基于“肺主治节”理论的阶段性康复模式对慢性心力衰竭患者依从性及心功能的影响  

Effect of Phased Rehabilitation Mode Based on the Theory of “Lung TreatingSection” on Compliance and Cardiac Function of Patients with Chronic Heart Failure

作　　者：王艳璞 卢吉锋 WANG Yanpu;LU Jifeng(Department of Cardiology,Henan Integrative Medicine Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省中西医结合医院心血管科,河南郑州450000

出　　处：《河南医学研究》2024年第24期4565-4569,共5页Henan Medical Research

摘　　要：目的 探讨基于“肺主治节”理论的阶段性康复模式对慢性心力衰竭(CHF)患者依从性及心功能的影响。方法 回顾性选取河南省中西医结合医院2021年1月至2023年6月收治的90例CHF患者,按康复方案分为对照组(43例)、观察组(47例),对照组接受常规康复模式,观察组在此基础上接受基于“肺主治节”理论的阶段性康复模式。比较两组运动自我效能(SEE)、康复依从性、心功能[左心室射血分数(LVEF)、左心室收缩末内径(LVESD)、左心室舒张末内径(LVEDD)]、运动耐力[6分钟步行试验(6MWT)]、肺功能[用力肺活量(FVC)、呼气流量峰值(PEF)、第1秒用力呼吸容积(FEV_1)]、生活质量[明尼苏达心力衰竭生活质量量表(MLHFQ)]。结果 干预后,观察组SEE、MLHFQ评分高于对照组(P<0.05);观察组康复依从性(97.87%)高于对照组(83.72%)(P<0.05);干预后,观察组LVEF、6MWT较对照组升高,LVESD、LVEDD较对照组降低(P<0.05);干预后,观察组FVC、PEF、FEV_1高于对照组(P<0.05)。结论 基于“肺主治节”理论的阶段性康复模式能改善CHF患者心肺功能,提高患者康复依从性及运动自我效能,有利于改善生活质量。Objective To investigate the effect of phased rehabilitation mode based on the theory of“lung attending segment”on the compliance and cardiac function of patients with Chronic heart failure(CHF).Methods A retrospective selection was conducted on 90 CHF patients admitted to Henan Integrative Medicine Hospital from January 2021 to June 2023.They were divided into a control group(43 cases)and an observation group(47 cases)according to rehabilitation plans.The control group received routine rehabilitation mode,while the observation group received a phased rehabilitation mode based on the“lung governing segment”theory.Exercise self-efficacy(SEE),rehabilitation compliance,cardiac function[left ventricular ejection fraction(LVEF),left ventricular end systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD)],exercise endurance[six-minute walking test(6MWT)],lung function[forced vital capacity(FVC),peak expiratory flow(PEF),forced breathing volume in the first second(FEV 1)],quality of life[Minnesota living with heart failure questionnaire(MLHFQ)]of two groups were compared.Results After intervention,the SEE and MLHFQ scores in the observation group were higher than those in the control group(P<0.05).The rehabilitation compliance of observation group(97.87%)was higher than that of control group(83.72%)(P<0.05).After intervention,LVEF and 6MWT in observation group were higher than those in control group,and LVESD and LVEDD were lower than those in control group(P<0.05).After intervention,FVC,PEF and FEV 1 in observation group were higher than those in control group(P<0.05).Conclusion The phased rehabilitation mode based on the theory of“lung treating section”can improve the cardiopulmonary function,rehabilitation compliance and exercise self-efficacy of patients with CHF,and is conducive to improving the quality of life.

关 键 词：慢性心力衰竭 肺主治节 阶段性康复模式 心功能 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]