综合康复疗法与持续小剂量地高辛治疗老年充血性心衰

Comprehensive Rehabilitation Therapy and Continuous Low Dose of Digoxin for Old Congestive Heart Failure

目的评价康复疗法与持续小剂量地高辛治疗老年充血性心衰的临床疗效。方法 4 6例老年慢性充血性心衰患者采用戒烟、修正饮食、调脂、个体化体力运动训练程序等综合康复疗法及持续小剂量地高辛治疗。结果 4 6例患者治疗后总有效率 90 %。心输出量 (L/ min)治疗前后分别为 4 .33± 0 .6 6 ,4 .80± 1.2 2 ;左室射血分数 (% )分别为37.85± 9.9,4 4 .6 5± 10 .4 ;平均心率 (次 / min)分别为 98± 13,78± 12。地高辛过量或中毒的发生率为 4 .3%。

Objective To observe the clinical therapeutic effects of comprehensive rehabilitation therapy and continuous low dose of digoxin for old congestive heart failure. Methods Forty six old patients with congestive heart failure received the treatment of prohibited smoking, diet regulation, lipid regulation, individualized physical exercise training program and continuous low dose of digoxin. Results\ The total effective rate was 90 %. The cardiac output (CO, L/min) was 4 33±0 666 and 4 8±1 22, EF was 37 86±9 9 and 44 65±10 4, HR (1/min) 98±13 and 78±12 before and after treatment, respectively The incidence of overdose or intoxication was 4 3 % Conclusion\ Comprehensive rehabilitation therapy and continuous low dose of digoxin was a safe and simple method for old congestive heart failure