分级运动康复训练在慢性心力衰竭患者的临床应用效果

目的 通过对慢性心力衰竭患者进行心功能分级，实施分级运动康复训练干预，探讨康复训练对慢性心力衰竭患者治疗总体疗效、心功能相关指标和生活质量水平的干预效果，为慢性心力衰竭患者制定安全有效的康复运动方案提供理论依据。方法 选取2020年1—12月阜阳市第五人民医院心血管科收治的慢性心力衰竭患者72例，应用随机数字表法分为对照组和干预组各36例。对照组采用临床药物治疗，干预组在药物治疗的基础上增加分级运动康复训练。比较2组患者治疗前后总体疗效、心功能相关指标和生活质量水平变化情况。结果 对照组患者总有效率为61.11%,干预组为94.44%,干预组总有效率高于对照组，差异有统计学意义(χ²=11.571,P=0.001)。对于心功能Ⅱ级和Ⅲ级患者，干预组LVEF分别为(49.97±6.12)%和(47.83±5.33)%,均优于对照组的(43.41±5.22)%和(41.17±5.08)%;6MWT距离分别为(402.57±69.13)m和(388.48±67.56)m,均优于对照组的(338.11±64.56)m和(332.82±62.31)m; BNP值分别为(21...

Clinical application effect study of graded exercise rehabilitation training in patients with chronic heart failure

  Objective  Through grading the cardiac function of patients with chronic heart failure, implementation of graded exercise rehabilitation training intervention, to explore the intervention effect of rehabilitation training on the overall therapeutic effect, cardiac function related indexes and life quality level of patients with chronic heart failure, so as to provide theoretical basis for developing safe and effective rehabilitation exercise plan for patients with chronic heart failure.  Methods  A total of 72 patients with chronic heart failure who came from the Department of Cardiovascular Medicine, the Fifth People' s Hospital of Fuyang from Jan. 2020 to Dec. 2020 were selected. They were divided into control group and intervention group with 36 cases each using the random number table method. The control group was treated with routine drugs, and the intervention group received exercise rehabilitation training on the basis of drug treatment. The overall efficacy, cardiac function indicators and quality of life were compared between the two groups before and after treatment.  Results  The total effective rate in the intervention group (94.44%) was higher than that in the control group (61.11%), and the difference was statistically significant (χ2=11.571, P=0.001). For patients with grade Ⅱ and Ⅲ cardiac function, the LVEF in the intervention group was (49.97±6.12)% and (47.83±5.33)%, which were better than those in the control group (43.41±5.22)% and (41.17±5.08)%]; the 6MWT distance were (402.57±69.13) m and (388.48±67.56) m, which were both better than the control group (338.11±64.56) m and (332.82±62.31) m]; BNP values were (215.33±48.72) pg/mL and (376.17±54.47) pg/mL], respectively, which were both lower than the control group (314.43±51.52) pg/mL and (474.92±58.49) pg/mL, all P < 0.05]; the total quality of life scores were (43.02±12.48) points and (45.64±13.20) points, respectively, which were lower than those of the control group (55.96±12.11) points and (60.72±12.78) points], and the differences were statistically significant (all P < 0.05).  Conclusion  Clinical application of graded exercise rehabilitation training in patients with chronic heart failure can improve overall efficacy, improve cardiac function and promote the quality of life. It is an important measure for secondary prevention of patients with chronic heart failure so it is deserved to be applied.