慢性心力衰竭患者运动康复治疗的疗效观察(英文)

目的:观察运动康复疗法对于慢性心力衰竭(CHF)患者的疗效。方法:慢性心力衰竭患者60例,随机分成常规治疗组(30例)和运动康复组(30例,在常规抗心衰药物的基础上实施运动康复疗法),观察3月后患者的心功能、运动耐量、6 min步行距离和再住院率。结果:与常规治疗组比较,运动康复组心功能改善总有效率明显升高(80.0%比93.3%,P<0.05);临床心功能明显改善NYHA分级:(1.96±0.89)级比(1.48±0.72)级P<0.05],运动能力(4.01±0.82)METs比(5.24±1.16))METs]、6 min步行距离(322.5±23.4)m比(413.6±26.5)m]显著增加(P均<0.01),再住院率明显降低(56.7%比30.0%),P<0.05。结论:运动康复治疗可以改善慢性心力衰竭的心功能,提高运动能力,降低再住院率。

Therapeutic effect of exercise rehabilitation in patients with chronic heart failure

Objective： To observe therapeutic effects of exercise rehabilitation therapy in patients with chronic heart failure （CHF）. Methods： A total of 60 CHF patients were randomly divided into routine treatment group （n= 30） and exercise rehabilitation group （n=30, received exercise rehabilitation therapy based on routine anti heart failure drug treatment）. Cardiac function, exercise capacity, 6rain walking distance and rehospitalization rate of the patients were observed, therapeutic course was three months. Results： Total effective rate in exercise rehabilitation group was significantly higher than that of routine treatment group （93.3% vs. 80.0%, P〈0.05）. Compared with routine treatment group after treatment, there was significant improvement in clinic cardiac function NYHA class： （1.96±0.89） classes vs. （1.48±4-0.72） classes, P〈0. 05], significant increase in exercise capacity （4.01±0.82） METs vs. （5. 24±1.16） METs] and 6 min walking distance （322.5±23.4） m vs. （413.6±26.5） m, P〈0.01 both] and significant decrease in rehospitalization rate （56.7% vs. 30.0%, P（0.05）. Conclusion： Exercise reha- bilitation therapy can improve cardiac function, increase exercise capacity and decrease rehospitalization rate in pa- tients with chronic heart failure.