抗阻呼吸训练对慢性心力衰竭患者的心肺功能及焦虑情绪的影响  

The Effect of Resistance Breathing Training on Cardiopulmonary Function and Anxiety in Patients with Chronic Heart Failure

作　　者：杨南华 杨胜勇 洪婉婷 霍欣 李冬来 管晓波[2] 陈超 YANG Nanhua;YANG Shengyong;HONG Wanting(Department of Heart Rehabilitation,Shanghai Second Rehabilitation Hospital,Shanghai 200431)

机构地区：[1]上海市第二康复医院心脏康复科,上海200431 [2]上海市民政第三精神卫生中心精神科,上海200065

出　　处：《医学临床研究》2024年第2期181-184,共4页Journal of Clinical Research

基　　金：上海市宝山区卫健委专科项目(编号:BSZK-2023-BP08);上海市宝山区科技创新项目(编号:18-E-39);上海市第二康复医院院内研究科研项目(编号:Y2020-22)。

摘　　要：【目的】探讨抗阻呼吸训练对慢性心力衰竭(CHF)患者的心肺功能及焦虑情绪的影响。【方法】128例CHF稳定期患者随机分为观察组和对照组,每组64例。对照组患者给予CHF常规药物治疗8周,观察组在对照组治疗的基础上联合使用呼吸抗阻训练。患者干预前后分别进行肺功能[第1秒用力呼气容积(FEV 1)、FEV 1/用力肺活量(FEV 1/FVC%)]、6 min步行试验(6MWT)、呼吸困难量表(mMRC)、广泛性焦虑障碍量表[(GAD)-7]的测试,比较两组患者心肺功能、焦虑情绪状况及不良应发生情况。【结果】干预后,两组FEV 1、FEV 1/FVC均较干预前升高(P<0.05),且观察组各项指标高于对照组(P<0.05)。观察组mMRC分级较干预前好转(P<0.05);对照组mMRC分级与干预前比较,差异无统计学意义(P>0.05);观察组mMRC分级优于对照组(P<0.05)。两组干预后6MWT分级与干预前比较,差异无统计学意义(均P>0.05),且两组干预后6MWT分级比较,差异无统计学意义(P>0.05);两组GAD-7评分均较干预前降低(P<0.05),且观察组GAD-7评分低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】呼吸抗阻训练联合药物治疗能有效改善CHF患者的呼吸功能及肺通气功能,缓解患者负性情绪,为促进患者的康复提供了新治疗途径。【Objective】To explore the effect of resistance breathing training on cardiopulmonary function and anxiety in patients with chronic heart failure(CHF).【Methods】A total of 128 patients with stable CHF were randomly divided into an observation group and a control group,with 64 patients in each group.Both groups of patients were treated with conventional CHF drugs for 8 weeks,and the observation group received respiratory resistance training in combination with drug treatment.Before and after intervention,patients were tested for lung function(FEV 1,FEV 1/FVC%),6-minute walking test(6MWT),dyspnea scale(mMRC),and generalized anxiety disorder(GAD)-7 scale,respectively.The cardiopulmonary function,anxiety state,and adverse reactions of the two groups of patients were compared.【Results】After intervention,FEV 1 and FEV 1/FVC in both groups increased compared to before intervention(P<0.05),and the observation group had higher indicators than the control group(P<0.05).The mMRC grading of the observation group improved compared to before intervention(P<0.05);There was no statistically significant difference in mMRC grading between the control group and before intervention(P>0.05),while the observation group had better mMRC grading than the control group(P<0.05).There was no statistically significant difference in 6MWT grading between the two groups compared to before intervention(both P>0.05),and there was no statistically significant difference in 6MWT grading between the two groups(P>0.05);The GAD-7 scores of both groups decreased compared to before intervention(P<0.05),and the GAD-7 scores of the observation group were lower than those of the control group(P<0.05);There was no statistically significant difference in the incidence of adverse reactions between the two groups(P<0.05).【Conclusions】The combination of respiratory resistance training and drug therapy can effectively improve the respiratory function and pulmonary ventilation function of CHF patients,alleviate negative emotions,and provide a new th

关 键 词：心力衰竭/康复 慢性病 呼吸锻炼 心脏功能试验 焦虑 

分 类 号：R541.61[医药卫生—心血管疾病]