慢性心功能不全患者康复治疗的疗效观察

Effect of rehabilitation exercise on 74 patients with chronic cardiac insufficiency

目的:探讨心脏康复治疗对心功能不全患者心功能改善的作用,并进行安全性评价。方法:对74例心功能不全患者进行心肺功能评定,制定相应的康复运动处方,进行为期8到12周的康复运动训练。结果:与锻炼前比较,康复治疗后,患者的心率显著减少[(98.72±6.24)次/min:(72.43±6.38)次/min,P<0.05];收缩压、舒张压及心率收缩压乘积指标均显著降低[(2498.27±60.54):(1354.21±58.15),P<0.01],运动耐力显著增加[(30.12±10.67)min:(50.35±12.78)min,P<0.01);症状明显改善,无严重心血管事件发生。结论:心脏康复治疗可改善心功能不全患者的心功能,增强体力,在医务人员的指导下,个体化、规律的运动锻炼对纽约心功能不全2～3级患者的康复是有益和安全的。

Objective： To investigate whether cardiac rehabilitation exercise can improve the heart function of patients with chronic cardiac insufficiency and evaluate its safety. Methods： A total of 74 patients with cardiac insufficiency received rehabilitation exercise training 8 to 12 weeks, The cardiopulmonary function of all cases was examined before and after exercise treatment. Results： Compared with before exercise treatment, the heart rates of patients significantly decreased after rehabilitation exercise treatment [ （98.72±6.24） beats/min vs. （72.43±6.38） beats/min, P〈（ 0.05]; systolic blood pressure, diastolic blood pressure and rate-pressure product （2498.27± 60.54） vs. （1354.21 ±58.15） also decreased after exercise （P〈0.01 all）; exercise tolerance also improved [ （30. 12± 10.67） min vs. （50.35± 12.78） rain, P〈0.01）. There were no serious cardiovascular events happened. Conclusion： Rehabilitation exercise training can improve heart function and exercise capatity in patients with chronic cardiac insufficiency and is safe.