[1]侯艳雁,王 杰,刘明慧.心肺一体化心脏康复对老年慢性心力衰竭患者心肺功能及生存质量的影响[J].医学信息,2023,36(16):121-124.[doi:10.3969/j.issn.1006-1959.2023.16.023]
　HOU Yan-yan,WANG Jie,LIU Ming-hui.Effect of Cardiopulmonary Integrated Cardiac Rehabilitation on Cardiopulmonary Function and Quality of Life in Elderly Patients with Chronic Heart Failure[J].Journal of Medical Information,2023,36(16):121-124.[doi:10.3969/j.issn.1006-1959.2023.16.023]
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心肺一体化心脏康复对老年慢性心力衰竭患者心肺功能及生存质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年16期
页码:
121-124
栏目:
论著
出版日期:
2023-08-15

文章信息/Info

Title:
Effect of Cardiopulmonary Integrated Cardiac Rehabilitation on Cardiopulmonary Function and Quality of Life in Elderly Patients with Chronic Heart Failure
文章编号:
1006-1959（2023）16-0121-04
作者:
侯艳雁; 王 杰; 刘明慧
（佳木斯市中心医院二部康复科，黑龙江 佳木斯 154002）
Author(s):
HOU Yan-yan; WANG Jie; LIU Ming-hui
(The Second Department of Rehabilitation,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
心肺一体化; 心脏康复; 慢性心力衰竭; 心肺功能; 生存质量
Keywords:
Cardiopulmonary integration; Cardiac Rehabilitation; Chronic heart failure; Cardiopulmonary function; Quality of life
分类号:
R541.6；R493
DOI:
10.3969/j.issn.1006-1959.2023.16.023
文献标志码:
A
摘要:
目的 研究心肺一体化心脏康复治疗对老年慢性心力衰竭患者心肺功能及生存质量的影响。方法 选取2019年1月-2022年1月在我院康复科治疗的90例老年慢性心力衰竭患者为研究对象，采用随机数字表法分为对照组和观察组，各45例。对照组采用常规治疗，观察组在对照组基础上联合心肺一体化心脏康复治疗。比较两组临床治疗效果、心功能指标[左心室收缩末期内径（LVESD）、左心室舒张末期内径（LVEDD）、左心室收缩末期容量（LVESV）、左心室舒张末期容量（LVEDV）、左心室射血分数（LVEF）、N端前体脑钠肽（NT-proB- NP）、心肌肌钙蛋白I（cTnI）]、肺功能指标（FEV1%、FVC%）、6 min步行试验距离、生存质量水平。结果 观察组治疗总有效率为95.56%，高于对照组的80.00%（P＜0.05）；观察组治疗后LVESD、LVEDD、LVESV、LVEDV、NT-proBNP、cTnI均小于对照组，LVEF大于对照组（P＜0.05）；观察组治疗后FEV1%、FVC%均大于对照组（P＜0.05）；两组治疗后6 min步行试验距离均大于治疗前，且观察组大于对照组（P＜0.05）；观察组治疗后FACT-B生理、情感、附加关注维度评分低于对照组，而FACT-B功能、社会/家庭评分高于对照组（P＜0.05）。结论 心肺一体化心脏康复治疗可提高老年慢性心力衰竭患者临床治疗疗效，改善心肺功能，提升生存质量，增大6 min步行试验距离，实现较理想的康复治疗效果。
Abstract:
Objective To study the effect of cardiopulmonary integrated cardiac rehabilitation on cardiopulmonary function and quality of life in elderly patients with chronic heart failure.Methods A total of 90 elderly patients with chronic heart failure who were treated in the rehabilitation department of our hospital from January 2019 to January 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 45 patients in each group. The control group was treated with routine treatment, and the observation group was treated with cardiopulmonary integrated cardiac rehabilitation on the basis of the control group. The clinical treatment effect, cardiac function indexes [left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic volume (LVESV), left ventricular end-diastolic volume (LVEDV), left ventricular ejection fraction (LVEF), N-terminal pro-brain natriuretic peptide (NT-proB-NP), cardiac troponin I (cTnI)], lung function indexes (FEV1%, FVC%), 6 min walking test distance, quality of life level were compared between the two groups.Results The total effective rate of treatment in the observation group was 95.56%, which was higher than 80.00% in the control group (P＜0.05). After treatment, LVESD, LVEDD, LVESV, LVEDV, NT-proBNP and cTnI in the observation group were lower than those in the control group, and LVEF was higher than that in the control group (P＜0.05). After treatment, FEV1% and FVC% in the observation group were higher than those in the control group (P＜0.05). The 6-minute walking test distance of the two groups after treatment was greater than that before treatment, and the observation group was greater than the control group (P＜0.05). After treatment, the scores of physiological, emotional and additional attention dimensions of FACT-B in the observation group were lower than those in the control group, while the scores of FACT-B function and social/family were higher than those in the control group (P＜0.05).Conclusion Cardiopulmonary integrated cardiac rehabilitation can improve the clinical efficacy of elderly patients with chronic heart failure, improve cardiopulmonary function, improve the quality of life, increase the distance of 6 min walking test, and achieve ideal rehabilitation effect.

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更新日期/Last Update: 1900-01-01