递增式抗阻运动训练对老年慢性心力衰竭患者的影响价值研究  

Effect of incremental resistance exercise training on elderly patients with chronic heart failure

作　　者：游正楠[1] 张莉[1] 杜莹莹 YOU Zhengnan;ZHANG Li;DU Yingying(Luoyang Central Hospital,Luoyang 471000,China)

机构地区：[1]洛阳市中心医院心内监护室,河南洛阳471000 [2]洛阳市中心医院心内科,河南洛阳471000

出　　处：《社区医学杂志》2023年第16期843-847,共5页Journal Of Community Medicine

摘　　要：目的研究基于运动耐受度评价递增式抗阻运动训练对老年慢性心力衰竭患者机体脂肪堆积水平及心功能的影响。方法选取2019-07-10-2021-07-10洛阳市中心医院心内监护室老年慢性心力衰竭患者135例作为研究对象,采用随机数字表法分组,对照组67例采取常规康复干预,观察组68例增加递增式抗阻运动训练。3个月后,采用彩色多普勒超声检测仪检测对比左心室收缩末期内径(LVSD)、左心室舒张末期内径(LVDD)、左心室射血分数(LVEF);采用心肺功能测试系统检测对比患者峰值摄氧量(VO2max)、最大运动负荷、无氧阈值(AT),并测量患者6min步行距离(6MWD);采用人体成分检测仪测定对比患者瘦肉组织指数(LTM)、脂肪组织质量(ATM)、脂肪组织指数(FTI)。采用SPSS 23.0对数据进行统计学分析,计量资料采用x±s表示,数据分析采用单因素协方差分析。结果观察组干预后LVSD(41.45±0.51)mm低于对照组(42.24±0.55)mm,差异有统计学意义,F=8.715,P<0.001;LVDD(57.41±0.87)mm低于对照组(58.38±1.15)mm,差异有统计学意义,F=5.513,P<0.001;LVEF(56.43±2.24)%高于对照组(51.25±1.98)%,差异有统计学意义,F=13.172,P<0.001;VO2max(41.22±2.98)L/min高于对照组(38.75±2.35)L/min,差异有统计学意义,F=4.098,P<0.001;最大运动负荷(138.28±9.77)W高于对照组(132.18±9.29)W,差异有统计学意义,F=5.812,P<0.001;AT(18.02±1.43)L/min高于对照组(16.37±1.24)L/min,差异有统计学意义,F=3.124,P<0.001;6MWD(356.25±10.67)m高于对照组(337.86±15.00)m,差异有统计学意义,F=8.563,P<0.001;ATM(27.08±2.94)kg低于对照组(29.51±2.44)kg,差异有统计学意义,F=5.218,P<0.001;FTI(8.89±1.08)kg·m^(-2)低于对照组(10.25±1.66)kg·m^(-2),差异有统计学意义,F=4.247,P<0.001;LTM(42.15±2.45)kg高于对照组(39.13±2.35)kg,差异有统计学意义,F=7.945,P<0.001。结论递增式抗阻运动训练对老年慢性心力衰竭患者效果确切,能够有效改善机体脂肪堆积水平,提高�Objective To evaluate the effect of incremental resistance exercise training on body fat accumulation level and heart function in elderly patients with chronic heart failure based on exercise tolerance.Methods A total of 135elderly patients with chronic heart failure in the cardiac care unit of Luoyang Central Hospital were selected as the research objects.Random number table method was used to divide them into two groups Sixty-seven patients in the control group received routine rehabilitation intervention,and 68patients in the observation group received incremental resistance exercise training.After 3months,color Doppler ultrasound was used to determine left ventricular end-systolic diameter(LVSD),left ventricular end-diastolic diameter(LVDD),left ventricular ejection fraction(LVEF);The cardiopulmonary function test system was applied to detect and compare the patient's peak oxygen uptake(VO2max),maximum exercise load and anaerobic threshold(AT).The patients'6-minute walking distance(6MWD)was measured.Lean tissue index(LTM),adipose tissue mass(ATM)and fat tissue index(FTI)were measured and compared by body composition analyzer.SPSS software(version 23.0)was used for statistical analysis of the data.The measurement data were expressed as x±s,and the single factor covariance analysis was used for data analysis.Results After intervention,LVSD in observation group(41.45±0.51)mm was lower than that in control group(42.24±0.55)mm,and the difference was statistically significant(F=8.715,P<0.001).After intervention,LVDD in observation group(57.41±0.87)mm was lower than that in control group(58.38±1.15)mm,and the difference was statistically significant(F=5.513,P<0.001).The LVEF of observation group(56.43±2.24)%was higher than that of control group(51.25±1.98)%(F=13.172,P<0.001).After intervention,the VO2max of observation group(41.22±2.98)L/min was higher than that of control group(38.75±2.35)L/min(F=4.098,P<0.001).The maximum exercise load of observation group after intervention(138.28±9.77)W was higher than

关 键 词：递增式抗阻运动训练 慢性心力衰竭 心功能 机体脂肪堆积水平 

分 类 号：R541.6[医药卫生—心血管疾病]