吸气肌训练在慢性心力衰竭患者中的应用效果  

Application effects of inspiratory muscle training in patients with chronic heart failure

作　　者：李伟佳 黄辉 杨盛 LI Weijia;HUANG Hui;YANG Sheng(Special Wards of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院特需病房,河南南阳473000

出　　处：《中国民康医学》2024年第8期83-86,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察吸气肌训练在慢性心力衰竭患者中的应用效果。方法:选取2021年5月至2023年5月该院收治的103例慢性心力衰竭患者进行前瞻性研究,按照随机数字表法将其分为对照组51例和观察组52例。对照组采取常规心脏康复训练,观察组在对照组基础上采取吸气肌训练,比较两组训练前后心肺耐力指标[左心室射血分数(LVEF)、峰值摄氧量(VO_(2peak))、二氧化碳通气当量斜率(VE/VCO_(2))]、吸气肌功能指标[吸气峰流速(PIF)、最大吸气压(MIP)]和膈肌功能指标[膈肌增厚率(DTF)、吸气末膈肌厚度(DTei)、呼气末膈肌厚度(DTee)、膈肌移动度]水平。结果:训练后,观察组LVEF、VO_(2peak)水平均高于对照组,VE/VCO_(2)水平低于对照组,差异有统计学意义(P<0.05);训练后,两组PIF、MIP水平均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);训练后,观察组DTF小于对照组,DTei、DTee、膈肌移动度均大于对照组,差异有统计学意义(P<0.05)。结论:在常规心脏康复训练基础上采取吸气肌训练可提高慢性心力衰竭患者吸气肌功能指标水平,改善心肺耐力指标和膈肌功能指标水平,效果优于单纯常规心脏康复训练。Objective:To observe application effects of inspiratory muscle training in patients with chronic heart failure.Methods:A prospective study was conducted on 103 patients with chronic heart failure admitted to this hospital from May 2021 to May 2023.According to the random number table method,they were divided into control group(51 cases)and observation group(52 cases).The control group received routine cardiac rehabilitation training,while the observation group received inspiratory muscle training on the basis of that of the control group.The cardiopulmonary endurance indexes[left ventricular ejection fraction(LVEF),peak oxygen uptake(VO_(2peak)),ventilatory equivalent for carbon dioxide slope(VE/VCO_(2))]levels,the inspiratory muscle function indexes[peak inspiratory flow rate(PIF),maximum inspiratory pressure(MIP)]levels,and the diaphragm function indexes[diaphragmatic thickening rate(DTF),end-inspiratory diaphragmatic thickness(DTei),endexpiratory diaphragmatic thickness(DTee),diaphragm mobility]levels were compared between the two groups before and after the training.Results:After the training,the levels of LVEF and VO_(2peak)in the observation group were higher than those in the control group,the level of VE/VCO_(2)was lower than that in the control group,and the differences were statistically significant(P<0.05).After the training,the levels of PIF and MIP in the two groups were higher than those before the training,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the training,the DTF of the observation group was smaller than that of the control group,the DTei,DTee and diaphragm mobility were larger than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine cardiac rehabilitation training,the inspiratory muscle training can improve the levels of inspiratory muscle function indexes in the patients with chronic heart failure,and improve the l

关 键 词：吸气肌训练 慢性心力衰竭 常规心脏康复训练 心肺耐力 吸气肌功能 膈肌功能 

分 类 号：R541[医药卫生—心血管疾病]