后,观察组6 min步行距离长于对照组LVEF高于对照组,而LVEDV、焦虑评分、抑郁评分低于对照组,差异有统计学意义(P<0.05)。结论:CHF患者予以呼吸训练与行走训练联合干预,可更好地改善患者的负面情绪,提高运动耐力,改善心功能。Objective To investigate the effect of combined intervention of breathing training and walking trainingg on exercise tolerance and cardiac function in patients with chronic heart failure(CHF).Methods Eighty patients with CHF admitted to Henan Provincial People's Hospital from January 2020 to June 2022 were selected,and they were divided into two groups according to the dichromatic sphere method,with 40 patients in each group.The control group was given routine nursing,and the observation group was given breathing training combined with walking training based on the intervention of the control group.The effect of intervention of the two groups were compared.Results Before intervention,there was no significant difference in exercise tolerance(6-min walking distance),cardiac function assessed by left ventricular ejection fraction(LVEF)and left ventricular enddiastolic volume(LVEDV),negative psychological emotions(anxiety score,depression score)between the two groups(P>0.05).After intervention,the 6-min walking distance of the observation group was longer than that of the control group,and LVEF were higher than that of the control group,while the LVEDV,anxiety scores and depression scores were lower than those of the control group(all P<0.05).Conclusions Combined intervention of breathing training and walking training on CHF patients can better ameliorate the negative emotions of patients,improve exercise tolerance and cardiac function.

关 键 词：心力衰竭 呼吸训练 行走训练 运动耐力 心功能 负面心理情绪 

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