健身操训练对慢性心力衰竭患者运动耐量的影响

The effect of traditional Chinese exercises on exercise tolerance in patients with chronic heart failure

目的通过中医健身操训练提高慢性心力衰竭患者运动能力,促进患者康复,降低患者医疗费用。方法将符合纳入条件的慢性心力衰竭患者随机分为实验组和对照组各30例,实验组在接受常规治疗和护理的同时,指导患者在病情稳定后进行康复训练:心功能Ⅲ级和Ⅳ级患者进行六字诀呼吸操训练,心功能Ⅰ级和Ⅱ级患者进行八段锦训练,并在出院后对患者进行1年的随访和指导,鼓励患者坚持六字诀呼吸操和八段锦练习。对照组患者仅进行常规治疗与护理。所有患者跟踪随访1年,观察两组患者6分钟步行距离(6MWT)、纽约心脏病协会(NYHA)心功能分级、脑钠肽水平的变化,统计1年内因心力衰竭住院的次数及医疗费用。结果与对照组相比,实验组患者在经过中医健身操训练1年后,6MWT步行距离增长,心功能分级及脑钠肽水平降低,1年内因为心力衰竭再次住院的次数较少,因为心力衰竭住院的总费用降低。结论中医健身操训练能提高慢性心力衰竭患者运动耐量,促进患者康复,降低医疗费用。

Objective To evaluate the effect of traditional Chinese exercises on exercise capacity in patients with chronic heart failure,in order to promote the rehabilitation of patients and reduce medical costs. Methods Sixty patients with chronic heart failure were randomly divided into two groups,30 cases in each group. The patients in the control group received routine treatment and nursing care. In addition,the patients in the experimental group received traditional Chinese rehabilitation training according to New York Heart Assoeiation（NYHA） classification, including Liuzijue breathing exercises training for class ]]I and IV patients,and Baduanjin training for class I and ]I patients. All patients were followed up for one year after discharge. The patients＇ 6 minutes walking distance （6MWT）,NYHA classification,plasma brain natriuretic peptide （BNP）,times of hospitalization and medical expenses within one year were compared between the two groups. Results Compared with the control group,the patients in the experimental group showed increased 6MWT,decreased grading of heart function and BNP level,less frequency of hospitalization and lower medical expenses within one year. Conclusion Traditional Chinese exercises can improve exercises tolerance,promote rehabilitation and reduce medical costs in patients with chronic heart failure.