不同运动方式对老年慢性心力衰竭患者心肺功能和预后的影响分析  

Analysis of the Influence of Different Exercise Modes on Cardiopulmonary Function and Prognosis of Elderly Patients with Chronic Heart Failure

作　　者：马兰 蒋文[2] MA Lan;JIANG Wen(Department of Cardiovascular Medicine,Tianjin Binhai New Area Dagang Hospital,Tianjin 300270,China;Department of Hypertension,Xinjiang Autonomous Region People’s Hospital,Urumqi 830001,China)

机构地区：[1]天津市滨海新区大港医院心血管内科,天津300270 [2]新疆维吾尔自治区人民医院高血压科,新疆乌鲁木齐830001

出　　处：《中国伤残医学》2024年第13期18-21,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：新疆维吾尔自治区重大科技专项项目子课题(2022A03012-3)。

摘　　要：目的:探讨不同运动方式对老年慢性心力衰竭患者心肺功能和预后的影响。方法:选取2022年7月-2023年6月天津市滨海新区大港医院收治的100例慢性心力衰竭患者为研究对象,按照随机数字表法将患者分为对照组和试验组,每组50例。两组在进行常规治疗的同时,对照组进行有氧运动治疗,试验组进行抗阻运动联合有氧运动治疗。两组均连续治疗12周。比较两组的心功能指标、肺功能指标、6分钟步行试验距离及生活质量。结果:治疗12周后,两组左心室射血分数均高于治疗前,且试验组高于对照组,左心室舒张末期内径及左心室收缩末期内径均短于治疗前,且试验组均短于对照组,差异均有统计学意义(P<0.05);两组用力肺活量及第1秒用力呼气容积均高于治疗前,且试验组均高于对照组,差异均有统计学意义(P<0.05);6分钟步行试验距离均长于治疗前,且试验组长于对照组,两组明尼苏达心力衰竭生活质量调查表评分均低于治疗前,且试验组低于对照组,差异均有统计学意义(P<0.05)。结论:抗阻运动联合有氧运动可显著提升慢性心力衰竭患者心肺功能,进而提高患者生活质量。Objective:To explore the influence of different exercise methods on cardiopulmonary function and prognosis of elderly patients with chronic heart failure.Methods:A total of 100 patients with chronic heart failure admitted to Tianjin Binhai New Area Dagang Hospital from July 2022 to June 2023 were selected as the study objects.According to random number table method,the patients were divided into a control group and an experimental group,with 50 cases in each group.At the same time of conventional treatment,the control group received aerobic exercise treatment,and the experimental group received resistance exercise combined with aerobic exercise treatment.Both groups were treated continuously for 12 weeks.The heart function indexes,lung function indexes,6 min walking test distance and quality of life of the two groups were compared.Results:After 12 weeks of treatment,the left ventricular ejection fraction of both groups was higher than before treatment,and the experimental group was higher than the control group,the left ventricular end-diastolic diameter and left ventricular end-systolic diameter were shorter than before treatment,and the experimental group was shorter than the control group,the differences were statistically significant(P<0.05);forced vital capacity and forced expiratory volume in the friest second of both groups were higher than before treatment,and the experimental group was higher than the control group,the differences were statistically significant(P<0.05);the 6 min walking test distance of both groups was longer than before treatment,and the length of the experimental group was longer than that of the control group,the scores of Minnesota heart failure quality of life questionnaire of both groups were lower than before treatment,and the experimental group was lower than the control group,with statistical significance(P<0.05).Conclusion:Resistance exercise combined with aerobic exercise can significantly improve the cardiopulmonary function of patients with chronic heart failure,and thus imp

关 键 词：慢性心力衰竭 抗阻运动 有氧运动 心肺功能 

分 类 号：R541.6[医药卫生—心血管疾病]