运动康复对老年慢性充血性心衰的疗效

Exercise training effect in the old patients with chronic congestive heart failure

为观察运动康复疗法对老年慢性充血性心力衰竭患者的治疗效果，选择住院的慢性心衰竭患者２３例，分为运动治疗组（１３例）和对照组（１０例），运动治疗组进行运动康复治疗７～８周；对照组则不进行运动治疗，综合观察患者运动前后的有关指标，并评价运动能力和生活质量。认为运动康复疗法是安全有效的，可促进临床表现的好转，在心功能改变不明显的情况下，可增强患者的运动能力，明显提高患者的生活质量；检测血浆心钠素、内皮素可作为判断运动疗效的可靠指标。

To observe the effect of exercise training in the elderly with chronic congestive heart failure,23 pa tients were selected≥60 years old. The patients were dividcd into two groups: exercise training group and controlled group.13 patients received exercise training plan which included walking,up-stair and other ordinary activities for 7～ 8weeks.10 patients did not receive it.A serial of contents which related with chronic heart failure were observed and the active abilities and life quality of the patients were eval uated.The results suggest that:the exercise training plan is safe and effective. Although cardial function of the training group patients did not enforce significatively, the plan could improve the clinical,syn droms,enhance the physical active ability and raise the life quality of the patients.(Author's address:The Liyutan Hospital of Hubei Province,Wuhan City,430077)